Evidence map›Paper›PMID 32235305›Full record

ArticleJournal of clinical medicine2020

Local and Central Evaluation of HER2 Positivity and Clinical Outcome in Advanced Gastric and Gastroesophageal Cancer-Results from the AGMT GASTRIC-5 Registry.

Florian Huemer, Lukas Weiss, Peter Regitnig, Thomas Winder, Bernd Hartmann, Josef Thaler, Gudrun Piringer, Clemens A Schmitt, Wolfgang Eisterer, Hannes Gänzer and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. HER2 discordance between primary and metastatic gastric cancer: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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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 9 institutions in 1 country.

Florian HuemerDepartment of Internal Medicine III with Haematology, Medical Oncology, Haemostaseology, Infectiology and Rheumatology, Oncologic Center, Paracelsus Medical University, Salzburg 5020, Austria.
Lukas WeissDepartment of Internal Medicine III with Haematology, Medical Oncology, Haemostaseology, Infectiology and Rheumatology, Oncologic Center, Paracelsus Medical University, Salzburg 5020, Austria.
Peter RegitnigDiagnostic and Research Institute of Pathology, Medical University of Graz, Graz 8010, Austria.
Thomas WinderDepartment of Internal Medicine, LKH Feldkirch, Feldkirch 6800, Austria.
Bernd HartmannDepartment of Internal Medicine, LKH Feldkirch, Feldkirch 6800, Austria.
Josef ThalerDepartment of Internal Medicine IV, Hematology and Oncology, Klinikum Wels-Grieskirchen, Wels 4600, Austria.
Gudrun PiringerDepartment of Internal Medicine IV, Hematology and Oncology, Klinikum Wels-Grieskirchen, Wels 4600, Austria.
Clemens A SchmittKepler Universitätsklinikum, Linz 4020, Austria.
Wolfgang EistererMedical University Hospital Innsbruck, Innsbruck 6020, Austria.
Hannes GänzerGeneral Hospital Hall, Hall 6060, Austria.
Alois WüstnerGeneral Hospital Hohenems, Hohenems 6845, Austria.
Johannes AndelLandeskrankenhaus Steyr, Steyr 4400, Austria.
Björn JagdtKrankenhaus der Barmherzigen Schwestern Ried, Ried 4910, Austria.
Hanno UlmerDepartment of Medical Statistics, Informatics and Health Economics, Innsbruck Medical University, Innsbruck 6020, Austria.
Richard GreilDepartment of Internal Medicine III with Haematology, Medical Oncology, Haemostaseology, Infectiology and Rheumatology, Oncologic Center, Paracelsus Medical University, Salzburg 5020, Austria.
Ewald WöllSt. Vinzenz Krankenhaus Betriebs GmbH, Zams 6511, Austria.
Landeskrankenhaus Feldkirch · ATParacelsus Medical University · ATKlinikum Wels-Grieskirchen · ATOrdensklinikum Linz Barmherzige Schwestern · ATInnsbruck Medical University · ATKepler Universitätsklinikum · ATMedical University of Graz · ATUniversity Hospital Innsbruck · ATVienna General Hospital · AT

Funding

F. Hoffmann-La Roche not available
6 · The paper itself

Abstract

Trastuzumab in combination with a platinum and fluorouracil is the treatment of choice for patients with advanced human epidermal growth factor receptor 2 (HER2) positive gastric cancer and gastroesophageal junction (GEJ) cancer. Pathological assessment of the HER2 status in gastric/GEJ cancer, however, still remains difficult. However, it is a crucial prerequisite for optimal treatment. The GASTRIC-5 registry was designed as an observational, multi-center research initiative comparing local and central HER2 testing. HER2 status was assessed by immunohistochemistry (IHC) and in equivocal cases (IHC score 2+) by additional in-situ hybridization. Between May 2011 and August 2018, tumor samples of 183 patients were tested in local and central pathology laboratories, respectively. Central testing revealed HER2 positivity in 38 samples (21%). Discordant HER2 results were found in 12% (22 out of 183) with locally HER2 positive/centrally HER2 negative results (9%, 17 out of 183), exceeding locally HER2 negative/centrally HER2 positive results (3%, 5 out of 183). Centrally confirmed HER2 positive patients receiving trastuzumab-based palliative first-line therapy showed a longer median overall survival compared to centrally HER2 positive patients not receiving trastuzumab (17.7 months (95% CI: 10,870-24,530) vs. 6.9 months (95% CI: 3.980-9.820),

Indexed as

concordancediscordanceGastric cancergastroesophageal cancerHER2

Identifiers

PMID32235305
PMCPMC7230156
OpenAlexW3013468581

What OpenQuestion holds

Textmetadata
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.