Evidence map›Paper›PMID 31832583›Full record

ArticleBJS open2019

Prediction of a positive circumferential resection margin at surgery following neoadjuvant chemotherapy for adenocarcinoma of the oesophagus.

W R C Knight, C Yip, W Wulaningsih, A Jacques, N Griffin, J Zylstra, M Van Hemelrijck, N Maisey, A Gaya, C R Baker and 21 more

Abstract read
In one paragraph

Article in BJS open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

31 authors.

W R C KnightDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.ORCID 0000-0002-8473-8402
C YipSchool of Biomedical Engineering and Imaging Sciences, King's College London.
W WulaningsihCancer Epidemiology and Population Health Associated Research Group, King's College London.
A JacquesDepartment of Radiology, Guy's and St Thomas' Hospital, London, UK.
N GriffinDepartment of Radiology, Guy's and St Thomas' Hospital, London, UK.
J ZylstraDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
M Van HemelrijckCancer Epidemiology and Population Health Associated Research Group, King's College London.ORCID 0000-0002-7317-0858
N MaiseyDepartment of Oncology, Guy's and St Thomas' Hospital, London, UK.
A GayaDepartment of Oncology, Guy's and St Thomas' Hospital, London, UK.
C R BakerDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
M KellyDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
J A GossageDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
J LagergrenDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
D LandauDepartment of Oncology, Guy's and St Thomas' Hospital, London, UK.
V GohSchool of Biomedical Engineering and Imaging Sciences, King's College London.
A R DaviesDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
Guy's and St Thomas' Oesophago‐Gastric Research Group
S NganDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
A QureshiDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
H DeereDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
M GreenDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
F ChangDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
U MahadevaDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
B Gill-BarmanDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
S GeorgeDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
J DunnDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
S ZekiDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
J MeenanDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
O HynesDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
G ThamDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.
C IezziDepartment of Surgery, Guy's and St Thomas' Oesophago-Gastric Centre, King's College London.

Funding

Cancer Research UK 16463
6 · The paper itself

Abstract

Background: A positive circumferential resection margin (CRM) has been associated with higher rates of locoregional recurrence and worse survival in oesophageal cancer. The aim of this study was to establish if clinicopathological and radiological variables might predict CRM positivity in patients who received neoadjuvant chemotherapy before surgery for oesophageal adenocarcinoma. Methods: Multivariable analysis of clinicopathological and CT imaging characteristics considered potentially predictive of CRM was performed at initial staging and following neoadjuvant chemotherapy. Prediction models were constructed. The area under the curve (AUC) with 95% confidence intervals (c.i.) from 1000 bootstrapping was assessed. Results: A total of 223 patients were included in the study Conclusion: The presence of advanced cT status, poor tumour differentiation, and CT-assessed lack of response to chemotherapy, higher tumour volume and local invasion can be used to identify patients at risk of a positive CRM following neoadjuvant chemotherapy.

Indexed as

EsophagectomyMargins of ExcisionAdenocarcinomaChemotherapy, AdjuvantEsophageal NeoplasmsEsophagusFeasibility StudiesFemaleHumansMaleMiddle AgedNeoadjuvant TherapyNeoplasm Recurrence, LocalNeoplasm StagingPredictive Value of TestsPreoperative Period

Identifiers

PMID31832583
PMCPMC6887675

What OpenQuestion holds

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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.