Evidence map›Paper›PMID 31797969›Full record

ArticleScientific reports2019

The optimal timing of additional surgery after non-curative endoscopic resection to treat early gastric cancer: long-term follow-up study.

Jae Hwang Cha, Jie-Hyun Kim, Hyoung-Il Kim, Da Hyun Jung, Jae Jun Park, Young Hoon Youn, Hyojin Park, Seung Ho Choi, Jae-Ho Cheong, Woo Jin Hyung and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 pooled it
–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

7 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Gastrointestinal Malignancies and the COVID-19 Pandemic: Evidence-Based Triage to Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
    Pooled it
  4. Article
  5. Article
  6. Article
  7. 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

11 authors.

Jae Hwang ChaDepartment of Internal medicine, Dong-A University College of Medicine, Busan, Korea.
Jie-Hyun KimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. OTILIA94@yuhs.ac.ORCID http://orcid.org/0000-0002-9198-3326
Hyoung-Il KimDepartment of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. CAIRUS@yuhs.ac.ORCID http://orcid.org/0000-0002-6134-4523
Da Hyun JungDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Jae Jun ParkDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Young Hoon YounDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Hyojin ParkDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Seung Ho ChoiDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Jae-Ho CheongDepartment of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Woo Jin HyungDepartment of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Sung Hoon NohDepartment of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with early gastric cancer (EGC) who undergo non-curative endoscopic resection (ER) require additional surgery. The aim of the study was to validate surgical and oncological outcomes according to the timing of additional surgery after non-curative endoscopic resection. We retrospectively analyzed long-term follow-up data on the 302 patients enrolled between January 2007 and December 2014. We validated our earlier suggestion that the optimal time interval from non-curative ER to additional surgery was 29 days. All patients were divided into two groups by reference to time intervals from ER to additional surgery of ≤29days (n = 133; group A) and >29 days (n = 169; group B). The median follow-up duration was 41.98 ± 21.23 months. As in our previous study, group B exhibited better surgical outcomes. A total of 10 patients developed locoregional or distant recurrences during the follow-up period, but no significant difference was evident between the two groups. Interestingly, the survival rate was better in group B. Group B (>29 days) exhibited better surgical and oncological outcomes. Thus, additional gastrectomy after non-curative ER should be delayed for 1 month to ensure optimal surgical and oncological outcomes.

Indexed as

Disease-Free SurvivalEndoscopic Mucosal ResectionEndoscopyFemaleGastrectomyGastroscopyHumansMaleMiddle AgedNeoplasm Recurrence, LocalStomach Neoplasms

Identifiers

PMID31797969
PMCPMC6892792

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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.