Evidence map›Paper›PMID 28947864›Full record

ArticleChinese journal of cancer research = Chung-kuo yen cheng yen chiu2017

Comparison of different lymph node staging systems in prognosis of gastric cancer: a bi-institutional study from Hungary.

Dezső Tóth, Adrienn Bíró, Zsolt Varga, Miklós Török, Péter Árkosy

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Article in Chinese journal of cancer research = Chung-kuo yen cheng yen chiu, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

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14citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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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.

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3 · Its place in the literature

Who cites it

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

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Dezső TóthDepartment of General Surgery, Kenézy Gyula Teaching Hospital, Debrecen 4031, Hungary.
Adrienn BíróDepartment of General Surgery, Kenézy Gyula Teaching Hospital, Debrecen 4031, Hungary.
Zsolt VargaDepartment of General Surgery, Kenézy Gyula Teaching Hospital, Debrecen 4031, Hungary.
Miklós TörökDepartment of General Surgery, Kenézy Gyula Teaching Hospital, Debrecen 4031, Hungary.
Péter ÁrkosyDepartment of General Surgery, Kenézy Gyula Teaching Hospital, Debrecen 4031, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe Union for International Cancer Control (UICC) Node (N) classification is the most common used staging method for the prognosis of gastric cancer. It demands adequate, at least 16 lymph nodes (LNs) to be dissected; therefore different staging systems were invented.

methodsBetween March 2005 and March 2010, 164 patients were evaluated at the Department of General Surgery in the Kenézy Gyula Hospital and at the Department of General, Thoracic and Vascular Surgery in the Kaposi Mór Hospital. The 6th, 7th and 8th UICC N-staging systems, the number of examined LNs, the number of harvested negative LNs, the metastatic lymph node ratio (MLR) and the log odds of positive LNs (LODDS) were determined to measure their 5-year survival rates and to compare them to each other.

resultsThe overall 5-year survival rate for all patients was 55.5% with a median overall survival time of 102 months. The tumor stage, gender, UICC N-stages, MLR and the LODDS were significant prognostic factors for the 5-year survival with univariate analysis. The 6th UICC N-stage did not follow the adequate risk in comparing N2

conclusionsWe suggest the application of LODDS system routinely in western patients and the usage of MLR classification in cases with extended lymphadenectomy.

Indexed as

Gastric cancerlymph node metastasisprognosisstaging systemsurvival

Identifiers

PMID28947864
PMCPMC5592820

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