Evidence map›Paper›PMID 30697609›Full record

ReviewAnnals of gastroenterological surgery2019

Neoadjuvant and adjuvant therapy for gastrointestinal stromal tumors.

Masaaki Iwatsuki, Kazuto Harada, Shiro Iwagami, Kojiro Eto, Takatsugu Ishimoto, Yoshifumi Baba, Naoya Yoshida, Jaffer A Ajani, Hideo Baba

Abstract readReview
In one paragraph

Review in Annals of gastroenterological surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
–field-weighted citation impact
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

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

  1. Pooled it
  2. Article
  3. Article
  4. Surgical treatment of gastrointestinal stromal tumors.Journal of medicine and life · 2026
    Review
  5. Review
  6. Article
  7. Evaluating boron neutron capture therapy as a potential treatment for unresectable gastrointestinal stromal tumors.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Article
  8. Trends and outcomes for patients receiving neoadjuvant therapy for stage I to III gastric gastrointestinal stromal tumors.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2025
    Article
  9. Article
  10. Article
  11. Predictive performance of [Quantitative imaging in medicine and surgery · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. [European journal of nuclear medicine and molecular imaging · 2022
    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

9 authors.

Masaaki IwatsukiDepartment of Gastroenterological Surgery Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.ORCID 0000-0002-0886-4618
Kazuto HaradaDepartment of Gastroenterological Surgery Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.
Shiro IwagamiDepartment of Gastroenterological Surgery Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.
Kojiro EtoDepartment of Gastroenterological Surgery Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.
Takatsugu IshimotoDepartment of Gastroenterological Surgery Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.
Yoshifumi BabaDepartment of Gastroenterological Surgery Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.ORCID 0000-0003-3657-2388
Naoya YoshidaDepartment of Gastroenterological Surgery Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.ORCID 0000-0002-8447-5278
Jaffer A AjaniDepartment of Gastrointestinal Medical Oncology The University of Texas MD Anderson Cancer Center Houston USA.
Hideo BabaDepartment of Gastroenterological Surgery Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.ORCID 0000-0002-3474-2550

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastrointestinal stromal tumors (GIST) are rare and mesenchymal in origin with a yearly incidence of 10-15 cases per million people. If it is technically resectable, surgical resection is the mainstay of therapy regardless of tumor location,. Although complete (R0) resection can be achieved in up to 85% of patients with primary disease, approximately 50% of patients experience recurrence or metastases within 5 years of primary resection. Moreover, prior to 2000, the prognosis of patients with advanced, inoperable GIST was poor because the molecular mechanism had not sufficiently been elucidated, thus effective therapy was lacking. The tyrosine kinase inhibitor imatinib, which selectively inhibits tyrosine kinase KIT, has shown substantial clinical benefit for patients with GIST. In clinical trials, imatinib treatment resulted in response rates of 40%-55% and longer progression-free survival for patients with a KIT-positive unresectable or metastatic GIST. Furthermore, recent clinical trials have shown that giving imatinib after curative resection for high-risk cases prolonged recurrence-free survival and overall survival in an adjuvant setting. Several clinical trials of imatinib treatment in a neoadjuvant setting are ongoing; however, in clinical settings, there are problems to resolve, such as optimal agents, duration of administration, and postoperative management. In this review, we discuss the application of surgical options, combined with adjuvant/neoadjuvant or perioperative imatinib treatment and their potential impact on survival for patients with primary, recurrent, or metastatic GIST.

Indexed as

adjuvantGISTimatinibneoadjuvant

Identifiers

PMID30697609
PMCPMC6345649

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.