Evidence map›Paper›PMID 33925512›Full record

ReviewCancers2021

Esophageal Cancer in Elderly Patients, Current Treatment Options and Outcomes; A Systematic Review and Pooled Analysis.

Styliani Mantziari, Hugo Teixeira Farinha, Vianney Bouygues, Jean-Charles Vignal, Yannick Deswysen, Nicolas Demartines, Markus Schäfer, Guillaume Piessen

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
7.9field-weighted citation impact, top 2% 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

35 citing papers in PubMed, 48 citations in OpenAlex.

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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

8 authors at 5 institutions in 3 countries.

Styliani MantziariDepartment of Visceral Surgery, Faculty of Biology and Medicine UNIL, Rue du Bugnon 46, Lausanne University Hospital (CHUV), 1011 Lausanne, Switzerland.ORCID 0000-0003-1315-1898
Hugo Teixeira FarinhaDepartment of Visceral Surgery, Faculty of Biology and Medicine UNIL, Rue du Bugnon 46, Lausanne University Hospital (CHUV), 1011 Lausanne, Switzerland.
Vianney BouyguesDepartment of Digestive Surgery, CH Saint Brieuc, 10 Rue Marcel Proust, 22000 Saint-Brieuc, France.
Jean-Charles VignalDepartment of Visceral Surgery, Clinique Chirurgicale Du Libournais, 119 Rue de la Marne, 33500 Libourne, France.
Yannick DeswysenClinique Universitaire St Luc, Université Catholique de Louvain, Bruxelles, Belgium Avenue Hippocrate 10, 1200 Bruxelles, Belgium.
Nicolas DemartinesDepartment of Visceral Surgery, Faculty of Biology and Medicine UNIL, Rue du Bugnon 46, Lausanne University Hospital (CHUV), 1011 Lausanne, Switzerland.ORCID 0000-0002-1530-3114
Markus SchäferDepartment of Visceral Surgery, Faculty of Biology and Medicine UNIL, Rue du Bugnon 46, Lausanne University Hospital (CHUV), 1011 Lausanne, Switzerland.
Guillaume PiessenDepartment of Digestive and Oncological Surgery, Claude Huriez University Hospital, University of Lille, F-59000 Lille, France.ORCID 0000-0001-8243-8310
University of Lausanne · CHCentre Hospitalier de Saint-Brieuc · FRClinique du Grand Large · FRCliniques Universitaires Saint-Luc · BEUniversité de Lille · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Esophageal cancer, despite its tendency to increase among younger patients, remains a disease of the elderly, with the peak incidence between 70-79 years. In spite of that, elderly patients are still excluded from major clinical trials and they are frequently offered suboptimal treatment even for curable stages of the disease. In this review, a clear survival benefit is demonstrated for elderly patients treated with neoadjuvant treatment, surgery, and even definitive chemoradiation compared to palliative or no treatment. Surgery in elderly patients is often associated with higher morbidity and mortality compared to younger patients and may put older frail patients at increased risk of autonomy loss. Definitive chemoradiation is the predominant modality offered to elderly patients, with very promising results especially for squamous cell cancer, although higher rates of acute toxicity might be encountered. Based on the all the above, and although the best available evidence comes from retrospective studies, it is not justified to refrain from curative treatment for elderly patients based on their age alone. Thorough assessment and an adapted treatment plan as well as inclusion of elderly patients in ongoing clinical trials will allow better understanding and management of esophageal cancer in this heterogeneous and often frail population.

Indexed as

definitive chemoradiationelderlyesophageal canceresophagectomysurgery

Identifiers

PMID33925512
PMCPMC8123886
OpenAlexW3157375733

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.