Evidence map›Paper›PMID 26242393›Full record

SynthesisScientific reports2015

Perioperative chemotherapy more of a benefit for overall survival than adjuvant chemotherapy for operable gastric cancer: an updated Meta-analysis.

Ya'nan Yang, Xue Yin, Lei Sheng, Shan Xu, Lingling Dong, Lian Liu

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Current trends in perioperative treatment of resectable gastric cancer.World journal of gastrointestinal surgery · 2023
    Review
  7. Article
  8. Review
  9. Article
  10. Localized stomach cancer: Perioperative or postoperative approach? A meta-analysis of phase III studies.JGH open : an open access journal of gastroenterology and hepatology · 2022
    Article
  11. Review
  12. Article
  13. Article
  14. Terahertz Imaging for Breast Cancer Detection.Sensors (Basel, Switzerland) · 2021
    Review
  15. Article
  16. Article
  17. A real-life analysis on the indications and prognostic relevance of perioperative chemotherapy in locally advanced resectable gastric adenocarcinoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2020
    Article
  18. Article
  19. Recurrence after preoperative chemotherapy and surgery for gastric adenocarcinoma: a multicenter study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2019
    Article
  20. Review
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

6 authors at 3 institutions in 2 countries.

Ya'nan YangDepartment of Chemotherapy, Cancer Center, Qilu Hospital, Shandong University, Jinan, China.
Xue YinDepartment of Chemotherapy, Cancer Center, Qilu Hospital, Shandong University, Jinan, China.
Lei ShengCancer Therapeutics Laboratory, Centre for Personalized Cancer Medicine, School of Medicine, University of Adelaide, Australia.
Shan XuDepartment of Chemotherapy, Cancer Center, Qilu Hospital, Shandong University, Jinan, China.
Lingling DongDepartment of Cancer, Weifang Traditional Chinese Medical Hospital, Weifang, China.
Lian LiuDepartment of Chemotherapy, Cancer Center, Qilu Hospital, Shandong University, Jinan, China.
Qilu Hospital of Shandong University · CNCentre for Cancer Biology · AUWeifang Chinese Medicine Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To clarify the effect of neoadjuvant chemotherapy (NAC) on the survival outcomes of operable gastric cancers, we searched PubMed, Embase, and Cochrane Library for randomized clinical trials published until June 2014 that compared NAC-containing strategies with NAC-free strategies in patients with adenocarcinoma of the stomach or the esophagogastric junction, who had undergone potentially curative resection. The adjusted pooled hazard ratio (HR) for overall survival (OS) was insignificant when comparing the NAC-containing arm with the NAC-free arm. Subgroup analysis showed that the OS of the treatment arm that involved both adjuvant chemotherapy (AC) and NAC was significantly improved over the control arm (AC only) (HR = 0.48, 95% CI: 0.35-0.67; P < 0.001). While NAC alone plus surgery did not show any survival benefit over surgery alone. Perioperative chemotherapy (PC) also showed a significant increase in PFS and a significant reduction in distant metastasis compared to surgery alone. Therefore, in patients with resectable gastric cancer, NAC alone is not enough and AC alone is not good enough to definitely improve their OS. Collectively, PC combined with surgery could maximize the survival benefit for patients with resectable gastric cancer.

Indexed as

AdenocarcinomaChemotherapy, AdjuvantDisease-Free SurvivalHumansKaplan-Meier EstimateNeoadjuvant TherapyNeoplasm Recurrence, LocalPerioperative PeriodProportional Hazards ModelsRandomized Controlled Trials as TopicStomach Neoplasms

Identifiers

PMID26242393
PMCPMC4525358
OpenAlexW1115952566

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.