Evidence map›Paper›PMID 20419845›Full record

ArticleWorld journal of gastroenterology2010

Prognostic impact of metastatic lymph node ratio on gastric cancer after curative distal gastrectomy.

Chang-Ming Huang, Jian-Xian Lin, Chao-Hui Zheng, Ping Li, Jian-Wei Xie, Bi-Juan Lin, Jia-Bin Wang

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Article in World journal of gastroenterology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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  11. Comparison of five staging systems of lymph node metastasis in the gastric carcinoma.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2013
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  14. Number of lymph nodes evaluated: prognostic value in pancreatic adenocarcinoma.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2012
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  16. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Chang-Ming HuangDepartment of Oncology, Fujian Medical University Union Hospital, No. 29 Xinquan Road, Fuzhou, Fujian Province, China. hcmlr253@sohu.com
Jian-Xian Lin
Chao-Hui Zheng
Ping Li
Jian-Wei Xie
Bi-Juan Lin
Jia-Bin Wang

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the prognostic impact of metastatic lymph node ratio (rN) on gastric cancer after curative distal gastrectomy.

methodsA total of 634 gastric cancer patients who underwent curative resection (R0) of lymph nodes at distal gastrectomy in 1995-2004. Correlations between positive nodes and retrieved nodes, between rN and retrieved nodes, and between rN and negative lymph node (LN) count were analyzed respectively. Prognostic factors were identified by univariate and multivariate analyses. Staging accuracy of the pN category (5th UICC/TNM system) and the rN category was compared according to the survival rates of patients. A linear regression model was used to identify the relation between rN and 5-year survival rate of the patients.

resultsThe number of dissected LNs was related with metastatic LNs but not related with rN. Cox regression analysis showed that depth of invasion, pN and rN category were the independent predictors of survival (P < 0.05). There was a significant difference in survival between LN stages classified by the rN category or by the pN category (P < 0.05). However, no significant difference was found in survival rate between LN stages classified by the pN category or by the rN category (P > 0.05). Linear regression model showed a significant linear correlation between rN and the 5-year survival rate of gastric cancer patients (beta = 0.862, P < 0.001). Pearson's correlation test revealed that negative LN count was negatively correlated with rN (P < 0.001).

conclusionrN category is a better prognostic tool than the 5th UICC pN category for gastric cancer patients after curative distal gastrectomy. Increased negative LN count can reduce rN and improve the survival rate of gastric cancer patients.

Indexed as

Lymphatic MetastasisAdultAgedAged, 80 and overCohort StudiesFemaleGastrectomyHumansLymph NodesMaleMiddle AgedPrognosisProportional Hazards ModelsRegression AnalysisStomach NeoplasmsTreatment Outcome

Identifiers

PMID20419845
PMCPMC2860085

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.