Evidence map›Paper›PMID 32195384›Full record

ArticleHeliyon2020

Prognostic significance of poorly cohesive gastric carcinoma in Tunisian patients.

Raja Jouini, Fatma Khanchel, Meriam Sabbah, Imen Helal, Abdessalem Gharsallah, Marwa Ferchichi, Dhafer Hadded, Haithem Zaafouri, Ehsen Ben Brahim, Anis Ben Maamer and 1 more

Open access · goldAbstract read
In one paragraph

Article in Heliyon, 2020. 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
0.5field-weighted citation impact, top 31% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  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

11 authors at 2 institutions in 1 country.

Raja JouiniDepartment of Pathology, Habib Thameur Hospital, Tunis, Tunisia.
Fatma KhanchelDepartment of Pathology, Habib Thameur Hospital, Tunis, Tunisia.
Meriam SabbahDepartment of Gastroenterology, Habib Thameur Hospital, Tunis, Tunisia.
Imen HelalDepartment of Pathology, Habib Thameur Hospital, Tunis, Tunisia.
Abdessalem GharsallahFaculty of Medicine of Tunis, Tunis El Manar University, Tunisia.
Marwa FerchichiDepartment of Pathology, Habib Thameur Hospital, Tunis, Tunisia.
Dhafer HaddedFaculty of Medicine of Tunis, Tunis El Manar University, Tunisia.
Haithem ZaafouriFaculty of Medicine of Tunis, Tunis El Manar University, Tunisia.
Ehsen Ben BrahimDepartment of Pathology, Habib Thameur Hospital, Tunis, Tunisia.
Anis Ben MaamerFaculty of Medicine of Tunis, Tunis El Manar University, Tunisia.
Aschraf Chadli DebbicheDepartment of Pathology, Habib Thameur Hospital, Tunis, Tunisia.
Tunis El Manar University · TNHabib hospital Thameur · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile the incidence of gastric cancer has decreased worldwide in recent decades, the incidence of poorly cohesive carcinoma (PCC) is rising. The prognostic significance of gastric PCC remains a subject of debate.

objectiveTo analyze the prognosis of gastric PCC in a Tunisian cohort.

methodsA total of 122 gastric adenocarcinoma patients who underwent curative gastrectomy from 2001 to 2014 at Habib Thameur hospital in Tunis, Tunisia were included. The clinicopathological parameters and prognosis of PCC were analyzed in comparison with non PCC (NPCC).

resultsSixty one patients (50%) presented PCC. Patients were younger in PCC group (p = 0,001). There was no difference in sex distribution between the two groups. PCC was more likely to be stage T4 (55.7% vs 34.4%; p = 0.033), N3 (67.8% vs 30%; p < 0.001) and have a higher metastatic lymph node ratio (p < 0.001). Hepatic metastases were more frequent in NPCC group (p = 0.031) whereas peritoneal carcinomatosis was more common in PCC group (p = 0.004). Perineural invasion was more frequent in PCC group (p = 0.001). Resection margins were more often positive in PCC group (31.1% vs 9.8%; p = 0.004). There was no difference in recurrence rate between the 2 groups (p = 0.348). The 5-year survival was similar in the NPCC and PCC (respectively 43% vs 23 %; p = 0.247). Survival rates were also comparable in early stage (100% vs 80% respectively for PCC and NPCC; p = 0.527) as well as for advanced stage (16% vs 35% respectively for PCC and NPCC; p = 0.538). PCC was not a prognostic factor for survival. Interestingly, advanced age, adjacent structures invasion, positive resection margins were specific prognostic factors for PCC.

conclusionIn our study PCC was not a prognostic factor for survival. Advanced age, adjacent structures invasion and positive resection margins were specific prognostic features for this histological subtype.

Indexed as

Abdominal surgeryBiological sciencesCancer surgeryGastric cancerHealth sciencesPathologyPoorly cohesive carcinomaPrognosisSurvival

Identifiers

PMID32195384
PMCPMC7078324
OpenAlexW3011285857

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.