Evidence map›Paper›PMID 31179097›Full record

ArticleJournal of thoracic disease2019

Outcomes of concurrent chemoradiotherapy versus chemotherapy alone for esophageal squamous cell cancer patients presenting with oligometastases.

Yongshun Chen, Xinyu Cheng, Haixia Song, Abraham J Wu, Geoffrey Y Ku, Percy Lee, Marije Slingerland, Kazuo Koyanagi, Shaobo Ke, Hu Qiu and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of thoracic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
2.7field-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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Neutrophil-to-lymphocyte ratio in unresectable or metastatic esophageal squamous cell carcinoma: a systematic review, meta-analysis and meta-regression.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  12. Oligometastatic disease - a renaissance for surgery?Innovative surgical sciences · 2025
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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

14 authors at 5 institutions in 4 countries.

Yongshun ChenDepartment of Clinical Oncology, Renmin Hospital of Wuhan University, Wuhan, China.
Xinyu ChengDepartment of Radiation Oncology, Zhengzhou University Affiliated Cancer Hospital, Zhengzhou, China.
Haixia SongDepartment of Radiation Oncology, Gansu Provincial Cancer Hospital, Lanzhou, China.
Abraham J WuDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Geoffrey Y KuGastrointestinal Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Percy LeeDepartment of Radiation Oncology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Marije SlingerlandDepartment of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands.
Kazuo KoyanagiDepartment of Gastroenterological Surgery, Tokai University School of Medicine, Kanagawa, Japan.
Shaobo KeDepartment of Clinical Oncology, Renmin Hospital of Wuhan University, Wuhan, China.
Hu QiuDepartment of Clinical Oncology, Renmin Hospital of Wuhan University, Wuhan, China.
Wei ShiDepartment of Clinical Oncology, Renmin Hospital of Wuhan University, Wuhan, China.
Yi GaoDepartment of Clinical Oncology, Renmin Hospital of Wuhan University, Wuhan, China.
Jiamei ChenDepartment of Clinical Oncology, Renmin Hospital of Wuhan University, Wuhan, China.
written on behalf of AME Radiation Oncology Collaborative Group
Wuhan University · CNMemorial Sloan Kettering Cancer Center · USTokai University · JPUniversity of California, Los Angeles · USZhengzhou University · CN

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundThe potential survival benefits of adding radiotherapy to systemic therapy for esophageal cancer patients with oligometastases are unknown.

methodsIn this retrospective analysis, patients with stage IV esophageal cancer (according to the American Joint Committee on Cancer Seventh edition staging system) with ≤3 metastases who underwent chemotherapy with cisplatin/paclitaxel between 2012 and 2015 were identified. Patients received chemotherapy (CT) alone

resultsOf 461 patients, 97% had squamous cell cancer. One hundred and ninety-six patients (42.5%) received CCRT and 265 (57.5%) underwent CT alone. At week 8, there were 3 (1.5%) complete responses (CR) and 95 (48.5%) partial responses (PR) in the CCRT group, compared to 3 (1.1%) CR and 102 (38.5%) PR in the CT alone group. The overall rate of improvement in dysphagia score was noted in 78.5% of patients in the CCRT group versus 61.5% in the CT alone group (P=0.014). A statistically significant difference was demonstrated in disease control rate between the two groups (81.6%

conclusionsCompared to chemotherapy alone, chemoradiation to all sites in patients with esophageal cancer with ≤3 metastases may lead to a modest increase in PFS and a trend toward longer OS. Further investigation of optimal integration of radiotherapy and chemotherapy in these patients is warranted.

Indexed as

advanced diseaseEsophageal cancerprognosisradiotherapysystemic treatment

Identifiers

PMID31179097
PMCPMC6531702
OpenAlexW2936496483

What OpenQuestion holds

Textmetadata
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.