Evidence map›Paper›PMID 28562333›Full record

ArticleOncotarget2017

Efficacy and safety comparison of chemotherapies for advanced gastric cancer: A network meta-analysis.

Jinping Sun, Zheng Ren, Xinfang Sun, Hongtao Hou, Ke Li, Quanxing Ge

Abstract readNetwork Meta-Analysis
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. The efficacy and safety of targeted therapy with or without chemotherapy in advanced gastric cancer treatment: a network meta-analysis of well-designed randomized controlled trials.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2018
    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.

Jinping SunDepartment of Digestive Internal Medicine, Huaihe Hospital of Henan University, Kaifeng, 475000, Henan, China.
Zheng RenDepartment of Digestive Internal Medicine, Huaihe Hospital of Henan University, Kaifeng, 475000, Henan, China.
Xinfang SunDepartment of Digestive Internal Medicine, Huaihe Hospital of Henan University, Kaifeng, 475000, Henan, China.
Hongtao HouDepartment of Digestive Internal Medicine, Huaihe Hospital of Henan University, Kaifeng, 475000, Henan, China.
Ke LiDepartment of Digestive Internal Medicine, Huaihe Hospital of Henan University, Kaifeng, 475000, Henan, China.
Quanxing GeDepartment of Digestive Internal Medicine, Huaihe Hospital of Henan University, Kaifeng, 475000, Henan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveChemotherapy is one of the commonly used therapies for advanced gastric cancer. In this study, we performed a network meta-analysis on the efficacy and safety of common treatments to give evidences of their relative benefits.

results32 trials with 8550 patients and 20 regimens were included in this study. According to the results of primary outcomes, 5-FU plus OXA, 5-FU plus DOC, CAP plus CIS, CAP plus OXA, S-1 plus OXA and S-1 plus PAC performed well in improving OS and ORR. As for the adverse events, S-1 had a safer effect than other treatments, conversely, 5-FU plus CIS ranked the last. However, there was no regimen with outstanding performances in both efficacy and safety. MATERIALS AND

methodsStudies were searched from database and screened with criteria. The Bayesian framework based network meta-analysis was performed with software R and STATA. Overall survival (OS) and overall response rate (ORR) were considered as primary outcomes while adverse events as secondary outcomes. The outcomes were represented by hazard ratios or odd ratios with 95% corresponding credible intervals, respectively.

conclusionsThe network meta-analysis suggested that 5-FU plus OXA and 5-FU plus DOC were recommended when efficacy was stressed. S-1 was safest but poorly effective. A regimen, as an excellent combination of efficacy and safety, is still waiting to be discovered.

Indexed as

Antineoplastic AgentsHumansPrognosisRandomized Controlled Trials as TopicSafetyStomach NeoplasmsAntineoplastic Agentsadvanced gastric cancerchemotherapiesefficacynetwork meta-analysissafety

Identifiers

PMID28562333
PMCPMC5503642

What OpenQuestion holds

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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.