Evidence map›Paper›PMID 30675071›Full record

ReviewThe Ulster medical journal2019

Oesophageal Stents for Potentially Curable Oesophageal Cancer - A Bridge to Surgery?

Jennifer E Tham, Benjamin Tharian, Patrick B Allen, Gary Spence, Tony C Tham

Open access · greenAbstract readReview
In one paragraph

Review in The Ulster medical journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. 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

5 authors at 1 institution in 1 country.

Jennifer E ThamDivision of Gastroenterology and Surgery, Ulster Hospital, Belfast; Northern Ireland.
Benjamin TharianUniversity of Arkansas Medical Sciences, Little Rock, USA.
Patrick B AllenDivision of Gastroenterology and Surgery, Ulster Hospital, Belfast; Northern Ireland.
Gary SpenceDivision of Gastroenterology and Surgery, Ulster Hospital, Belfast; Northern Ireland.
Tony C ThamDivision of Gastroenterology and Surgery, Ulster Hospital, Belfast; Northern Ireland.
Ulster Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For oesophageal cancer patients with potentially curative disease, treatment usually comprises neoadjuvant chemoradiotherapy followed by surgery. Several methods are currently used for nutritional support while patients are undergoing neoadjuvant treatment but these do not relieve dysphagia. Stenting as a bridge to curative surgery has been explored in several case series and a case control study. This is a review of the current literature on the topic. Some small series have shown it to be safe and effective in relieving dysphagia and malnutrition without adverse effect on surgical outcomes, perioperative complications or delay in surgical resection post neoadjuvant therapy. However, there are sufficient concerns about its adverse impact on oncological outcomes such as a reduction in the R0 resection rates, median time to recurrence and 2 - 3 year overall survival, to not currently recommend its routine use in resectable cancers.

Indexed as

StentsChemoradiotherapyDeglutition DisordersEsophageal NeoplasmsHumansNeoadjuvant TherapyPostoperative ComplicationsSelf Expandable Metallic Stents

Identifiers

PMID30675071
PMCPMC6342033
OpenAlexW2989072915

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.