Evidence map›Paper›PMID 32737698›Full record

ArticleAnnals of surgical oncology2021

Prognostic Significance of Complete Pathologic Response Obtained with Chemotherapy Versus Chemoradiotherapy in Gastric Cancer.

Denslow A Trumbull, Riccardo Lemini, Tamara Díaz Vico, Matthew S Jorgensen, Kristopher Attwood, Wenyan Ji, Maureen Brady, Emmanuel Gabriel, Moshim Kukar

Abstract read
PubMed Publisher
In one paragraph

Article in Annals of surgical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 18% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Current status and future perspectives on neoadjuvant therapy in gastric cancer.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2021
    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

9 authors at 4 institutions in 1 country.

Denslow A TrumbullUniversity of Florida, College of Medicine, Gainesville, FL, USA.
Riccardo LeminiDepartment of Surgery, Mayo Clinic, Jacksonville, FL, USA.
Tamara Díaz VicoDepartment of Surgery, Mayo Clinic, Jacksonville, FL, USA.
Matthew S JorgensenDepartment of Surgery, Mayo Clinic, Jacksonville, FL, USA.
Kristopher AttwoodDepartment of Biostatistics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Wenyan JiDepartment of Biostatistics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Maureen BradyDepartment of Surgical Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Emmanuel GabrielDepartment of Surgery, Mayo Clinic, Jacksonville, FL, USA.
Moshim KukarDepartment of Surgical Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA. Moshim.Kukar@RoswellPark.org.
Roswell Park Comprehensive Cancer Center · USMayo Clinic in Florida · USFlorida College · USWinnMed · US

Funding

Institutional Career Development CoreKL2TR002379 · NCATS · MAYO CLINIC ROCHESTER · PI NILUFER ERTEKIN-TANER · 2017 to 2026
$14.9M
6 · The paper itself

Abstract

backgroundFew studies have compared the survival advantage of complete pathologic response (cPR) achieved through neoadjuvant chemotherapy (nCT) versus neoadjuvant chemoradiotherapy (nCRT) in gastric adenocarcinoma. Our study utilizes a large national cancer database to address this question. PATIENTS AND

methodsThis is a retrospective review of patients with clinical stage I to III gastric adenocarcinoma from 2004 to 2013 who received nCT or nCRT. Patients who achieved cPR were selected. Associations were evaluated using Mann-Whitney U and Fisher's exact tests. Survival information was summarized using standard Kaplan-Meier methods, where estimates of the median and 5-year survival rates were estimated with 95% confidence intervals.

resultsA total of 413 patients who had cPR were identified. Eighty-four patients received nCT and 329 patients received nCRT. Patients in the nCRT group had higher clinical stage (88.4% vs. 75.0%) and more proximal location of tumors (95.4% vs. 45.2%). The nCT group (n = 84) had a 94% 5-year survival rate, while the nCRT group's (n = 329) rate was 60% (p < 0.001). On Cox regression modeling using a propensity-weighted approach, nCT treatment was an independent predictor of improved overall survival (nCRT vs. nCT; HR 10.44, p < 0.001).

conclusionsThe use of nCT leads to a significant increase in overall survival in patients when compared with nCRT for those who achieved cPR in gastric adenocarcinoma. While this study is limited in identifying the cause for this difference in overall survival, this important finding nonetheless requires further investigation and should be considered in the development of future gastric cancer trials.

Indexed as

Stomach NeoplasmsChemoradiotherapyEsophageal NeoplasmsHumansNeoadjuvant TherapyNeoplasm StagingPrognosisRetrospective StudiesTreatment Outcome

Identifiers

PMID32737698
OpenAlexW3046851879

What OpenQuestion holds

Textmetadata
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.