Evidence map›Paper›PMID 24415887›Full record

SynthesisWorld journal of gastroenterology2014

S-1-based combination therapy vs S-1 monotherapy in advanced gastric cancer: a meta-analysis.

Guo-Fang Liu, Dong Tang, Ping Li, Su Wang, Ya-Xiang Xu, Ai-Hua Long, Nian-Lan Zhou, Li-Li Zhang, Jie Chen, Xiao-Xing Xiang

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. The efficacy and safety of S-1-based regimens in the first-line treatment of advanced gastric cancer: a systematic review and meta-analysis.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2016
    Pooled it
  3. Pooled it
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  6. A prognostic nomogram to predict the cancer-specific survival of patients with initially diagnosed metastatic gastric cancer: a validation study in a Chinese cohort.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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  14. MiR-32 functions as a tumor suppressor and directly targets EZH2 in human oral squamous cell carcinoma.Medical science monitor : international medical journal of experimental and clinical research · 2014
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Guo-Fang LiuGuo-Fang Liu, Su Wang, Ai-Hua Long, Nian-Lan Zhou, Li-Li Zhang, Xiao-Xing Xiang, Department of Gastroenterology and Hepatology, Subei People's Hospital of Jiangsu Province (Clinical Medical College of Yangzhou University), Yangzhou 225000, Jiangsu Province, China.
Dong TangGuo-Fang Liu, Su Wang, Ai-Hua Long, Nian-Lan Zhou, Li-Li Zhang, Xiao-Xing Xiang, Department of Gastroenterology and Hepatology, Subei People's Hospital of Jiangsu Province (Clinical Medical College of Yangzhou University), Yangzhou 225000, Jiangsu Province, China.
Ping LiGuo-Fang Liu, Su Wang, Ai-Hua Long, Nian-Lan Zhou, Li-Li Zhang, Xiao-Xing Xiang, Department of Gastroenterology and Hepatology, Subei People's Hospital of Jiangsu Province (Clinical Medical College of Yangzhou University), Yangzhou 225000, Jiangsu Province, China.
Su WangGuo-Fang Liu, Su Wang, Ai-Hua Long, Nian-Lan Zhou, Li-Li Zhang, Xiao-Xing Xiang, Department of Gastroenterology and Hepatology, Subei People's Hospital of Jiangsu Province (Clinical Medical College of Yangzhou University), Yangzhou 225000, Jiangsu Province, China.
Ya-Xiang XuGuo-Fang Liu, Su Wang, Ai-Hua Long, Nian-Lan Zhou, Li-Li Zhang, Xiao-Xing Xiang, Department of Gastroenterology and Hepatology, Subei People's Hospital of Jiangsu Province (Clinical Medical College of Yangzhou University), Yangzhou 225000, Jiangsu Province, China.
Ai-Hua LongGuo-Fang Liu, Su Wang, Ai-Hua Long, Nian-Lan Zhou, Li-Li Zhang, Xiao-Xing Xiang, Department of Gastroenterology and Hepatology, Subei People's Hospital of Jiangsu Province (Clinical Medical College of Yangzhou University), Yangzhou 225000, Jiangsu Province, China.
Nian-Lan ZhouGuo-Fang Liu, Su Wang, Ai-Hua Long, Nian-Lan Zhou, Li-Li Zhang, Xiao-Xing Xiang, Department of Gastroenterology and Hepatology, Subei People's Hospital of Jiangsu Province (Clinical Medical College of Yangzhou University), Yangzhou 225000, Jiangsu Province, China.
Li-Li ZhangGuo-Fang Liu, Su Wang, Ai-Hua Long, Nian-Lan Zhou, Li-Li Zhang, Xiao-Xing Xiang, Department of Gastroenterology and Hepatology, Subei People's Hospital of Jiangsu Province (Clinical Medical College of Yangzhou University), Yangzhou 225000, Jiangsu Province, China.
Jie ChenGuo-Fang Liu, Su Wang, Ai-Hua Long, Nian-Lan Zhou, Li-Li Zhang, Xiao-Xing Xiang, Department of Gastroenterology and Hepatology, Subei People's Hospital of Jiangsu Province (Clinical Medical College of Yangzhou University), Yangzhou 225000, Jiangsu Province, China.
Xiao-Xing XiangGuo-Fang Liu, Su Wang, Ai-Hua Long, Nian-Lan Zhou, Li-Li Zhang, Xiao-Xing Xiang, Department of Gastroenterology and Hepatology, Subei People's Hospital of Jiangsu Province (Clinical Medical College of Yangzhou University), Yangzhou 225000, Jiangsu Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess the efficacy and safety of combination therapy based on S-1, a novel oral fluoropyrimidine, vs S-1 monotherapy in advanced gastric cancer (AGC).

methodsWe searched PubMed, EMBASE and the Cochrane Library for eligible studies published before March 2013. Our analysis identified four randomized controlled trials involving 790 participants with AGC. The outcome measures were overall survival (OS), progression-free survival (PFS), overall response rate (ORR) and grade 3-4 adverse events.

resultsMeta-analysis showed that S-1-based combination therapy significantly improved OS (HR = 0.77, 95%CI: 0.66-0.91, P = 0.002), PFS (HR = 0.58, 95%CI: 0.46-0.72, P = 0.000) and ORR (OR = 2.23, 95%CI: 1.54-3.21, P = 0.000). Sensitivity analysis further confirmed this association. Lower incidence of grade 3-4 leucopenia (OR = 4.06, 95%CI: 2.11-7.81), neutropenia (OR = 3.94, 95%CI: 2.1-7.81) and diarrhea (OR = 2.41, 95%CI: 1.31-4.44) was observed in patients with S-1 monotherapy.

conclusionS-1-based combination therapy is superior to S-1 monotherapy in terms of OS, PFS and ORR. S-1 monotherapy is associated with less toxicity.

Indexed as

Antimetabolites, AntineoplasticAntineoplastic Combined Chemotherapy ProtocolsDisease-Free SurvivalDisease ProgressionDrug CombinationsHumansOdds RatioOxonic AcidRisk FactorsStomach NeoplasmsTegafurTime FactorsTreatment OutcomeAntimetabolites, AntineoplasticDrug CombinationsOxonic AcidS 1 (combination)TegafurAdvanced gastric cancerChemotherapyMeta-analysisOverall survivalS-1

Identifiers

PMID24415887
PMCPMC3886025

What OpenQuestion holds

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Registered trials

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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.