Evidence map›Paper›PMID 25992191›Full record

ReviewWorld journal of gastrointestinal endoscopy2015

Endoscopic submucosal dissection in early gastric cancer in elderly patients and comorbid conditions.

Tsutomu Nishida, Motohiko Kato, Toshiyuki Yoshio, Tomofumi Akasaka, Teppei Yoshioka, Tomoki Michida, Masashi Yamamoto, Shiro Hayashi, Yoshito Hayashi, Masahiko Tsujii and 1 more

Open access · hybridAbstract readReview
In one paragraph

Review in World journal of gastrointestinal endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.4field-weighted citation impact, top 10% of its field
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

13 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
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  8. A Risk-Scoring Model for Predicting Lymph Node Metastasis in Early Gastric Cancer Patients: a Retrospective Study and External Validation.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2018
    Article
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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

11 authors at 1 institution in 1 country.

Tsutomu NishidaTsutomu Nishida, Masashi Yamamoto, Shiro Hayashi, Department of Gastroenterology, Toyonaka Municipal Hospital, Osaka 560-8565, Japan.
Motohiko KatoTsutomu Nishida, Masashi Yamamoto, Shiro Hayashi, Department of Gastroenterology, Toyonaka Municipal Hospital, Osaka 560-8565, Japan.
Toshiyuki YoshioTsutomu Nishida, Masashi Yamamoto, Shiro Hayashi, Department of Gastroenterology, Toyonaka Municipal Hospital, Osaka 560-8565, Japan.
Tomofumi AkasakaTsutomu Nishida, Masashi Yamamoto, Shiro Hayashi, Department of Gastroenterology, Toyonaka Municipal Hospital, Osaka 560-8565, Japan.
Teppei YoshiokaTsutomu Nishida, Masashi Yamamoto, Shiro Hayashi, Department of Gastroenterology, Toyonaka Municipal Hospital, Osaka 560-8565, Japan.
Tomoki MichidaTsutomu Nishida, Masashi Yamamoto, Shiro Hayashi, Department of Gastroenterology, Toyonaka Municipal Hospital, Osaka 560-8565, Japan.
Masashi YamamotoTsutomu Nishida, Masashi Yamamoto, Shiro Hayashi, Department of Gastroenterology, Toyonaka Municipal Hospital, Osaka 560-8565, Japan.
Shiro HayashiTsutomu Nishida, Masashi Yamamoto, Shiro Hayashi, Department of Gastroenterology, Toyonaka Municipal Hospital, Osaka 560-8565, Japan.
Yoshito HayashiTsutomu Nishida, Masashi Yamamoto, Shiro Hayashi, Department of Gastroenterology, Toyonaka Municipal Hospital, Osaka 560-8565, Japan.
Masahiko TsujiiTsutomu Nishida, Masashi Yamamoto, Shiro Hayashi, Department of Gastroenterology, Toyonaka Municipal Hospital, Osaka 560-8565, Japan.
Tetsuo TakeharaTsutomu Nishida, Masashi Yamamoto, Shiro Hayashi, Department of Gastroenterology, Toyonaka Municipal Hospital, Osaka 560-8565, Japan.
Toyonaka Municipal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prognosis of early gastric cancer (EGC) is good if there is no concomitant lymph node metastasis. Therefore, the early detection of EGC is important to improve the prognosis of patients with gastric cancer. In Japan, 40% to 50% of all gastric cancers are EGC, and endoscopic submucosal dissection (ESD) is widely accepted as a local treatment for these lesions, particularly for large lesions that at one time were an indication for gastrectomy because of the difficulty of en-bloc resection. Consequently, this procedure can preserve the entire stomach and the patient's postoperative quality of life. ESD has become a general technique with improved procedures and devices, and has become the preferred treatment for EGC rather than gastrectomy. Therefore, ESD may demonstrate many advantages in patients who have several comorbidities, particularly elderly population, patients taking antithrombotic agents, or patients with chronic kidney disease, or liver cirrhosis. However, it is not yet clear whether patients with both EGC and comorbidities are feasible candidates for ESD and whether they would consequently be able to achieve a survival benefit after ESD. In this review, we discuss the clinical problems of ESD in patients with EGC and those comorbid conditions.

Indexed as

Antithrombotic agentsChronic kidney diseaseElderly personEndoscopic submucosal dissectionGastric cancerLiver cirrhosis

Identifiers

PMID25992191
PMCPMC4436920
OpenAlexW2403972897

What OpenQuestion holds

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Read underepoch 390

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.