Evidence map›Paper›PMID 29556303›Full record

ArticleOncology letters2018

Combined intra-arterial and intravenous chemotherapy for unresectable, advanced gastric cancer has an improved curative effect compared with intravenous chemotherapy only.

Jinfeng Wang, Huacun Shi, Guang Yang, Guangjie Han, Man Zhao, Xiaoling Duan, Lili Mi, Xin Han, Ning Li, Jianfei Shi and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Oncology letters, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 16 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Jinfeng WangDepartment of Gastroenterology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050035, P.R. China.
Huacun ShiDepartment of Gastroenterology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050035, P.R. China.
Guang YangDepartment of Radiology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050035, P.R. China.
Guangjie HanDepartment of Gastroenterology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050035, P.R. China.
Man ZhaoDepartment of Gastroenterology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050035, P.R. China.
Xiaoling DuanDepartment of Gastroenterology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050035, P.R. China.
Lili MiDepartment of Gastroenterology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050035, P.R. China.
Xin HanDepartment of Gastroenterology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050035, P.R. China.
Ning LiDepartment of Gastroenterology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050035, P.R. China.
Jianfei ShiDepartment of Gastroenterology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050035, P.R. China.
Xiaolei YinDepartment of Gastroenterology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050035, P.R. China.
Fei YinDepartment of Gastroenterology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050035, P.R. China.
Hebei Medical University · CNFourth Hospital of Hebei Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the present study was to evaluate the efficacy and safety of a combination of intra-arterial and intravenous chemotherapy in the treatment of unresectable, advanced gastric cancer, and assess which patients are likely to benefit from combined treatment. The clinical data of 128 patients diagnosed with unresectable, advanced gastric cancer at The Fourth Hospital of Hebei Medical University (Shijiazhuang, China) from January 2009 to September 2012 were retrospectively analyzed. The patients were divided into two groups as follows: Those who received regional intra-arterial chemoembolization plus systemic chemotherapy (combined group; n=62) and those who received systemic chemotherapy only (venous group; n=66). The clinical response, overall survival (OS) and toxic effects in the two groups were compared. Univariate and multivariate analyses were performed to identify the primary factors affecting the survival time of patients in the combined group. The overall response rate was significantly increased (35.5%) in the combined group compared with the venous group (19.7%; P=0.045). The median OS was 14 months in the combined group and 13 months in the venous group, and the 1-year and 2-year survival rates in the two groups were 45.2 and 9.7%, and 40.9 and 6.1%, respectively. There were significant differences between the survival curves (P=0.044). The median time to progression in the combined group and the venous group was 10 months and 6 months, respectively, and the difference was statistically significant (P=0.003). Multivariate analysis revealed that tumor-node-metastasis (TNM)-stage and the degree of tumor staining were independent factors affecting OS. No differences in adverse reactions between the two groups were observed (P>0.05). The combination of intra-arterial and intravenous chemotherapy may effectively improve the rate of clinical response, prolong OS and time to symptomatic progression in patients with unresectable, advanced gastric cancer, in particular those with an earlier TNM stage and distinct tumor staining.

Indexed as

combined treatmentintra-arterial chemotherapyintravenous chemotherapyunresectable gastric cancer

Identifiers

PMID29556303
PMCPMC5844179
OpenAlexW2788179051

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.