Evidence map›Paper›PMID 31794158›Full record

ArticleCancer medicine2020

Clinical outcomes of locally advanced esophageal neuroendocrine carcinoma treated with chemoradiotherapy.

Yoshitaka Honma, Kengo Nagashima, Hidekazu Hirano, Hirokazu Shoji, Satoru Iwasa, Atsuo Takashima, Natsuko Okita, Ken Kato, Narikazu Boku, Naoya Murakami and 6 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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  12. Prognostic value of pretreatmentFrontiers in oncology · 2023
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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

16 authors at 4 institutions in 1 country.

Yoshitaka HonmaGastrointestinal Medical Oncology Division, National Cancer Center Hospital, Tokyo, Japan.ORCID 0000-0002-4209-4493
Kengo NagashimaThe Institute of Statistical Mathematics, Research Center for Medical and Health Data Science, Tokyo, Japan.ORCID 0000-0003-4529-9045
Hidekazu HiranoGastrointestinal Medical Oncology Division, National Cancer Center Hospital, Tokyo, Japan.
Hirokazu ShojiGastrointestinal Medical Oncology Division, National Cancer Center Hospital, Tokyo, Japan.ORCID 0000-0002-8922-5227
Satoru IwasaGastrointestinal Medical Oncology Division, National Cancer Center Hospital, Tokyo, Japan.
Atsuo TakashimaGastrointestinal Medical Oncology Division, National Cancer Center Hospital, Tokyo, Japan.
Natsuko OkitaGastrointestinal Medical Oncology Division, National Cancer Center Hospital, Tokyo, Japan.
Ken KatoGastrointestinal Medical Oncology Division, National Cancer Center Hospital, Tokyo, Japan.
Narikazu BokuGastrointestinal Medical Oncology Division, National Cancer Center Hospital, Tokyo, Japan.
Naoya MurakamiDepartment of Radiation Oncology, National Cancer Center Hospital, Tokyo, Japan.
Kouji InabaDepartment of Radiation Oncology, National Cancer Center Hospital, Tokyo, Japan.ORCID 0000-0002-6712-2294
Yoshinori ItoDepartment of Radiation Oncology, National Cancer Center Hospital, Tokyo, Japan.
Jun ItamiDepartment of Radiation Oncology, National Cancer Center Hospital, Tokyo, Japan.
Jun KanamoriEsophageal Surgery Division, National Cancer Center Hospital, Tokyo, Japan.
Junya OgumaEsophageal Surgery Division, National Cancer Center Hospital, Tokyo, Japan.
Hiroyuki DaikoEsophageal Surgery Division, National Cancer Center Hospital, Tokyo, Japan.
National Cancer Center Hospital East · JPTokyo National Hospital · JPShowa University · JPThe Institute of Statistical Mathematics · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeuroendocrine carcinoma (NEC) arising from the esophagus (EsoNEC) is extreme rare, accounting for approximately 1% of esophageal cancer. Even for localized NEC, multidisciplinary approach including chemotherapy is recommended in treatment guidelines because of its high rates of systemic recurrence. However, it is controversial whether adding surgery or radiotherapy is appropriate local treatment for EsoNEC. There have been few reports regarding the clinical outcomes of definitive chemoradiotherapy (dCRT) for EsoNEC. The purpose of this study was to clarify the survival outcome of patients with locally advanced EsoNEC treated with dCRT.

methodsClinical outcomes, feasibility, and prognostic factors of patients with locally advanced EsoNEC treated with radiotherapy (60 Gy/30 fraction) in combination with platinum plus etoposide (CE-RT) or cisplatin plus 5-fluorouracil (CF-RT) at the National Cancer Center Hospital from 2001 to 2017 were retrospectively analyzed.

resultsA total of 22 patients were identified as the subjects of this study. The overall response rate and clinical complete remission rate in all patients were 86.4% and 77.3%, respectively. The median progression-free survival and median survival time in all patients were 12.7 and 37.5 months, associated with a 5-year survival rate of 45.4%. Patients treated with CE-RT experienced more hematological adverse events, especially in neutropenia (≥grade 3) and febrile neutropenia(≥grade 3), but achieved more long-term progression-free survival than with CF-RT.

conclusionsDefinitive chemoradiotherapy can be considered as an important treatment option for locally advanced esophageal neuroendocrine carcinoma.

Indexed as

AgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCarboplatinCarcinoma, NeuroendocrineChemoradiotherapyCisplatinEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaEtoposideFemaleFluorouracilFollow-Up StudiesHumansMaleMiddle AgedCarboplatinCisplatinEtoposideFluorouracilchemoradiotherapyesophageal neuroendocrine carcinomaetoposidemultidisciplinary treatmentplatinum

Identifiers

PMID31794158
PMCPMC6970034
OpenAlexW2993771323

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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.