Evidence map›Paper›PMID 30790469›Full record

Trial reportCancer medicine2019

Palliative radiotherapy in symptomatic locally advanced gastric cancer: A phase II trial.

Jeremy Tey, Huili Zheng, Yu Y Soon, Cheng N Leong, Wee Y Koh, Keith Lim, Jimmy B Y So, Asim Shabbir, Ivan W K Tham, Jiade Lu

Open access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
5.7field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Trial
  6. Article
  7. Radiotherapy as an antihemorrhagic approach in gastric cancer: the RANTIGA study.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2026
    Article
  8. Early angiographic changes after hemostatic radiotherapy for gastric cancer bleeding, mentioning the mechanism and potential immediate effects of the treatment.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Article
  9. Review
  10. Hemostatic palliative radiotherapy for gastric cancer: A literature review.Technical innovations & patient support in radiation oncology · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
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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

10 authors at 4 institutions in 2 countries.

Jeremy TeyDepartment of Radiation Oncology, National University Hospital, National Cancer Institute of Singapore, Singapore, Singapore.
Huili ZhengNational Registry of Diseases, Singapore, Singapore.
Yu Y SoonDepartment of Radiation Oncology, National University Hospital, National Cancer Institute of Singapore, Singapore, Singapore.
Cheng N LeongDepartment of Radiation Oncology, National University Hospital, National Cancer Institute of Singapore, Singapore, Singapore.
Wee Y KohDepartment of Radiation Oncology, National University Hospital, National Cancer Institute of Singapore, Singapore, Singapore.
Keith LimDepartment of Radiation Oncology, National University Hospital, National Cancer Institute of Singapore, Singapore, Singapore.
Jimmy B Y SoDepartment of Surgery, National University Hospital, Singapore, Singapore.
Asim ShabbirDepartment of Surgery, National University Hospital, Singapore, Singapore.
Ivan W K ThamDepartment of Radiation Oncology, National University Hospital, National Cancer Institute of Singapore, Singapore, Singapore.
Jiade LuShanghai Heavy ion and Proton Centre, Shanghai, China.
National University Cancer Institute, Singapore · SGNational University Hospital · SGNational Centre for Infectious Diseases · SGShanghai Genon Biological Products (China) · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To evaluate the response and quality of life of palliative gastric radiotherapy in patients with symptomatic locally advanced gastric cancer. Patients with bleeding, pain or obstruction and were treated with palliative gastric radiotherapy to a dose of 36 Gy in 12 daily fractions. The primary outcomes were symptom response rates. Secondary outcomes included overall survival, adverse events and proportion of patients with ≥10-point absolute improvement in the fatigue, nausea/vomiting and pain subscales in the EORTC Qualify of Life Questionnaire C30 (EORTC QLQ-C30) and dysphagia/pain subscales in the gastric specific module (STO22) at the end of RT and 1 month after the completion of radiotherapy. Fifty patients were accrued. Median survival duration was 85 days. 40/50 patients (80%) with bleeding, 2/2 (100%) patients with obstruction and 1/1 (100%) patient with pain responded to radiotherapy. Improvements fatigue, nausea/vomiting and pain subscales of the EORTC QLQ-C30 was seen in 50%, 28% and 44% of patients at the end of RT and in 63%, 31% and 50% of patients 1 month after RT. Improvements in dysphagia/pain subscales of the STO22 was seen in 42% and 28% of patients at then end of RT and 44% and 19% of patients 1 month after RT. Two patients (5%) had grade 3 anorexia and gastritis. Palliative gastric radiotherapy was effective, well tolerated and resulted in improvement in fatigue, dysphagia and pain at the end of radiotherapy and 1 month after the completion of radiotherapy in a significant proportion of patients.

Indexed as

AgedAged, 80 and overDose Fractionation, RadiationFemaleHumansMaleMiddle AgedPalliative CareQuality of LifeRadiotherapyStomach NeoplasmsSurvival AnalysisTreatment Outcomebleedinggastric cancerpalliativeradiotherapy

Identifiers

PMID30790469
PMCPMC6488108
OpenAlexW2916055806

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.