Evidence map›Paper›PMID 31220859›Full record

ArticleDiseases of the esophagus : official journal of the International Society for Diseases of the Esophagus2019

Resection of hepatic and pulmonary metastasis from metastatic esophageal and gastric cancer: a nationwide study.

M F J Seesing, A van der Veen, H J F Brenkman, H B A C Stockmann, G A P Nieuwenhuijzen, C Rosman, F J H van den Wildenberg, M I van Berge Henegouwen, P van Duijvendijk, B P L Wijnhoven and 5 more

Erratum issuedOpen access · hybridAbstract readEvaluation Study
In one paragraph

Article in Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. [Surgical treatment of metastatic liver cancer: the biological-behavioral basis of "homotherapy for heteropathy"].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 8 institutions in 2 countries.

M F J SeesingDepartment of Surgical Oncology, University Medical Center Utrecht, Utrecht.
A van der VeenDepartment of Surgical Oncology, University Medical Center Utrecht, Utrecht.
H J F BrenkmanDepartment of Surgical Oncology, University Medical Center Utrecht, Utrecht.
H B A C StockmannDepartment of Surgery, Spaarne Gasthuis, Haarlem.
G A P NieuwenhuijzenDepartment of Surgical Oncology, Catharina Hospital, Eindhoven.
C RosmanDepartment of Surgical Oncology, Radboud University Medical Center, Nijmegen.
F J H van den WildenbergDepartment of Surgery, Canisius-Wilhelmina Hospital, Nijmegen.
M I van Berge HenegouwenDepartment of Surgery, Amsterdam University Medical Center, Amsterdam.
P van DuijvendijkDepartment of Surgery, Gelre Ziekenhuizen, Apeldoorn.
B P L WijnhovenDepartment of Surgical Oncology, Erasmus University Medical Center, Rotterdam.
J H M B StootDepartment of Surgery, Zuyderland Medical Center, Heerlen and Sittard-Geleen.
M LacleDepartment of Pathology, University Medical Center Utrecht, Utrecht.
J P RuurdaDepartment of Surgical Oncology, University Medical Center Utrecht, Utrecht.
R van HillegersbergDepartment of Surgical Oncology, University Medical Center Utrecht, Utrecht.
Gastroesophageal Metastasectomy Group
University Medical Center Utrecht · NLRadboud University Nijmegen · NLAmsterdam University Medical Centers · NLCanisius-Wilhelmina Ziekenhuis · NLErasmus MC · NLGelre Hospitals · NLSpaarne Gasthuis · NLZuyderland Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The standard of care for gastroesophageal cancer patients with hepatic or pulmonary metastases is best supportive care or palliative chemotherapy. Occasionally, patients can be selected for curative treatment instead. This study aimed to evaluate patients who underwent a resection of hepatic or pulmonary metastasis with curative intent. The Dutch national registry for histo- and cytopathology was used to identify these patients. Data were retrieved from the individual patient files. Kaplan-Meier survival analysis was performed. Between 1991 and 2016, 32,057 patients received a gastrectomy or esophagectomy for gastroesophageal cancer in the Netherlands. Of these patients, 34 selected patients received a resection of hepatic metastasis (n = 19) or pulmonary metastasis (n = 15) in 21 different hospitals. Only 4 patients received neoadjuvant therapy before metastasectomy. The majority of patients had solitary, metachronous metastases. After metastasectomy, grade 3 (Clavien-Dindo) complications occurred in 7 patients and mortality in 1 patient. After resection of hepatic metastases, the median potential follow-up time was 54 months. Median overall survival (OS) was 28 months and the 1-, 3-, and 5- year OS was 84%, 41%, and 31%, respectively. After pulmonary metastases resection, the median potential follow-up time was 80 months. The median OS was not reached and the 1-, 3-, and 5- year OS was 67%, 53%, and 53%, respectively. In selected patients with gastroesophageal cancer with hepatic or pulmonary metastases, metastasectomy was performed with limited morbidity and mortality and offered a 5-year OS of 31-53%. Further prospective studies are required.

Indexed as

AgedCombined Modality TherapyEsophageal NeoplasmsEsophagectomyFemaleGastrectomyHumansKaplan-Meier EstimateLiver NeoplasmsLung NeoplasmsMaleMetastasectomyMiddle AgedNetherlandsRegistriesStomach Neoplasmsesophageal and gastric canceresophageal and gastric surgeryhepatic surgerymetastasispulmonary surgery

Identifiers

PMID31220859
PMCPMC7705435
OpenAlexW2941213021

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.