Evidence map›Paper›PMID 28077399›Full record

GuidelineAmerican journal of clinical pathology2016

HER2 Testing and Clinical Decision Making in Gastroesophageal Adenocarcinoma: Guideline From the College of American Pathologists, American Society for Clinical Pathology, and American Society of Clinical Oncology.

Angela N Bartley, Mary Kay Washington, Christina B Ventura, Nofisat Ismaila, Carol Colasacco, Al B Benson, Alfredo Carrato, Margaret L Gulley, Dhanpat Jain, Sanjay Kakar and 5 more

Open access · bronzeAbstract readPractice GuidelineSystematic Review
In one paragraph

Guideline in American journal of clinical pathology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

37 citing papers in PubMed, 65 citations in OpenAlex.

  1. Trial
  2. Immune niche composed of C1QNature communications · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Research Progress of HER2 in Cervical Carcinoma.Cancer management and research · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. The Relationship Between HER-2 Expression Levels andMolecular imaging and radionuclide therapy · 2021
    Article
  20. Article
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

15 authors at 14 institutions in 3 countries.

Angela N BartleyFrom the Department of Pathology, St Joseph Mercy Hospital, Ann Arbor, MI angelbart16@gmail.com.
Mary Kay WashingtonDepartment of Pathology, Vanderbilt University Medical Center, Nashville, TN.
Christina B VenturaSurveys and Governance, College of American Pathologists, Northfield, IL.
Nofisat IsmailaQuality and Guidelines Department, American Society of Clinical Oncology, Alexandria, VA.
Carol ColasaccoSurveys and Governance, College of American Pathologists, Northfield, IL.
Al B BensonDivision of Hematology/Oncology, Northwestern University, Chicago, IL.
Alfredo CarratoMedical Oncology Department, Ramon y Cajal University Hospital, Madrid, Spain.
Margaret L GulleyDepartment of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill.
Dhanpat JainDepartment of Pathology, Yale University School of Medicine, New Haven, CT.
Sanjay KakarDepartment of Pathology and Laboratory Medicine, UCSF, San Francisco, CA.
Helen J MackayDivision of Medical Oncology and Hematology, University of Toronto/Sunnybrook Odette Cancer Centre, Toronto, Canada.
Catherine StreutkerDepartment of Laboratory Medicine, St Michael's Hospital, Toronto, Canada.
Laura TangDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY.
Megan TroxellDepartment of Pathology, Stanford University Medical Center, Stanford, CA.
Jaffer A AjaniDepartment of Gastrointestinal Medical Oncology, University of Texas MD Anderson Cancer Center, Houston.
College of American Pathologists · USAmerican Society of Clinical Oncology · USInstituto Cajal · ESMemorial Sloan Kettering Cancer Center · USNorthwestern University · USStanford University · USSt. Michael's Hospital · CASunnybrook Health Science Centre · CAThe University of Texas MD Anderson Cancer Center · USTrinity Health Ann Arbor Hospital · USUniversity of California, San Francisco · USUniversity of North Carolina at Chapel Hill · USVanderbilt University Medical Center · USYale University · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
6 · The paper itself

Abstract

contextERBB2 (erb-b2 receptor tyrosine kinase 2 or HER2) is currently the only biomarker established for selection of a specific therapy for patients with advanced gastroesophageal adenocarcinoma (GEA). However, there are no comprehensive guidelines for the assessment of HER2 in patients with GEA.

objectivesTo establish an evidence-based guideline for HER2 testing in patients with GEA, to formalize the algorithms for methods to improve the accuracy of HER2 testing while addressing which patients and tumor specimens are appropriate, and to provide guidance on clinical decision making.

designThe College of American Pathologists, American Society for Clinical Pathology, and American Society of Clinical Oncology convened an expert panel to conduct a systematic review of the literature to develop an evidence-based guideline with recommendations for optimal HER2 testing in patients with GEA.

resultsThe panel is proposing 11 recommendations with strong agreement from the open-comment participants. RECOMMENDATIONS: The panel recommends that tumor specimen(s) from all patients with advanced GEA, who are candidates for HER2-targeted therapy, should be assessed for HER2 status before the initiation of HER2-targeted therapy. Clinicians should offer combination chemotherapy and a HER2-targeted agent as initial therapy for all patients with HER2-positive advanced GEA. For pathologists, guidance is provided for morphologic selection of neoplastic tissue, testing algorithms, scoring methods, interpretation and reporting of results, and laboratory quality assurance.

conclusionsThis guideline provides specific recommendations for assessment of HER2 in patients with advanced GEA while addressing pertinent technical issues and clinical implications of the results.

Indexed as

Clinical Decision-MakingAdenocarcinomaAntineoplastic AgentsErb-b2 Receptor Tyrosine KinasesEsophageal NeoplasmsEsophagogastric JunctionGenetic TestingHumansMedical OncologyStomach NeoplasmsUnited StatesAntineoplastic AgentsERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesGastroesophageal adenocarcinomaGuidelinesHER2 testing

Identifiers

PMID28077399
PMCPMC6272805
OpenAlexW2559761169

What OpenQuestion holds

Textmetadata
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.