Evidence map›Paper›PMID 31612596›Full record

ArticleCancer medicine2019

Palliative resection or radiation of primary tumor prolonged survival for metastatic esophageal cancer.

Jing Xu, Donghui Lu, Li Zhang, Jian Li, Guoping Sun

Abstract read
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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

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  12. The primary tumor resection in patients with distant metastatic laryngeal carcinoma.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2020
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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

5 authors.

Jing XuDepartment of Medical Oncology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.ORCID 0000-0003-0070-0907
Donghui LuDepartment of Radiology, The 901st Hospital of the Joint Logistics Support Force of PLA, Hefei, Anhui Province, China.
Li ZhangDepartment of Medical Oncology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Jian LiDepartment of Medical Oncology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Guoping SunDepartment of Medical Oncology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.

Funding

National Natural Science Foundation of China 81572430National Natural Science Foundation of China 81872047
6 · The paper itself

Abstract

purposeWe aimed to explore the value of palliative resection or radiation of primary tumor for metastatic esophageal cancer (EC) patients.

methodsSurveillance, Epidemiology, and End Results database was used for identifying metastatic EC patients. The patients were divided into resection and nonresection groups. And patients without resection were divided into radiation and nonradiation groups. Propensity score matching (PSM) analyses were adopted to reduce the baseline differences between the groups. Cancer specific survivals (CSSs) and overall survivals (OSs) were compared by Kaplan-Meier (K-M) curves. Multivariable analyses by COX proportion hazards model were performed to identify risk factors for CSS and OS. Predictive nomograms were conducted according to both postoperative factors and preoperative factors.

resultsA total of 7982 metastatic EC patients were selected for our analyses. After PSM, 978 patients were included in the survival analyses comparing palliative resection and nonresection. The CSS and OS for patients underwent palliative resection were significantly longer than those without resection (median CSS: 21 months vs 7 months, P < .001; median OS: 20 months vs 7 months, P < .001). In the overall population without resection, 654 patients were matched for radiation and nonradiation groups. And K-M curves showed that patients with radiation had longer CSS and OS than those without radiation (median CSS: 11 months vs 6 months, P < .001; median OS: 10 months vs 6 months, P < .001). Nomograms were generated for prediction of 1-, 2-, and 3-year CSS and OS. All C-indexes implied moderate discrimination and accuracy. And all nomograms had good calibration.

conclusionPalliative resection or radiation of primary tumor could prolong CSS and OS of metastatic EC patients.

Indexed as

EsophagectomyRadiotherapyAgedEsophageal NeoplasmsEsophagusFemaleHumansKaplan-Meier EstimateMaleMiddle AgedNeoplasm StagingNomogramsPalliative CarePrognosisSEER ProgramTime Factorsmetastatic esophageal cancernomogrampalliative resectionradiationSEERsurvival

Identifiers

PMID31612596
PMCPMC6885868

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Registered trials

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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.