Evidence map›Paper›PMID 28315230›Full record

SynthesisMedical oncology (Northwood, London, England)2017

Clinical outcome and molecular characterization of brain metastases from esophageal and gastric cancer: a systematic review.

Michele Ghidini, Fausto Petrelli, Jens Claus Hahne, Annamaria De Giorgi, Laura Toppo, Claudio Pizzo, Margherita Ratti, Sandro Barni, Rodolfo Passalacqua, Gianluca Tomasello

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Medical oncology (Northwood, London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

14 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
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  5. Nonoperative management of gastrointestinal malignancies in era of neoadjuvant treatment.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2023
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  10. Enrichment ofThe oncologist · 2019
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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

10 authors at 5 institutions in 2 countries.

Michele GhidiniOncology Unit, Oncology Department, ASST di Cremona, Ospedale di Cremona, Viale Concordia 1, 26100, Cremona, Italy.
Fausto PetrelliOncology Unit, Oncology Department, ASST Bergamo Ovest, Ospedale di Treviglio, Piazzale Ospedale 1, 24047, Treviglio, BG, Italy. faupe@libero.it.
Jens Claus HahneLaboratory of Gastrointestinal Cancer Biology and Genomics, Division of Molecular Pathology, The Institute of Cancer Research, 15 Cotswold Road, Sutton, Surrey, SM25NG, UK.
Annamaria De GiorgiOncology Unit, Oncology Department, ASST Dei Sette Laghi, Ospedale di Circolo e Fondazione Macchi, Viale Luigi Borri 57, 21100, Varese, Italy.
Laura ToppoOncology Unit, Oncology Department, ASST di Cremona, Ospedale di Cremona, Viale Concordia 1, 26100, Cremona, Italy.
Claudio PizzoOncology Unit, Oncology Department, ASST di Cremona, Ospedale di Cremona, Viale Concordia 1, 26100, Cremona, Italy.
Margherita RattiOncology Unit, Oncology Department, ASST di Cremona, Ospedale di Cremona, Viale Concordia 1, 26100, Cremona, Italy.
Sandro BarniOncology Unit, Oncology Department, ASST Bergamo Ovest, Ospedale di Treviglio, Piazzale Ospedale 1, 24047, Treviglio, BG, Italy.
Rodolfo PassalacquaOncology Unit, Oncology Department, ASST di Cremona, Ospedale di Cremona, Viale Concordia 1, 26100, Cremona, Italy.
Gianluca TomaselloOncology Unit, Oncology Department, ASST di Cremona, Ospedale di Cremona, Viale Concordia 1, 26100, Cremona, Italy.
Istituti Ospitalieri di Cremona · ITAzienda Ospedaliera Treviglio · ITAzienda Socio Sanitaria Territoriale di Bergamo OvestInstitute of Cancer Research · GBOspedale di Circolo e Fondazione Macchi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the study was to collect the available data on central nervous system (CNS) metastases from esophageal and gastric cancer. A PubMed, EMBASE, SCOPUS, Web of Science, LILACS, Ovid and Cochrane Library search was performed. Thirty-seven studies including 779 patients were considered. Among the data extracted, treatment of tumor and brain metastases (BMs), time to BMs development, number and subsite, extracerebral metastases rate, median overall survival (OS) and prognostic factors were included. For esophageal cancer, the median OS from diagnosis of BMs was 4.2 months. Prognostic factors for OS included: performance status, multimodal therapy, adjuvant chemotherapy, single BM, brain only disease and surgery. For gastric cancer, median OS was 2.4 months. Prognostic factors for OS included: recursive partitioning analysis class 2, stereotactic radiosurgery (SRT) and use of intrathecal therapy. HER2-positive gastric cancer was shown to be associated with a higher risk and shorter time to CNS relapse. Patients harboring BMs from gastric and esophageal tumors, except cases with single lesions that are treated aggressively, have a poor prognosis. SRT (plus or minus surgery and whole brain radiotherapy) seems to give better results in terms of longer OS after brain relapse.

Indexed as

Brain NeoplasmsEsophageal NeoplasmsHumansPrognosisStomach NeoplasmsTreatment OutcomeBrain metastasesEsophageal cancerGastric cancerRadiotherapyStereotactic radiosurgery

Identifiers

PMID28315230
OpenAlexW2596129318

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.