Evidence map›Paper›PMID 30487951›Full record

ReviewWorld journal of gastrointestinal oncology2018

Conversion surgery for gastric cancer patients: A review.

Tommaso Zurleni, Elson Gjoni, Michele Altomare, Stefano Rausei

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in World journal of gastrointestinal oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04886193 (Docetaxel, Oxaliplatin, Fluorouracil), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.2field-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.

NCT04886193 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Docetaxel, Oxaliplatin, Fluorouracil (FLOT Regimen) Combined With Teriprizumab (PD-1) in the First-line Treatment of Patients With Advanced Gastric Cancer and Peritoneal Metastasis: an Open, One-arm, Exploratory Study

TypeinterventionalSponsorGuangdong Provincial Hospital of Traditional Chinese MedicineRan2021 to 2023Enrolled20ConditionsChemotherapy, Gastric CancerArmsFLOT(Docetaxel+oxaliplatin+leucovorin+5-FU), Treprizumab, Tiggio capsule (S-1)
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
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  10. Review
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  14. Primary tumor resection benefited the survival of patients with distant metastatic gastric cancer.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Palliative care for advanced gastric cancer.Expert review of anticancer therapy · 2020
    Review
  19. Analysis of risk factors of stage IV gastric cancer from the SEER database.Annals of the Royal College of Surgeons of England · 2020
    Article
  20. Review
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

4 authors at 2 institutions in 2 countries.

Tommaso ZurleniDepartment of Surgery, ASST Valle Olona, Busto Arsizio 21052, Italy. tzurleni@yahoo.it.
Elson GjoniDepartment of Surgery, ASST Valle Olona, Busto Arsizio 21052, Italy.
Michele AltomareDepartment of Surgery, ASST Valle Olona, Busto Arsizio 21052, Italy.
Stefano RauseiDepartment of Surgery, ASST Valle Olona, Gallarate. 21013, Italy.
Creative Research Enterprises (United States) · USOspedale di Circolo di Busto Arsizio · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastric cancer (GC) is the third most common cancer-related cause of death worldwide. In locally advanced tumors, neoadjuvant chemotherapy has recently been introduced in most international Western guidelines. For metastatic and unresectable disease, there is still debate regarding correct management and the role of surgery. The standard approach for stage IV GC is palliative chemotherapy. Over the last decade, an increasing number of M1 patients who responded to palliative regimens of induction chemotherapy have been subsequently undergone surgery with curative intent. The objective of the present review is to analyze the literature regarding this approach, known as "conversion surgery", which has become one of the most commonly adopted therapeutic options. It is defined as a treatment aiming at an R0 resection after chemotherapy in initially unresectable tumors. The 13 retrospective studies analyzed, with a total of 411 patients treated with conversion therapy, clearly show that even if standardization of unresectable and metastatic criteria, post-chemotherapy resectability evaluation and timing of surgery has not yet been established, an R0 surgery after induction chemotherapy with partial or complete response seems to offer superior survival results than chemotherapy alone. Additional larger sample-size randomized control trials are needed to identify subgroups of well-stratified patients who could benefit from this multimodal approach.

Indexed as

Conversion surgeryGastric cancerMetastatic gastric cancerPalliative chemotherapyR0 resectionStage IV gastric cancerUnresectable gastric cancer

Identifiers

PMID30487951
PMCPMC6247102
OpenAlexW2900567341

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.