Evidence map›Paper›PMID 27599830›Full record

ArticleGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2017

Prognostic significance of performing universal HER2 testing in cases of advanced gastric cancer.

Paula Jiménez-Fonseca, Alberto Carmona-Bayonas, Maria Luisa Sánchez Lorenzo, Javier Gallego Plazas, Ana Custodio, Raquel Hernández, Marcelo Garrido, Teresa García, Isabel Echavarría, Juana María Cano and 22 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. SEOM-GEMCAD-TTD clinical guideline for the diagnosis and treatment of gastric cancer (2023).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
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  10. Optimal duration of first-line chemotherapy for advanced gastric cancer: data from the AGAMENON registry.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2020
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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

32 authors.

Paula Jiménez-FonsecaMedical Oncology Department, Hospital Universitario Central de Asturias, Avenida de Roma s/n, 33011, Oviedo, Spain. palucaji@hotmail.com.
Alberto Carmona-BayonasHematology and Medical Oncology Department, Hospital Universitario Morales Meseguer, UMU, IMIB, Murcia, Spain.
Maria Luisa Sánchez LorenzoMedical Oncology Department, Hospital Universitario Central de Asturias, Avenida de Roma s/n, 33011, Oviedo, Spain.
Javier Gallego PlazasMedical Oncology Department, Hospital General Universitario de Elche, Alicante, Spain.
Ana CustodioMedical Oncology Department, Hospital Universitario La Paz, Madrid, Spain.
Raquel HernándezMedical Oncology Department, Hospital Universitario de Canarias, Santa Cruz De Tenerife, Spain.
Marcelo GarridoMedical Oncology Department, Pontificia Universidad Católica de Chile, Santiago De Chile, Chile.
Teresa GarcíaHematology and Medical Oncology Department, Hospital Universitario Morales Meseguer, UMU, IMIB, Murcia, Spain.
Isabel EchavarríaMedical Oncology Department, Hospital Universitario Gregorio Marañón, Madrid, Spain.
Juana María CanoMedical Oncology Department, Hospital General de Ciudad Real, Ciudad Real, Spain.
Alberto Rodríguez PalomoPharmacy Department, Hospital Universitario Central de Asturias, Oviedo, Spain.
Monserrat MangasMedical Oncology Department, Hospital Galdakao-Usansolo, Usansolo, Spain.
Ismael Macías DeclaraMedical Oncology Department, Hospital Universitario Parc Tauli, Sabadell, Spain.
Avinash RamchandaniMedical Oncology Department, Hospital Universitario Insular de Gran Canaria, Las Palmas De Gran Canaria, Spain.
Laura VisaMedical Oncology Department, Hospital Universitario del Mar, Barcelona, Spain.
Antonio ViudezMedical Oncology Department, Complejo Hospitalario de Navarra, Pamplona, Spain.
Elvira BuxóMedical Oncology Department, Hospital Clínic, Barcelona, Spain.
Asunción Díaz-SerranoMedical Oncology Department, Hospital Universitario Doce de Octubre, Madrid, Spain.
Carlos LópezMedical Oncology Department, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Aitor AzkarateMedical Oncology Department, Hospital Universitario Son Espases, Mallorca, Spain.
Federico LongoMedical Oncology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Eduardo CastañónMedical Oncology Department, Clínica Universidad de Navarra, Pamplona, Spain.
Rodrigo Sánchez BayonaMedical Oncology Department, Clínica Universidad de Navarra, Pamplona, Spain.
Paola PimentelMedical Oncology Department, Hospital Santa Lucía, Cartagena, Spain.
Maria Luisa LimónMedical Oncology Department, Hospital Universitario Virgen del Rocío, Seville, Spain.
Paula CerdáMedical Oncology Department, Instituto Oncológico Teknon, Barcelona, Spain.
Renata Álvarez LlosaMedical Oncology Department, Complejo Hospitalario de Orense, Ourense, Spain.
Raquel SerranoMedical Oncology Department, Hospital Universitario Reina Sofía de Córdoba, Córdoba, Spain.
Maria Pilar Felices LoberaMedical Oncology Department, Hospital Universitario Miguel Servet de Zaragoza, Zaragoza, Spain.
María AlsinaMedical Oncology Department, Hospital Universitario Vall d'Hebron and VHIO-Vall d'Hebron Institute of Oncology, Barcelona, Spain.
Alicia Hurtado NuñoMedical Oncology Department, Hospital Universitario Fundación Alcorcon, Madrid, Spain.
Carlos Gómez-MartinMedical Oncology Department, Hospital Universitario Doce de Octubre, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrastuzumab significantly improves overall survival (OS) when added to cisplatin and fluoropyrimidine as a treatment for HER2-positive advanced gastric cancers (AGC). The aim of this study was to evaluate the impact of the gradual implementation of HER2 testing on patient prognosis in a national registry of AGC.

methodsThis Spanish National Cancer Registry includes cases who were consecutively recruited at 28 centers from January 2008 to January 2016. The effect of missing HER2 status was assessed using stratified Cox proportional hazards (PH) regression.

resultsThe rate of HER2 testing increased steadily over time, from 58.3 % in 2008 to 92.9 % in 2016. HER2 was positive in 194 tumors (21.3 %). In the stratified Cox PH regression, each 1 % increase in patients who were not tested for HER2 at the institutions was associated with an approximately 0.3 % increase in the risk of death: hazard ratio, 1.0035 (CI 95 %, 1.001-1.005), P = 0.0019. Median OS was significantly lower at institutions with the highest proportions of patients who were not tested for HER2.

conclusionPatients treated at centers that took longer to implement HER2 testing exhibited worse clinical outcomes. The speed of implementation behaves as a quality-of-care indicator. Reviewed guidelines on HER2 testing should be used to achieve this goal in a timely manner.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorErb-b2 Receptor Tyrosine KinasesFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPrognosisProportional Hazards ModelsSpainStomach NeoplasmsTrastuzumabBiomarkers, TumorERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesTrastuzumabGastric cancerHER2 testingPersonalized medicineQuality of careTrastuzumab

Identifiers

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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.