Evidence map›Paper›PMID 33925171›Full record

Trial reportMedicina (Kaunas, Lithuania)2021

Palliative Surgery or Metallic Stent Positioning for Advanced Gastric Cancer: Differences in QOL.

Enrico Fiori, Daniele Crocetti, Paolo Sapienza, Roberto Cirocchi, Antonio V Sterpetti, Michelangelo Miccini, Marcello Accordino, Silvano Costi, Pierfrancesco Lapolla, Andrea Mingoli and 2 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Medicina (Kaunas, Lithuania), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Review
  4. Article
  5. [Treatment Strategies for Gastric Cancer Patients with Gastric Outlet Obstruction].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. 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

12 authors at 3 institutions in 1 country.

Enrico FioriDepartment of Surgery "Pietro Valdoni", "Sapienza" University of Rome, 00161 Rome, Italy.ORCID 0000-0002-5171-6127
Daniele CrocettiDepartment of Surgery "Pietro Valdoni", "Sapienza" University of Rome, 00161 Rome, Italy.ORCID 0000-0001-9950-3553
Paolo SapienzaDepartment of Surgery "Pietro Valdoni", "Sapienza" University of Rome, 00161 Rome, Italy.ORCID 0000-0002-0198-7930
Roberto CirocchiDepartment of Surgical and Biomedical Sciences, Perugia University, 06123 Terni, Italy.ORCID 0000-0002-2457-0636
Antonio V SterpettiDepartment of Surgery "Pietro Valdoni", "Sapienza" University of Rome, 00161 Rome, Italy.
Michelangelo MicciniDepartment of Surgery "Pietro Valdoni", "Sapienza" University of Rome, 00161 Rome, Italy.
Marcello AccordinoDepartment of Surgery "Pietro Valdoni", "Sapienza" University of Rome, 00161 Rome, Italy.
Silvano CostiDepartment of Economics and Finance, LUISS Guido Carli, 00198 Rome, Italy.
Pierfrancesco LapollaDepartment of Surgery "Pietro Valdoni", "Sapienza" University of Rome, 00161 Rome, Italy.
Andrea MingoliDepartment of Surgery "Pietro Valdoni", "Sapienza" University of Rome, 00161 Rome, Italy.
Giorgio De TomaDepartment of Surgery "Pietro Valdoni", "Sapienza" University of Rome, 00161 Rome, Italy.
Antonietta LamazzaDepartment of Surgery "Pietro Valdoni", "Sapienza" University of Rome, 00161 Rome, Italy.
Sapienza University of Rome · ITLibera Università Internazionale degli Studi Sociali Guido Carli · ITUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesTwenty percent of the patients affected with stage IV antropyloric stomach cancer are hospitalized with a gastric outlet obstruction syndrome (GOOS) requiring its resolution to improve the quality of life (QoL). We present our preliminary short- and mid-term results regarding the influence of endoscopic placement of self-expandable metal stent (SEMS) or open stomach-partitioning gastrojejunostomy in QoL. MATERIALS AND

methodsIn this prospective randomized longitudinal cohort trial, we randomly assigned 27 patients affected with stage IV antropyloric stomach cancer into two groups: Group 1 (13 patients) who underwent SEMS positioning and Group 2 (14 patients) in whom open stomach-partitioning gastrojejunostomy was performed. The Karnofsky performance scale and QoL assessment using the EQ-5D-5L™ questionnaire was administered before treatment and thereafter at 1, 3, and 6 months. Results

conclusionsEarly QoL of patients affected with stage IV antropyloric cancer and symptoms of GOOS is significantly better in patients treated with SEMS positioning but at 6-month the QoL significantly decrease in this group of patients. We explained the reasons of this fluctuation with the higher risk of re-hospital admission in the SEMS group.

Indexed as

Stomach NeoplasmsHumansPalliative CareProspective StudiesQuality of LifeRetrospective StudiesStentsTreatment Outcomegastric cancerstent positioningstomach-partitioning gastrojejunostomy

Identifiers

PMID33925171
PMCPMC8146574
OpenAlexW3158512582

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.