Evidence map›Paper›PMID 29695567›Full record

ArticleIn vivo (Athens, Greece)

Impact of Sarcopenia in Patients with Unresectable Locally Advanced Esophageal Cancer Receiving Chemoradiotherapy.

Sho Sato, Chikara Kunisaki, Hideaki Suematsu, Yusaku Tanaka, Hiroshi Miyamoto, Takashi Kosaka, Norio Yukawa, Kuniya Tanaka, Kei Sato, Hirotoshi Akiyama and 1 more

Open access · diamondAbstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
4.4field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Nutritional management during chemotherapy and chemoradiotherapy for advanced esophageal cancer.Esophagus : official journal of the Japan Esophageal Society · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Prognostic Value of Sarcopenia and Metabolic Parameters ofDiagnostics (Basel, Switzerland) · 2023
    Article
  13. Review
  14. Article
  15. Influence of sarcopenia, clinical data, and 2-[European journal of nuclear medicine and molecular imaging · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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.

Sho SatoDepartment of Surgery, Gastroenterological Center, Yokohama City University, Yokohama, Japan.
Chikara KunisakiDepartment of Surgery, Gastroenterological Center, Yokohama City University, Yokohama, Japan s0714@med.yokohama-cu.ac.jp.
Hideaki SuematsuDepartment of Surgery, Gastroenterological Center, Yokohama City University, Yokohama, Japan.
Yusaku TanakaDepartment of Surgery, Gastroenterological Center, Yokohama City University, Yokohama, Japan.
Hiroshi MiyamotoDepartment of Surgery, Gastroenterological Center, Yokohama City University, Yokohama, Japan.
Takashi KosakaDepartment of Surgery, Gastroenterological Center, Yokohama City University, Yokohama, Japan.
Norio YukawaDepartment of Surgery, Gastroenterological Center, Yokohama City University, Yokohama, Japan.
Kuniya TanakaDepartment of Surgery, Gastroenterological Center, Yokohama City University, Yokohama, Japan.
Kei SatoDepartment of Surgery, Gastroenterological Center, Yokohama City University, Yokohama, Japan.
Hirotoshi AkiyamaDepartment of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Itaru EndoDepartment of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Yokohama City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsophageal cancer often involves direct invasion of adjacent organs and patient survival rates are low. Sarcopenia has been reported to be associated with a poor prognosis in several types of malignancies. However, the impact of sarcopenia on the long-term survival of patients with unresectable locally advanced esophageal cancer remains unclear. PATIENTS AND

methodsA total of 48 patients undergoing definitive chemoradiotherapy at our Institution from October 2012 to December 2015 were enrolled; their data were compared according to patient skeletal muscle index (SMI): low SMI (sarcopenia group), n=34; normal SMI (non-sarcopenia group), n=14.

resultsThere were no significant differences in the incidence of severe adverse events and dose reduction rate between the two groups. The incidence of nutritional support was significantly higher in the groups with sarcopenia than in the non-sarcopenia group (44.1% vs. 7.1%, p=0.077). Response rates were significantly lower in the sarcopenia group than in the non-sarcopenia group (43.8% vs. 78.6%, p=0.025). The overall survival rate in the group with sarcopenia was significantly lower than that in the non-sarcopenia group (3-year: 36.95% vs. 63.9%, p=0.018).

conclusionSarcopenia prior to treatment may worsen the long-term survival of patients with unresectable locally advanced esophageal cancer. Further well-designed prospective trials are needed to estimate whether adequate nutritional support has a favorable impact on therapeutic outcomes in this population.

Indexed as

BiomarkersChemoradiotherapyEsophageal NeoplasmsFemaleHumansMaleNeoplasm StagingNutritional SupportPrognosisProportional Hazards ModelsSarcopeniaSurvival AnalysisTreatment OutcomeBiomarkersesophageal cancernutritional supportprognosisSarcopenia

Identifiers

PMID29695567
PMCPMC6000776
OpenAlexW2989478329

What OpenQuestion holds

Textmetadata
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.