Evidence map›Paper›PMID 31676841›Full record

SynthesisScientific reports2019

Systematic review and meta-analysis of docetaxel perioperative chemotherapy regimens in gastric and esophagogastric tumors.

Pedro Luiz Serrano Uson Junior, Vanessa Montes Santos, Diogo Diniz Gomes Bugano, Elivane da Silva Victor, Edna Terezinha Rother, Fernando Cotait Maluf

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2019. 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
1.0field-weighted citation impact, top 20% 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, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
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

6 authors at 1 institution in 1 country.

Pedro Luiz Serrano Uson JuniorHospital Israelita Albert Einstein, Oncology Department, 627/701 Avenida Albert Einstein, Morumbi, São Paulo, Brazil. pedroluiz_uson@hotmail.com.ORCID http://orcid.org/0000-0001-6122-1374
Vanessa Montes SantosHospital Israelita Albert Einstein, Oncology Department, 627/701 Avenida Albert Einstein, Morumbi, São Paulo, Brazil.
Diogo Diniz Gomes BuganoHospital Israelita Albert Einstein, Oncology Department, 627/701 Avenida Albert Einstein, Morumbi, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-5284-1555
Elivane da Silva VictorHospital Israelita Albert Einstein, Oncology Department, 627/701 Avenida Albert Einstein, Morumbi, São Paulo, Brazil.
Edna Terezinha RotherHospital Israelita Albert Einstein, Oncology Department, 627/701 Avenida Albert Einstein, Morumbi, São Paulo, Brazil.
Fernando Cotait MalufHospital Israelita Albert Einstein, Oncology Department, 627/701 Avenida Albert Einstein, Morumbi, São Paulo, Brazil.
Hospital Israelita Albert Einstein · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

FLOT regimen became the standard perioperative treatment in several centers around the world for esophagogastric tumors despite concerns about toxicity. In addition, FLOT has never been compared with other docetaxel-based regimens. To address this question, we conducted a systematic review of PubMed, Embase and Web of Science including prospective or retrospective studies of docetaxel based perioperative regimen in gastric and esophagogastric tumors. Data regarding chemotherapy regimens, efficacy and toxicity were extracted. Outcomes were compared using a random effects model. Of 548 abstracts, 16 were considered eligible. Comparing the studies with meta-analysis we can see that the regimens are similar in terms of pathological complete response, resection rate, progression free survival and overall survival in one year, without significant heterogeneity. The meta-regression of docetaxel dose failed to show any association with dose ranging between 120-450 mg/m². Regarding the toxicity of the regimens it is noted that the regimens are quite toxic (up to 50-70% of grade 3-4 neutropenia). The results of this meta-analysis with a combined sample size of more than 1,000 patients suggest that docetaxel perioperative regimens are equivalent in outcomes. Prospective trials addressing modified regimens should be performed to provide less toxic strategies and be applicable to all patients.

Indexed as

Antineoplastic Agents, PhytogenicDocetaxelEsophageal NeoplasmsHumansPerioperative CareStomach NeoplasmsAntineoplastic Agents, PhytogenicDocetaxel

Identifiers

PMID31676841
PMCPMC6825156
OpenAlexW2988989573

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.