Evidence map›Paper›PMID 34335754›Full record

ArticleJournal of oncology2021

Analysis of Threshold Change of Tumor Mutation Burden in Gastric Cancer.

Xinwei He, Ming Yu, Xuezhong Wang, Jixian Chen, Xianglin Li

Abstract read
In one paragraph

Article in Journal of oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

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0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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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

5 authors.

Xinwei HeDepartment of General Surgery, Ruian People's Hospital, Wenzhou 325200, China.ORCID https://orcid.org/0000-0003-2026-0857
Ming YuDepartment of General Surgery, Ruian People's Hospital, Wenzhou 325200, China.ORCID https://orcid.org/0000-0003-1006-9979
Xuezhong WangDepartment of General Surgery, Ruian Hospital of Traditional Chinese Medicine, Wenzhou 325200, China.ORCID https://orcid.org/0000-0002-3704-1813
Jixian ChenDepartment of General Surgery, Ruian People's Hospital, Wenzhou 325200, China.ORCID https://orcid.org/0000-0002-3427-0004
Xianglin LiDepartment of General Surgery, Yongjia People's Hospital, Wenzhou 325107, China.ORCID https://orcid.org/0000-0001-9125-5444

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to investigate the change of tumor mutation burden (TMB) in gastric cancer (GC) and its relationship with prognosis.

methodsA total of 262 patients with GC from January 2018 to December 2019 were included in this study. All patients were in the advanced stage and were treated with surgical removal of D2 lymph nodes and dissection. Clinical data and gene expression profile data of the GC dataset in The Cancer Genome Atlas were collected. Patients were randomly divided into a high-level group and a low-level group according to the TMB of 8 mutations/Mb. TMB of GC was calculated based on cell mutation data. Cox regression model was used to evaluate the relationship between TMB and prognosis of GC patients.

resultsThe total mutation rate of 262GC patients was 92.85%. The top 5 mutant genes were TP53, RB1, ARID1A, KMT2B, and RET. The expression level of TMB in GC patients was statistically significant with age, drinking history, and differentiation type. 94 of the 262 patients died, and 168 survived during the follow-up period. Patients with a high level of TMB had a worse prognosis than those with low level of TMB. The results of univariate and multivariate logistic analysis showed that the overall survival rate of GC patients was statistically significant with age, drinking history, clinical stage, differentiation type, and TMB.

conclusionGC patients are often accompanied by changes in TMB, and its expression level is closely related to the degree of pathological differentiation, which is an independent factor affecting the prognosis of GC patients. High TMB value can evaluate the prognosis and provide a reference for the formulation of clinical treatment plans for GC patients.

Identifiers

PMID34335754
PMCPMC8321718

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