Evidence map›Paper›PMID 28940122›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2017

Prognostic Factors Affecting Survival After Multivisceral Resection in Patients with Clinical T4b Gastric Cancer.

Kazuhito Mita, Hideto Ito, Toshio Katsube, Ayaka Tsuboi, Nobuyoshi Yamazaki, Hideki Asakawa, Takashi Hayashi, Keiichi Fujino

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Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

  1. Pooled it
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  15. BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 2): UPDATE ON TREATMENT.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2021
    Review
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  18. Nationwide Outcome of Gastrectomy with En-Bloc Partial Pancreatectomy for Gastric Cancer.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019
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  19. 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

8 authors.

Kazuhito MitaDepartment of Surgery, New Tokyo Hospital, 1271 Wanagaya, Matudo, Chiba, Japan. k-mita01@sth-medical.co.jp.
Hideto ItoDepartment of Surgery, New Tokyo Hospital, 1271 Wanagaya, Matudo, Chiba, Japan.
Toshio KatsubeDepartment of Surgery, New Tokyo Hospital, 1271 Wanagaya, Matudo, Chiba, Japan.
Ayaka TsuboiDepartment of Surgery, New Tokyo Hospital, 1271 Wanagaya, Matudo, Chiba, Japan.
Nobuyoshi YamazakiDepartment of Surgery, New Tokyo Hospital, 1271 Wanagaya, Matudo, Chiba, Japan.
Hideki AsakawaDepartment of Surgery, New Tokyo Hospital, 1271 Wanagaya, Matudo, Chiba, Japan.
Takashi HayashiDepartment of Surgery, New Tokyo Hospital, 1271 Wanagaya, Matudo, Chiba, Japan.
Keiichi FujinoDepartment of Surgery, New Tokyo Hospital, 1271 Wanagaya, Matudo, Chiba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prognosis and survival of patients with advanced gastric cancer is poor. Although completeness of resection (R0) is one of the most important factors affecting survival, multivisceral resection (MVR) for locally advanced (clinical T4b, cT4b) gastric cancer remains controversial. The aim of this study was to evaluate the factors affecting prognosis and survival after MVR in patients with cT4b gastric cancer.

methodsBetween 2005 and 2015, we retrospectively reviewed the medical records of 103 patients who underwent MVR for cT4b gastric cancer with suspected direct invasion to adjacent organs. Patient characteristics, related complications, long-term survival, and prognostic factors of cT4b gastric cancer were analyzed.

resultsPostoperative mortality and morbidity rates of patients after MVR were 1.0 and 37.9%, respectively. R0 resection was achieved in 82.5% patients, all of whom had a significantly improved survival rate. Overall survival rates at 1 and 3 years were 78.3 and 47.7% for R0 resection and 46.6 and 14.3% for R1 resection, respectively (R0 vs. R1, P < 0.002). Multivariate analysis revealed that completeness of resection (R0) was an independent prognostic factor associated with longer survival.

conclusionsIn patients with cT4b gastric cancer, gastrectomy with MVR to achieve an R0 resection can be performed with acceptable postoperative morbidity and mortality rates and can have a positive impact on long-term survival.

Indexed as

AgedFemaleGastrectomyHumansMaleMiddle AgedNeoplasm InvasivenessNeoplasm, ResidualNeoplasm StagingPostoperative ComplicationsPostoperative PeriodPrognosisRetrospective StudiesStomach NeoplasmsSurvival RateVisceraComplete resectionMultivisceral resectionPrognostic factorsT4 gastric cancer

Identifiers

PMID28940122

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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.