Evidence map›Paper›PMID 27172929›Full record

ArticleGut and liver2016

Short-Term Outcomes of Endoscopic Submucosal Dissection in Patients with Early Gastric Cancer: A Prospective Multicenter Cohort Study.

Il Ju Choi, Na Rae Lee, Sang Gyun Kim, Wan Sik Lee, Seun Ja Park, Jae J Kim, Jun Haeng Lee, Jin-Won Kwon, Seung-Hee Park, Ji Hye You and 9 more

Open access · diamondAbstract readEvaluation StudyMulticenter Study
In one paragraph

Article in Gut and liver, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 33 citations in OpenAlex.

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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

19 authors at 13 institutions in 1 country.

Il Ju ChoiCenter for Gastric Cancer, National Cancer Center, Goyang, Korea.
Na Rae LeeNational Evidence-Based Healthcare Collaborating Agency, Seoul, Korea.
Sang Gyun KimDepartment of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Wan Sik LeeDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Seun Ja ParkDepartment of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
Jae J KimDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Jun Haeng LeeDepartment of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Jin-Won KwonNational Evidence-Based Healthcare Collaborating Agency, Seoul, Korea.
Seung-Hee ParkNational Evidence-Based Healthcare Collaborating Agency, Seoul, Korea.
Ji Hye YouNational Evidence-Based Healthcare Collaborating Agency, Seoul, Korea.
Ji Hyun KimDepartment of Internal Medicine, Inje University Busan Paik Hospital, Busan, Korea.
Chul-Hyun LimDepartment of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
Joo Young ChoDigestive Disease Center, Soonchunhyang University Hospital, Seoul, Korea.
Gwang Ha KimDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.
Yong Chan LeeDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Hwoon-Yong JungDepartment of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Ji Young KimNational Evidence-Based Healthcare Collaborating Agency, Seoul, Korea.
Hoon Jai ChunDepartment of Internal Medicine, Institute of Digestive Diseases and Nutrition, Korea University College of Medicine, Seoul, Korea.
Sang-Yong SeolNational Evidence-Based Healthcare Collaborating Agency, Seoul, Korea.
National Evidenc- based healthcare Collaborating Agency · KRSamsung Medical Center · KRCatholic University of Korea · KRChonnam National University · KRKorea University · KRKosin University · KRNational Cancer Center · KRPusan National University · KRSeoul National University · KRSoonchunhyang University Hospital Seoul · KRSungkyunkwan University · KRUniversity of Ulsan · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsEndoscopic submucosal dissection (ESD) is an effective treatment for early gastric cancer (EGC) that has demonstrated a minimal risk of lymph node metastasis in retrospective studies. We sought to prospectively evaluate the short-term outcomes of ESD treatment in EGCs.

methodsA prospective multicenter cohort study of neoplasms 3 cm or less in diameter at endoscopic size evaluation was performed in 12 Korean ESD study grouprelated university hospitals and the National Cancer Center. Resected specimens were evaluated by the central pathologic review board.

resultsA patient cohort (n=712) with a total of 737 EGCs was analyzed. The margin-free en bloc resection rate was 97.3%, and curative resection of 640 lesions (86.8%) was achieved. Lower curative resection rates were associated with lesions 2 to 3 cm in size prior to ESD compared with lesions 2 cm or less in size (78.6% vs 88.1%, respectively, p=0.009). Significant factors associated with noncurative resection were moderately or poorly differentiated histological type, posterior wall tumor location, tumor size larger than 3 cm, ulceration, and submucosal invasion. Delayed bleeding occurred in 49 patients (6.9%), and 12 patients (1.7%) exhibited perforations.

conclusionsESD is an effective treatment with a high curative resection rate for EGCs that meets relatively conservative pre-ESD indications. Long-term survival outcomes should be evaluated in followup studies.

Indexed as

AdultAgedEarly Detection of CancerEndoscopic Mucosal ResectionFemaleGastric MucosaGastroscopyHumansMaleMargins of ExcisionMiddle AgedProspective StudiesStomach NeoplasmsTreatment OutcomeTumor BurdenEndoscopygastrointestinalOutcome assessProspective studiesStomach neoplasms

Identifiers

PMID27172929
PMCPMC5003197
OpenAlexW3201536672

What OpenQuestion holds

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LicenceCC BY-NC
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.