Evidence map›Paper›PMID 31021827›Full record

ArticleAmerican journal of clinical oncology2019

Small Cell Carcinoma of the Esophagus: A Nationwide Analysis of Treatment and Outcome at Patient Level in Locoregional Disease.

Paul M Jeene, Elisabeth D Geijsen, Christina T Muijs, Tom Rozema, Berthe M P Aleman, Karin Muller, Jara M Baas, Joost J Nuyttens, Sanne Wouterse, Pètra M Braam and 8 more

Open access · hybridAbstract read
In one paragraph

Article in American journal of clinical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

31 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Clinical predictors of special type of esophageal cancer.Esophagus : official journal of the Japan Esophageal Society · 2023
    Review
  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

18 authors at 15 institutions in 2 countries.

Paul M JeeneDepartment of Radiation Oncology, Academic Medical Center Amsterdam.
Elisabeth D GeijsenDepartment of Radiation Oncology, Academic Medical Center Amsterdam.
Christina T MuijsDepartment of Radiation Oncology, University Medical Center Groningen, University of Groningen, Groningen.
Tom RozemaInstituut Verbeeten, Tilburg.
Berthe M P AlemanDepartment of Radiation Oncology, The Netherlands Cancer Institute.
Karin MullerRadiotherapiegroep, Deventer.
Jara M BaasDepartment of Medical Oncology, Leiden University Medical Centre, Leiden.
Joost J NuyttensDepartment of Radiotherapy, Erasmus MC Cancer Institute, Rotterdam.
Sanne WouterseDepartment of Radiotherapy, Isala Kliniek, Zwolle.
Pètra M BraamDepartment of Radiotherapy, Radboud UMC, Nijmegen.
Vera OppedijkRadiotherapy Institute Friesland, Leeuwarden.
Heleen M CehaDepartment of Radiation Oncology, Haaglanden Medical Center, The Hague.
Jeltsje CnossenDepartment of Radiotherapy, Catharina Hospital Eindhoven.
Patty SpruitDepartment of Radiotherapy, Noordwest Ziekenhuisgroep, Alkmaar.
Eva M BongersDepartment of Radiation Oncology, VU University Medical Center, Amsterdam.
Maaike BerbéeMAASTRO Clinic Maastricht, GROW School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht.
Stella MookDepartment of Radiotherapy, University Medical Center Utrecht, Utrecht, The Netherlands.
Maarten C C M HulshofDepartment of Radiation Oncology, Academic Medical Center Amsterdam.
Academic Medical Center · NLRadboud University Nijmegen · NLRadiotherapie Groep · NLErasmus MC Cancer Institute · NLInstituut Verbeeten · NLIsala · NLLeiden University Medical Center · NLMaastricht University Medical Centre · NLMedisch Centrum Haaglanden · NLNoordwest Ziekenhuisgroep · NLRadiotherapeutisch Instituut Friesland · NLThe Netherlands Cancer Institute · NLUniversity Medical Center · USUniversity Medical Center Groningen · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeSmall cell carcinoma of the esophagus (SCEC) is a rare subtype of esophageal cancer for which optimal treatment is unknown. We analyzed the impact of treatment factors on outcome in patients with nonmetastasized SCEC.

methodsPatients with a histologically confirmed SCEC without distant metastases were analyzed in a nationwide multicenter retrospective cohort. All patients received radiotherapy as part of curative treatment between January 2000 and December 2014. Details on treatment and outcome were retrieved from individual charts. Cox regression analysis was used to determine prognostic factors for survival.

resultsFifty-eight patients were analyzed. Median survival was 16 months (95% confidence interval, 11-21 mo). Infield recurrences occurred in 25%, distant metastases in 45%, and brain metastases in 12%. In total, 63% of patients developed a recurrence. Most recurrences (67%) occurred within 1 year. In univariable analyses an increased number of chemotherapy cycles (>3) and lower radiotherapy doses (<45 Gy) were associated with improved survival. T-stage, N-stage, treatment period, type of chemotherapy, prophylactic cranial irradiation, and age were not associated with survival. In multivariable analyses, only the number of chemotherapy cycles was associated with better survival (hazard ratio, 0.78; P=0.006).

conclusionsSCEC recurs frequently at distant sites after definitive chemoradiotherapy and usually within 1 year after curative treatment. With a dose of 45 to 50 Gy, infield recurrence rate was low. We found a relationship between number of received chemotherapy cycles and survival with best results obtained after at least 4 cycles of chemotherapy.

Indexed as

AdenocarcinomaAgedCarcinoma, Small CellCarcinoma, Squamous CellChemoradiotherapyEsophageal NeoplasmsFemaleFollow-Up StudiesHumansLymphatic MetastasisMaleNeoplasm Recurrence, LocalPrognosisRetrospective StudiesSurvival Rate

Identifiers

PMID31021827
PMCPMC6554014
OpenAlexW2940977440

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.