Evidence map›Paper›PMID 31550463›Full record

ArticleThe Annals of thoracic surgery2020

Morphomic Factors Associated With Complete Response to Neoadjuvant Therapy in Esophageal Carcinoma.

Chien-Hung Chiu, Peng Zhang, Andrew C Chang, Brian A Derstine, Brian E Ross, Binu Enchakalody, Nidhi V Shah, Stewart C Wang, Yin-Kai Chao, Jules Lin

Open access · bronzeAbstract read
In one paragraph

Article in The Annals of thoracic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. The Influence of Muscle Morphology on Oncological Outcomes: A Review.Journal of frailty, sarcopenia and falls · 2025
    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 2 institutions in 2 countries.

Chien-Hung ChiuDivision of Thoracic Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Peng ZhangDepartment of Surgery, University of Michigan, Ann Arbor, Michigan.
Andrew C ChangSection of Thoracic Surgery, University of Michigan Medical Center, Ann Arbor, Michigan.
Brian A DerstineDepartment of Surgery, University of Michigan, Ann Arbor, Michigan.
Brian E RossDepartment of Surgery, University of Michigan, Ann Arbor, Michigan.
Binu EnchakalodyDepartment of Surgery, University of Michigan, Ann Arbor, Michigan.
Nidhi V ShahDepartment of Surgery, University of Michigan, Ann Arbor, Michigan.
Stewart C WangDepartment of Surgery, University of Michigan, Ann Arbor, Michigan.
Yin-Kai ChaoDivision of Thoracic Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Jules LinSection of Thoracic Surgery, University of Michigan Medical Center, Ann Arbor, Michigan. Electronic address: juleslin@umich.edu.
University of Michigan–Ann Arbor · USChang Gung Memorial Hospital · TW

Funding

Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Scott Soleimanpour · 2013 to 2026
$24.3M
Developing Personalized Treatment for Diabetes Through Novel Imaging MethodsK01DK106296 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZHANG, PENG · 2016 to 2018
$465k
NIDDK NIH HHS K01 DK106296NIDDK NIH HHS P30 DK020572
6 · The paper itself

Abstract

backgroundIn patients undergoing neoadjuvant chemoradiotherapy (nCRT) followed by surgery for locally advanced esophageal squamous cell carcinoma (ESCC), patients with a pathologic complete response (pCR) have the greatest benefit. The purpose of this study was to identify morphomic factors obtained from pretreatment computed tomography scans associated with a pCR in ESCC.

methodsWe retrospectively analyzed patients with ESCC treated with nCRT who underwent esophagectomy between 2006 and 2016. Clinical and morphomic characteristics pre-nCRT were analyzed to identify factors associated with pCR using univariate and multivariable analyses.

resultsThere were 183 patients with ESCC included in this study, and 45 (24.6%) patients achieved pCR. The overall survival in patients with pCR was better than that in patients without pCR (5.8 years vs 1.2 years; P < .001). On univariate analysis, increased age, radiation dose greater than or equal to 4000 cGy, and larger subcutaneous adipose tissue area were correlated with pCR. On multivariable logistic regression, increased age (odds ratio, 1.53; P = .03), radiation dose greater than or equal to 4000 cGy (odds ratio, 2.19; P = .04), and larger dorsal muscle group normal-density area (odds ratio, 1.59; P = .03) were independently associated with pCR.

conclusionsIncreased age, radiation dose greater than or equal to 4000 cGy, and larger dorsal muscle group normal-density area were significantly associated with pCR. These factors may be useful in determining which patients are most likely to benefit from nCRT followed by esophagectomy.

Indexed as

Back MusclesBody Weights and MeasuresBone DensityChemoradiotherapy, AdjuvantEsophageal Squamous Cell CarcinomaEsophagectomyFemaleHumansIntra-Abdominal FatMaleMiddle AgedNeoadjuvant TherapyRemission InductionRetrospective StudiesTomography, X-Ray Computed

Identifiers

PMID31550463
PMCPMC7150584
OpenAlexW2974285693

What OpenQuestion holds

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LicenceTDM
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.