Evidence map›Paper›PMID 32332598›Full record

Observational studyMedicine2020

Postoperative radiotherapy for the young-old patients with thoracic esophageal squamous cell carcinoma: A 2-center experience.

Wei Ding, Min Yang, Wanrong Jiang, Xiaolin Ge, Xiangdong Sun, Bin Zhou, Feng Liu, Kai Jiang, Fangcheng Shen, Xinchen Sun

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 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
–field-weighted citation impact, top 94% 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, 1 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

10 authors at 2 institutions in 1 country.

Wei DingDepartment of Radiotherapy, The First Affiliated Hospital of Nanjing Medical University.
Min YangDepartment of Radiotherapy, The First Affiliated Hospital of Nanjing Medical University.
Wanrong JiangDepartment of Radiotherapy, People's Liberation Army Cancer Center, Jinling Hospital, Nanjing, Jiangsu Province, China.
Xiaolin GeDepartment of Radiotherapy, The First Affiliated Hospital of Nanjing Medical University.
Xiangdong SunDepartment of Radiotherapy, People's Liberation Army Cancer Center, Jinling Hospital, Nanjing, Jiangsu Province, China.
Bin ZhouDepartment of Radiotherapy, People's Liberation Army Cancer Center, Jinling Hospital, Nanjing, Jiangsu Province, China.
Feng LiuDepartment of Radiotherapy, People's Liberation Army Cancer Center, Jinling Hospital, Nanjing, Jiangsu Province, China.
Kai JiangDepartment of Radiotherapy, People's Liberation Army Cancer Center, Jinling Hospital, Nanjing, Jiangsu Province, China.
Fangcheng ShenDepartment of Radiotherapy, People's Liberation Army Cancer Center, Jinling Hospital, Nanjing, Jiangsu Province, China.
Xinchen SunDepartment of Radiotherapy, The First Affiliated Hospital of Nanjing Medical University.
Jiangsu Province Hospital · CNNanjing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to retrospectively analyze the efficacy and safety of esophagectomy and postoperative radiotherapy (PORT) for patients with thoracic esophageal squamous cell carcinoma (TESCC) in the young-old (aged between 65 and 75 years).The clinical data of 166 young-old patients with esophageal cancer who underwent esophagectomy and PORT from May 2004 to May 2018 in The First Affiliated Hospital of Nanjing Medical University and The PLA Cancer Center, Jinling Hospital were analyzed. The Kaplan-Meier method was used to calculate overall survival (OS), disease-free survival (DFS), local recurrence-free survival (LRFS), and distant metastasis-free survival (DMFS). The log-rank method was used to test the differences. The Cox regression model was used for the multivariate prognostic analysis.The follow-up rate was 98.5%, and the median follow-up time was 41.2 months. The whole 1-, 3-, and 5-year OS rates were 92.0%, 69.3%, and 58.3%, respectively, and the median OS was 64.7 months (95% CI, 58.3-71.1). The median DFS was 57.9 months (95% CI, 47.4-68.4), and the 1-, 3-, and 5-year DFS rates were 84.8%, 61.5%, and 44.6%, respectively. The median LRFS was 60.8 months (95% CI, 50.5-71.0), and the 1-, 3-, and 5-year LRFS rates were 85.8%, 64.94%, and 53.9%, respectively. The median DMFS was 65.0 months (95% CI, 60.6-69.6), and the 1-, 3-, and 5-year DMFS rates were 91.9%, 77.0%, and 67.5%, respectively. Pathological T staging, lymph node metastasis, pathologic staging, and Karnofsk Performance Status (KPS) were the main factors affecting prognosis. In addition, T staging, lymph node metastasis are also independent prognostic factors. Little severe toxicity was observed.The result indicates that PORT for TESCC patients who can tolerate surgery is safe in the young-old. The efficacy is similar to that of previous patients including younger populations. Pathological T and N stage are major factors that affect prognosis. Concurrent chemotherapy may not improve the survival of the young-old patients undergoing postoperative radiotherapy.

Indexed as

AgedAge FactorsEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaEsophagectomyFemaleHumansKaplan-Meier EstimateMaleNeoplasm Recurrence, LocalNeoplasm StagingPrognosisRadiation DosageRadiotherapy, AdjuvantRetrospective StudiesSex Factors

Identifiers

PMID32332598
PMCPMC7220665
OpenAlexW3018579435

What OpenQuestion holds

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LicenceCC BY-NC
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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.