Evidence map›Paper›PMID 31691087›Full record

ArticleJournal of gastrointestinal cancer2020

How Should We Measure the Quality of Lymphadenectomy for Gastric Cancer? Anatomical Versus Numerical Criterion.

Stefano Rausei, Federica Galli, Georgios Lianos, Fausto Rosa, Andrea Cossu, Alberto Biondi, Francesco Martignoni, Ferdinando Carlo Maria Cananzi, Uberto Fumagalli, Sergio Alfieri and 4 more

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Article in Journal of gastrointestinal cancer, 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
–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

6 citing papers in PubMed.

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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.

Stefano RauseiDepartment of Surgery, ASST Valle Olona, Gallarate, VA, Italy.
Federica GalliDepartment of Surgery, University of Insubria, Varese, Italy.
Georgios LianosDepartment of Surgery, University Hospital of Ioannina, Ioannina, Greece. georgiolianos@yahoo.gr.
Fausto RosaDivision of Digestive Surgery, Department of Surgical Sciences, Catholic University, Rome, Italy.
Andrea CossuDepartment of Surgery, Vita-Salute San Raffaele University, Milan, Italy.
Alberto BiondiDivision of General Surgery, Department of Surgical Sciences, Catholic University, Rome, Italy.
Francesco MartignoniDepartment of Surgery, University of Insubria, Varese, Italy.
Ferdinando Carlo Maria CananziDivision of Surgical Oncology, Humanitas Clinical and Research Center, Rozzano, MI, Italy.
Uberto FumagalliDepartment of Surgery, Brescia University, Brescia, Italy.
Sergio AlfieriDivision of Digestive Surgery, Department of Surgical Sciences, Catholic University, Rome, Italy.
Roberto PersianiDivision of General Surgery, Department of Surgical Sciences, Catholic University, Rome, Italy.
Vittorio QuagliuoloDivision of Surgical Oncology, Humanitas Clinical and Research Center, Rozzano, MI, Italy.
Domenico D'UgoDivision of General Surgery, Department of Surgical Sciences, Catholic University, Rome, Italy.
Riccardo RosatiDepartment of Surgery, Vita-Salute San Raffaele University, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare anatomical with numerical criterion to measure the quality of lymphadenectomy for gastric cancer. PATIENTS AND

methodsWe analyzed 447 gastric cancer patients with resectable tumor stage (R0 resection) with at least 16 examined lymph nodes.

resultsOf 447 patients, 82.6% underwent D2 lymphadenectomy for a median of total examined lymph nodes of 28. The 7-year disease-specific survival rate for the whole sample was 71.4%. Survival was significantly different between patients treated with D2 and D1 lymphadenectomy (77.4% versus 44.3%; p < 0.001) and between patients with total examined lymph nodes ≥ 28 and < 28 (74.5% versus 62.3%; p = 0.041). Anatomical criterion significantly differentiated 7-year survival in patients stratified according to a numerical parameter.

conclusionWe should still consider the anatomical criterion as the best item to measure the quality of lymphadenectomy for gastric cancer.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overFemaleFollow-Up StudiesGastrectomyHumansLymph Node ExcisionLymph NodesMaleMiddle AgedPrognosisQuality Assurance, Health CareRetrospective StudiesStomach NeoplasmsCancer-related survivalLocally advanced gastric cancerLymphadenectomyNumber of removed lymph nodes

Identifiers

PMID31691087

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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.