Evidence map›Paper›PMID 31033239›Full record

ArticleCancer medicine2019

Hyperthermic intraperitoneal chemotherapy (HIPEC) in combined treatment of locally advanced and intraperitonealy disseminated gastric cancer: A retrospective cooperative Central-Eastern European study.

Roman Yarema, Jerzy Mielko, Taras Fetsych, Myron Ohorchak, Magdalena Skorzewska, Karol Rawicz-Pruszyński, Artem Mashukov, Viatcheslav Maksimovsky, Tomasz Jastrzębski, Wojciech Polkowski and 8 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
8.6field-weighted citation impact, top 2% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Intraperitoneal chemotherapy for gastric cancer.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Review
  3. Review
  4. Article
  5. HIPEC for metastatic gastric cancer: Moving the needle towards 3-year survival.European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2025
    Article
  6. Therapeutic efficacy of immunotherapy for gastric cancer metastasis.World journal of gastrointestinal surgery · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. OLIGOMETASTASIS IN GASTRIC CANCER TREATMENT: IS THERE A PLACE FOR THE SURGEON?Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2023
    Article
  17. Review
  18. Article
  19. 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

18 authors at 7 institutions in 3 countries.

Roman YaremaDanylo Halytsky Lviv National Medical University, Lviv, Ukraine.ORCID 0000-0001-8314-7945
Jerzy MielkoMedical University of Lublin, Lublin, Poland.
Taras FetsychDanylo Halytsky Lviv National Medical University, Lviv, Ukraine.
Myron OhorchakLviv State Oncological Regional Treatment and Diagnostic Center, Lviv, Ukraine.
Magdalena SkorzewskaMedical University of Lublin, Lublin, Poland.
Karol Rawicz-PruszyńskiMedical University of Lublin, Lublin, Poland.
Artem MashukovOdessa National Medical University, Odessa, Ukraine.
Viatcheslav MaksimovskyOdessa National Medical University, Odessa, Ukraine.
Tomasz JastrzębskiMedical University of Gdańsk, Gdańsk, Poland.
Wojciech PolkowskiMedical University of Lublin, Lublin, Poland.
Petro GyryaLviv State Oncological Regional Treatment and Diagnostic Center, Lviv, Ukraine.
Yuriy KovalchukLviv State Oncological Regional Treatment and Diagnostic Center, Lviv, Ukraine.
Victor SafiyanLviv State Oncological Regional Treatment and Diagnostic Center, Lviv, Ukraine.
Ivan KarelinLviv State Oncological Regional Treatment and Diagnostic Center, Lviv, Ukraine.
Viatcheslav KopetskiyNational Cancer Institute, Kyiv, Ukraine.
Olena KolesnikNational Cancer Institute, Kyiv, Ukraine.
Yuriy KondratskiyNational Cancer Institute, Kyiv, Ukraine.
Marius PaskonisVilnius universtiy hospital Santaros klinikos, Vilnius, Lithuania.
Lviv National Musical Academy named after Mykola Lysenko · UAMedical University of Lublin · PLNational Cancer Institute · UADanylo Halytsky Lviv National Medical University · UAOdessa National Medical University · UAGdańsk Medical University · PLVilnius University Hospital Santariskiu Klinikos · LT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesClinical experience in Western Europe suggests that cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) are promising methods in the management of gastric cancer (GC) with peritoneal metastases. However, there are almost no data on such treatment results in patient from Central-Eastern European population.

methodsA retrospective cooperative study was performed at 6 Central-Eastern European HIPEC centers. HIPEC was used in 117 patients for the following indications: treatment of GC with limited overt peritoneal metastases (n = 70), adjuvant setting after radical gastrectomy (n = 37) and palliative approach for elimination of severe ascites without gastrectomy (n = 10).

resultsPostoperative morbidity and mortality rates were 29.1% and 5.1%, respectively. Median overall survival in the groups with therapeutic, adjuvant, and palliative indications was 12.6, 34, and 3.5 months. The only long-term survivors occurred in the group with peritoneal cancer index (PCI) of 0-6 points without survival difference in groups with PCI 7-12 vs PCI 13 or more points.

conclusionsGC patients with limited peritoneal metastases can benefit from CRS + HIPEC. Hyperthermic intraperitoneal chemotherapy could be an effective method of adjuvant treatment of GC with a high risk of intraperitoneal progression. No long-term survival may be expected after palliative approach to HIPEC.

Indexed as

Hyperthermia, InducedAdultAgedCombined Modality TherapyCytoreduction Surgical ProceduresEuropeFemaleHumansMaleMiddle AgedNeoplasm GradingNeoplasm StagingPeritoneal NeoplasmsRetrospective StudiesStomach NeoplasmsSurvival Analysiscytoreductive surgerygastric cancerhyperthermic intraperitoneal chemotherapyperitoneal metastases

Identifiers

PMID31033239
PMCPMC6558472
OpenAlexW2942843443

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.