Evidence map›Paper›PMID 33704182›Full record

ArticleCurrent oncology (Toronto, Ont.)2020

Gastric Cancer Treatments and Survival Trends in the United States.

Kelly A Stahl, Elizabeth J Olecki, Matthew E Dixon, June S Peng, Madeline B Torres, Niraj J Gusani, Chan Shen

Abstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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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

7 authors.

Kelly A StahlDepartment of Surgery, College of Medicine, The Pennsylvania State University, Hershey, PA 17036, USA.ORCID 0000-0002-2467-4232
Elizabeth J OleckiDepartment of Surgery, College of Medicine, The Pennsylvania State University, Hershey, PA 17036, USA.ORCID 0000-0002-6204-8654
Matthew E DixonDepartment of Surgery, College of Medicine, The Pennsylvania State University, Hershey, PA 17036, USA.
June S PengDepartment of Surgery, College of Medicine, The Pennsylvania State University, Hershey, PA 17036, USA.ORCID 0000-0002-1891-4199
Madeline B TorresDepartment of Surgery, College of Medicine, The Pennsylvania State University, Hershey, PA 17036, USA.
Niraj J GusaniDepartment of Surgery, College of Medicine, The Pennsylvania State University, Hershey, PA 17036, USA.
Chan ShenDepartment of Surgery, College of Medicine, The Pennsylvania State University, Hershey, PA 17036, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastric cancer is the third most common cause of cancer deaths worldwide. Despite evidence-based recommendation for treatment, the current treatment patterns for all stages of gastric cancer remain largely unexplored. This study investigates trends in the treatments and survival of gastric cancer. The National Cancer Database was used to identify gastric adenocarcinoma patients from 2004-2016. Chi-square tests were used to examine subgroup differences between disease stages: Stage I, II/III and IV. Multivariate analyses identified factors associated with the receipt of guideline concordant care. The Kaplan-Meier method was used to assess three-year overall survival. The final cohort included 108,150 patients: 23,584 Stage I, 40,216 Stage II/III, and 44,350 Stage IV. Stage specific guideline concordant care was received in only 73% of patients with Stage I disease and 51% of patients with Stage II/III disease. Patients who received guideline consistent care had significantly improved survival compared to those who did not. Overall, we found only moderate improvement in guideline adherence and three-year overall survival during the 13-year study time period. This study showed underutilization of stage specific guideline concordant care for stage I and II/III disease.

Indexed as

AdenocarcinomaStomach NeoplasmsChemotherapy, AdjuvantCohort StudiesGuideline AdherenceHumansUnited Statescancer survivalgastric cancerguideline concordant caremultimodal therapyNational Cancer Databasetreatment trends

Identifiers

PMID33704182
PMCPMC7816178

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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.