Evidence map›Paper›PMID 30111361›Full record

ArticleRadiation oncology (London, England)2018

Adjuvant chemotherapy does not benefit patients with esophageal squamous cell carcinoma treated with definitive chemoradiotherapy.

Mingqiu Chen, Minmin Shen, Yu Lin, Pingping Liu, Xiaohong Liu, Xiqing Li, Anchuan Li, Rongqiang Yang, Wei Ni, Xin Zhou and 5 more

Open access · goldAbstract read
In one paragraph

Article in Radiation oncology (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
4.3field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 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

15 authors at 6 institutions in 2 countries.

Mingqiu ChenDepartment of Radiation Oncology, the Second Affiliated Hospital of Soochow University, Jiangsu, China.
Minmin ShenFujian Medical University, Fuzhou, China.
Yu LinDepartment of Radiation Oncology, Fujian Cancer Hospital & Fujian Medical University Cancer Hospital, No. 420, Fumalu Road, JinAn District, FuZhou City, 350014, FuJian Province, People's Republic of China.
Pingping LiuFujian Medical University, Fuzhou, China.
Xiaohong LiuFujian Medical University, Fuzhou, China.
Xiqing LiFujian Medical University, Fuzhou, China.
Anchuan LiDepartment of Radiation Oncology, Fujian Medical University Union Hospital, No.29,XinQuan Road, GuLou Distric, FuZhou City, FuJian Province, China.
Rongqiang YangCancer and Genetics Research Complex, Department Molecular Genetics and Microbiology, College Medicine, University of Florida, Gainesville, USA.
Wei NiCancer and Genetics Research Complex, Department Molecular Genetics and Microbiology, College Medicine, University of Florida, Gainesville, USA.
Xin ZhouCancer and Genetics Research Complex, Department Molecular Genetics and Microbiology, College Medicine, University of Florida, Gainesville, USA.
Lurong ZhangFujian Key Lab of Individualized Active Immunotherapy and Key Lab of Radiation Biology of Fujian Province Universities, Fuzhou, China.
Benhua XuDepartment of Radiation Oncology, Fujian Medical University Union Hospital, No.29,XinQuan Road, GuLou Distric, FuZhou City, FuJian Province, China.
Jianhua LinFujian Key Lab of Individualized Active Immunotherapy and Key Lab of Radiation Biology of Fujian Province Universities, Fuzhou, China.
Junqiang ChenDepartment of Radiation Oncology, Fujian Cancer Hospital & Fujian Medical University Cancer Hospital, No. 420, Fumalu Road, JinAn District, FuZhou City, 350014, FuJian Province, People's Republic of China. junqiangc@163.com.
Ye TianDepartment of Radiation Oncology, the Second Affiliated Hospital of Soochow University, Jiangsu, China. dryetian@126.com.
Fujian Medical University · CNUniversity of Florida · USCancer Genetics (United States) · USFujian Provincial Cancer Hospital · CNSecond Affiliated Hospital of Soochow University · CNSoochow University · CN

Funding

Fujian Platform for Medical Research at First Affiliated Hospital FYKFKT-2017015Fujian Provincial Department of Science and Technology 2018J01306)Fujian Provincial Health and Family planning Commission 2016-ZQN-32the Fujian Provincial Joint Funds for the Innovation of Science and Technology 2017Y9079
6 · The paper itself

Abstract

backgroundThe aim of the present study was to assess the efficacy of adjuvant chemotherapy (AC) in patients with esophageal squamous cell carcinoma (ESCC) treated with definitive chemoradiotherapy (CRT).

methodsThe clinical data of patients with ESCC treated with chemoradiotherapy with or without AC were collected and retrospectively reviewed. The overall survival (OS), locoregional failure-free survival (LFFS) and distant failure-free survival (DFFS) rates were analyzed statistically.

resultsA total of 187 patients fulfilled the inclusion criteria, 98 of whom were treated with CRT-alone, while 89 were treated with CRT-AC. Patient characteristics did not significantly differ between the CRT-alone and CRT-AC groups, with the exception of sex and the number of cycles of concurrent chemotherapy. Following CRT, 50 patients achieved complete response (CR), 67 had partial response (PR), 63 patients maintained stable disease (SD) and 7 developed progression of disease (PD). The OS, LFFS and DFFS at 1, 2 and 5 years for the entire cohort were 67.5, 41.4 and 27.2%; 68.7, 57.9 and 52.4%; and 78.5, 68.9 and 63.9%, respectively. The clinical N-stage, M-stage, and short-term response to CRT were identified as significant factors that influenced patient prognosis. No significant differences in OS, LFFS or DFFS were observed between the CRT-alone and CRT-AC groups for the entire cohort and for clinical N-stage, clinical M-stage and short-term response subgroups.

conclusionsThe short-term response to CRT and the tumor clinical stage were significant prognosis factors for patients with ESCC treated with CRT. With current chemotherapy regimens, AC did not improve survival for patients with ESCC treated with CRT. The retrospective nature of the current study serves as a limitation; thus, further clinical trials are required to evaluate the efficacy of AC in patients with ESCC treated with CRT.

Indexed as

ChemoradiotherapyAdultAgedAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantCisplatinDisease-Free SurvivalEsophageal Squamous Cell CarcinomaFemaleHumansMaleMiddle AgedNeoplasm StagingProgression-Free SurvivalRadiotherapy, ConformalRemission InductionCisplatinAdjuvant chemotherapyConcurrent chemoradiotherapyEsophageal squamous cell carcinomaSurvival

Identifiers

PMID30111361
PMCPMC6094556
OpenAlexW2885919830

What OpenQuestion holds

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LicenceCC BY
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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.