Evidence map›Paper›PMID 29566715›Full record

Trial reportWorld journal of surgical oncology2018

Neoadjuvant intraperitoneal chemotherapy followed by radical surgery and HIPEC in patients with very advanced gastric cancer and peritoneal metastases: report of an initial experience in a western single center.

Bianca Escorel Costa Fava, Wilson Luiz da Costa, Maria Luiza L Medeiros, Marina Sonagli, Héber Salvador de Castro Ribeiro, Alessandro L Diniz, André L Godoy, Igor C de Farias, Victor Hugo Fonseca de Jesus, Maria Dirlei F S Begnami and 1 more

Open access · goldAbstract readCase ReportsClinical Trial
In one paragraph

Trial report in World journal of surgical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Enhanced recovery versus conventional care in gastric cancer surgery: a meta-analysis of randomized and non-randomized controlled trials.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2019
    Pooled it
  2. Innovative landscapes in intraperitoneal therapy of ovarian cancer.Drug delivery and translational research · 2025
    Review
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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

11 authors at 1 institution in 1 country.

Bianca Escorel Costa FavaDepartment of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente, 211, Liberdade, Sao Paulo, CEP 01501-900, Brazil.
Wilson Luiz da CostaDepartment of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente, 211, Liberdade, Sao Paulo, CEP 01501-900, Brazil. dr.wilsoncosta@gmail.com.
Maria Luiza L MedeirosDepartment of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente, 211, Liberdade, Sao Paulo, CEP 01501-900, Brazil.
Marina SonagliDepartment of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente, 211, Liberdade, Sao Paulo, CEP 01501-900, Brazil.
Héber Salvador de Castro RibeiroDepartment of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente, 211, Liberdade, Sao Paulo, CEP 01501-900, Brazil.
Alessandro L DinizDepartment of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente, 211, Liberdade, Sao Paulo, CEP 01501-900, Brazil.
André L GodoyDepartment of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente, 211, Liberdade, Sao Paulo, CEP 01501-900, Brazil.
Igor C de FariasDepartment of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente, 211, Liberdade, Sao Paulo, CEP 01501-900, Brazil.
Victor Hugo Fonseca de JesusDepartament of Medical Oncology, A. C. Camargo Cancer Center, Sao Paulo, Brazil.
Maria Dirlei F S BegnamiDepartment of Pathology, A. C. Camargo Cancer Center, São Paulo, Brazil.
Felipe J F CoimbraDepartment of Abdominal Surgery, A. C. Camargo Cancer Center, Rua Antonio Prudente, 211, Liberdade, Sao Paulo, CEP 01501-900, Brazil.
AC Camargo Hospital · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association of preoperative systemic and intraperitoneal chemotherapy has been described in Eastern patients with very good outcomes in treatment responders. The aim of this paper is to describe the initial results of this multidisciplinary regimen in gastric cancer patients with very advanced peritoneal metastases. CASE PRESENTATION: We present here the first four cases who received the treatment protocol. They had a baseline PCI between 19 and 33. Two patients had received systemic chemotherapy prior to this regimen. Three of them had significant response and were taken to cytoreductive surgery, while one patient who had 12 cycles of chemotherapy previously showed signs of disease progression and subsequently died. There was no significant postoperative morbidity, and three patients remain alive, two of them with no signs of recurrence.

conclusionSystemic and intraperitoneal chemotherapy led to a marked response in peritoneal disease extent in our initial experience and allowed three of four patients with very advanced disease to be treated with cytoreductive surgery.

Indexed as

Neoadjuvant TherapyAdultAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, Cancer, Regional PerfusionCombined Modality TherapyCytoreduction Surgical ProceduresFemaleHumansHyperthermia, InducedMaleMiddle AgedNeoplasm Recurrence, LocalPeritoneal NeoplasmsPrognosisRetrospective StudiesStomach Neoplasms

Identifiers

PMID29566715
PMCPMC5863812
OpenAlexW2799346213

What OpenQuestion holds

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LicenceCC BY
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.