Evidence map›Paper›PMID 32915373›Full record

ArticleGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2021

Multi-institutional development and validation of a nomogram to predict recurrence after curative resection of gastric neuroendocrine/mixed adenoneuroendocrine carcinoma.

Hualong Zheng, YaJun Zhao, Qingliang He, Hankun Hao, Yantao Tian, Bingbing Zou, Lixin Jiang, Xiantu Qiu, Yanbing Zhou, Zhi Li and 19 more

Abstract readMulticenter StudyValidation Study
PubMed Publisher
In one paragraph

Article in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

20 citing papers in PubMed, 21 citations in OpenAlex.

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  16. Nomogram for distant metastasis-free survival in patients with locoregionally advanced nasopharyngeal carcinoma.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2022
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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

29 authors at 16 institutions in 1 country.

Hualong Zheng *Department of Gastric Surgery, Fujian Medical University Union Hospital, No. 29 Xinquan Road, Fuzhou, 350001, Fujian Province, China.
YaJun Zhao *Department of Gastrointestinal Surgery, West District of The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui Province, China.
Qingliang He *Department of Gastrointestinal Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian Province, China.
Hankun Hao *Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Yantao Tian *Department of Pancreatic and Gastric Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Bingbing ZouDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui Province, China.
Lixin JiangDepartment of Gastrointestinal Surgery, Yantai Yuhuangding Hospital, Yantai, Shandong Province, China.
Xiantu QiuDepartment of Gastrointestinal Surgery and Gastrointestinal Surgery Research Institute, The Affiliated Hospital of Putian University, Putian, Fujian Province, China.
Yanbing ZhouDepartment of Gastrointestinal Surgery, Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, China.
Zhi LiDepartment of General Surgery, Henan Cancer Hospital, Zhengzhou , Henan Province, China.
Yanchang XuDepartment of Gastrointestinal Surgery, Fujian Medicine University Teaching Hospital, The First Hospital of PuTian, Putian, Fujian Province, China.
Gang ZhaoDepartment of Gastrointestinal Surgery, Renji Hospital, Shanghai Jiaotong University, Shanghai, China.
Fangqin XueDepartment of Gastrointestinal Surgery, Provincial Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou , Fujian Province, China.
Shuliang LiDepartment of Gastrointestinal Surgery, The Second People's Hospital of Liaocheng, Liaocheng, Shandong Province, China.
Weihua FuDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Yongxiang LiDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui Province, China.
Xiaojun ZhouDepartment of Gastroenterology Surgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China.
Yong LiDepartment of General Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province, China.
Zhenggang ZhuDepartment of Gastrointestinal Surgery, Ruijin Hospital Affiliated To Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Jinping ChenDepartment of Gastrointestinal Surgery, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, Fujian Province, China.
Zekuan XuDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China.
Lisheng CaiDepartment of General Surgery, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, Fujian Province, China.
En LiDepartment of Gastrointestinal Surgery, Meizhou People's Hospital, Meizhou, Guangdong Province, China.
Honglang LiDepartment of Gastrointestinal Surgery, Second Affiliated Hospital, Nanchang University, Nanchang, Jiangxi Province, China.
Jianwei XieDepartment of Gastric Surgery, Fujian Medical University Union Hospital, No. 29 Xinquan Road, Fuzhou, 350001, Fujian Province, China.
Chaohui ZhengDepartment of Gastric Surgery, Fujian Medical University Union Hospital, No. 29 Xinquan Road, Fuzhou, 350001, Fujian Province, China.
Jun LuDepartment of Gastric Surgery, Fujian Medical University Union Hospital, No. 29 Xinquan Road, Fuzhou, 350001, Fujian Province, China.
Ping LiDepartment of Gastric Surgery, Fujian Medical University Union Hospital, No. 29 Xinquan Road, Fuzhou, 350001, Fujian Province, China.
Changming HuangDepartment of Gastric Surgery, Fujian Medical University Union Hospital, No. 29 Xinquan Road, Fuzhou, 350001, Fujian Province, China. hcmlr2002@163.com.ORCID http://orcid.org/0000-0001-7284-3689
Fujian Medical University · CNAnhui Medical University · CNPutian University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNFourth People's Hospital of Liaocheng · CNFudan University · CNHenan Cancer Hospital · CNJiangsu Province Hospital · CNNanchang University · CNQingdao University · CNRenji Hospital · CNShanghai Jiao Tong University · CNSoochow University · CNTianjin Medical University General Hospital · CNUniversity of Science and Technology of China · CNYuhuangding Hospital · CN

Funding

Construction Project of Fujian Province Minimally Invasive Medical Center No. [2017]171Fujian Science and Technology Innovation Joint Fund Project 2017Y9004Joint Funds for the Innovation of Science and Technology of Fujian Province 2018Y9041Scientific and Technological Innovation Joint Capital Projects of Fujian Province 2017Y9011The Second Batch of Special Support Funds for Fujian Province Innovation and Entrepreneurship Talents 2016B013Youth Project of Fujian Provincial Health and Family Planning Commission 2016-1-41
6 · The paper itself

Abstract

objectiveTo establish a novel nomogram to predict individual 1, 3, and 5 years disease-free survival (DFS) of patients with gastric neuroendocrine carcinoma/mixed adenoneuroendocrine carcinoma [(MA)NEC].

backgroundAmong patients undergoing radical resection of gastric (MA)NEC, there is still a high tendency for relapse.

methodsA retrospective analysis of 777 patients with gastric (MA)NEC at 23 centers in China from 2004 to 2015 was performed. Based on the established nomogram, which included age, ASA, pT, pN and Ki67, the overall patients were divided into low-risk group (LRG) and high-risk group (HRG).

resultsThe median follow-up time was 40 months (1-169 months). The C-index, AUC and time-ROC of the nomogram were significantly higher than that of the 8th edition AJCC and ENETS TNM staging systems. The 3-year DFS of patients in HRG generated by the nomogram was significantly lower than that in LRG (all patients: 35% vs 66.9%, p < 0.001), and there were still significant differences in stratified analysis of the TNM staging systems. The local recurrence rate (10.5% vs 2.6%) and distant recurrence rate (45.1% vs 22.6%) in HRG were significantly higher than those in LRG, especially in anastomotic recurrence (6.3% vs 2%), liver recurrence (20.7% vs 13.4%) and peritoneal metastasis (12.7% vs 2.6%).

conclusionsCompared with AJCC and ENETS TNM staging systems, the established novel validated nomogram had a significantly better prediction ability for DFS and recurrence patterns in patients with gastric (MA)NEC. It can also compensate for the shortcomings of existing AJCC and ENETS TNM staging in predicting individual recurrence risk.

Indexed as

NomogramsAdenocarcinomaAgedCarcinoma, NeuroendocrineDisease-Free SurvivalFemaleGastrectomyHumansMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingPostoperative PeriodPredictive Value of TestsPrognosisProspective StudiesDisease-free survivalGastric neuroendocrine carcinomaMixed adenoneuroendocrine carcinomaNomogram

Identifiers

PMID32915373
OpenAlexW3086844120

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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.