Evidence map›Paper›PMID 33441652›Full record

ArticleScientific reports2021

Preceding endoscopic submucosal dissection in submucosal invasive gastric cancer patients does not impact clinical outcomes.

Kazutaka Kuroki, Shiro Oka, Shinji Tanaka, Naoki Yorita, Kosaku Hata, Takahiro Kotachi, Tomoyuki Boda, Koji Arihiro, Fumio Shimamoto, Kazuaki Chayama

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. 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.

Kazutaka KurokiDepartment of Gastroenterology and Metabolism, Hiroshima University Hospital, Kasumi 1-2-3 Minami-ku, Hiroshima-shi, Hiroshima, Japan.
Shiro OkaDepartment of Gastroenterology and Metabolism, Hiroshima University Hospital, Kasumi 1-2-3 Minami-ku, Hiroshima-shi, Hiroshima, Japan. oka4683@hiroshima-u.ac.jp.
Shinji TanakaDepartment of Endoscopy, Hiroshima University Hospital, Hiroshima, Japan.
Naoki YoritaDepartment of Gastroenterology and Metabolism, Hiroshima University Hospital, Kasumi 1-2-3 Minami-ku, Hiroshima-shi, Hiroshima, Japan.
Kosaku HataDepartment of Gastroenterology and Metabolism, Hiroshima University Hospital, Kasumi 1-2-3 Minami-ku, Hiroshima-shi, Hiroshima, Japan.
Takahiro KotachiDepartment of Endoscopy, Hiroshima University Hospital, Hiroshima, Japan.
Tomoyuki BodaDepartment of Endoscopy, Hiroshima University Hospital, Hiroshima, Japan.
Koji ArihiroDepartment of Anatomical Pathology, Hiroshima University Hospital, Hiroshima, Japan.
Fumio ShimamotoDepartment of Faculty of Human Culture and Sciences, Hiroshima Shudo University, Hiroshima, Japan.
Kazuaki ChayamaDepartment of Gastroenterology and Metabolism, Hiroshima University Hospital, Kasumi 1-2-3 Minami-ku, Hiroshima-shi, Hiroshima, Japan.
Hiroshima University Hospital · JPHiroshima Shudo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Submucosal deep invasion of gastric cancer (T1b2; depth of submucosal invasion ≥ 500 μm) is a risk factor for lymph node metastasis and, thus, is one of the criteria for curative treatment. Our aim was to evaluate the specific influence of endoscopic submucosal dissection (ESD) on the prognosis of patients with T1b2 gastric cancer. This was a retrospective analysis of 248 consecutive patients, with 252 pT1b2 gastric cancer lesions, who underwent ESD prior to additional surgery (Group A, n = 101) or surgery only (Group B, n = 147). After propensity score-matching (for sex, age, tumor diameter and gross type), we compared pathological characteristics between the 2 groups and the prognosis over a follow-up period ≥ 60 months. Compared to Group B, patients in Group A were older, with a higher proportion of men. The proportion of depressed and undifferentiated type tumors was greater in Group B than A, with larger tumor size and depth of submucosal invasion as well. There was no incidence of local recurrence, but distant metastasis was identified in 5% of cases in Group A and 3% in Group B. After propensity score-matching, there were no difference in the 5-year overall survival rate between Group A and B (87.5% vs. 91.2%, respectively), nor in the 5-year disease-specific survival rate (96.3% vs. 96.4%, respectively). ESD prior to surgery for T1b2 gastric cancer did not adversely affect clinical outcomes after additional surgery.

Indexed as

AgedEndoscopic Mucosal ResectionFemaleGastrectomyGastric MucosaHumansMaleNeoplasm Recurrence, LocalPrognosisPropensity ScoreRetrospective StudiesStomachStomach NeoplasmsSurvival RateTreatment Outcome

Identifiers

PMID33441652
PMCPMC7806757
OpenAlexW3121046370

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.