Evidence map›Paper›PMID 34469859›Full record

ArticleThe Journal of surgical research2021

Clinical Presentation Patterns and Survival Outcomes of Hispanic Patients With Gastric Cancer.

Gerardo A Vitiello, Leena Hani, Annie Wang, Matthew R Porembka, Rodrigo Alterio, Michelle Ju, Michael K Turgeon, Rachel M Lee, Maria C Russell, Joshua Kronenfeld and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of surgical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Hispanic/Latino Ethnicity Is an Independent Predictor of Worse Survival for Gastric Cancer in a Multicenter Safety-Net Patient Population.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  4. Article
  5. Article
  6. Practical Considerations in Diagnosing and Managing Early-Onset GI Cancers.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    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

18 authors.

Gerardo A VitielloDepartment of Surgery, New York University Langone Health, New York, NY, USA. Electronic address: gerardo.vitiello@gmail.com.
Leena HaniDepartment of Surgery, New York University Langone Health, New York, NY, USA.
Annie WangDepartment of Surgery, New York University Langone Health, New York, NY, USA.
Matthew R PorembkaDepartment of Surgery, University of Texas Southwestern Medical School, Dallas, TX, USA.
Rodrigo AlterioDepartment of Surgery, University of Texas Southwestern Medical School, Dallas, TX, USA.
Michelle JuDepartment of Surgery, University of Texas Southwestern Medical School, Dallas, TX, USA.
Michael K TurgeonDepartment of Surgery, Emory University, Atlanta, GA, USA.
Rachel M LeeDepartment of Surgery, Emory University, Atlanta, GA, USA.
Maria C RussellDepartment of Surgery, Emory University, Atlanta, GA, USA.
Joshua KronenfeldDepartment of Surgery, University of Miami Miller School of Medicine, Miami, Fl, USA.
Neha GoelDepartment of Surgery, University of Miami Miller School of Medicine, Miami, Fl, USA.
Jashodeep DattaDepartment of Surgery, University of Miami Miller School of Medicine, Miami, Fl, USA.
Ajay V MakerDepartment of Surgery, University of Illinois at Chicago, Chicago, IL, USA; Department of Surgery, Univeristy of California, San Francisco, CA, USA.
Manuel FernandezDepartment of Surgery, University of Illinois at Chicago, Chicago, IL, USA.
Harry RichterDepartment of Surgery, John H. Stroger Jr. Hospital of Cook County, Chicago, IL, USA.
Camilo Correa-GallegoDepartment of Surgery, New York University Langone Health, New York, NY, USA.
Russell S BermanDepartment of Surgery, New York University Langone Health, New York, NY, USA.
Ann Y LeeDepartment of Surgery, New York University Langone Health, New York, NY, USA. Electronic address: Ann.Lee@nyulangone.org.

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
J: NRSA Training CoreTL1TR002382 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Vasiliki Michopoulos · 2017 to 2026
$8.5M
NCATS NIH HHS TL1 TR002382NCATS NIH HHS UL1 TR002378
6 · The paper itself

Abstract

backgroundHispanic patients have a higher incidence of gastric cancer when compared to non-Hispanics. Outlining clinicodemographic characteristics and assessing the impact of ethnicity on stage-specific survival may identify opportunities to improve gastric cancer care for this population.

methodsPatients with gastric cancer in the US Safety Net Collaborative (2012-2014) were retrospectively reviewed. Demographics, clinicopathologic characteristics, operative details, and outcomes were compared between Hispanic and non-Hispanic patients. Early onset gastric cancer was defined as age <50 years. Kaplan-Meier and Cox proportional-hazards models were used to identify the impact of ethnicity on disease-specific survival (DSS).

resultsSeven hundred and ninety-seven patients were included, of which 219 (28%) were Hispanic. Hispanic patients were more likely to seek care at safety-net hospitals (66 vs 39%) and be uninsured (36 vs 17%), and less likely to have a primary care provider (PCP) (46 vs 75%; all P<0.05). Hispanic patients were twice as likely to present with early onset gastric cancer (28 vs 15%) and were more frequently diagnosed in the emergency room (54 vs 37%) with both abdominal pain and weight loss (44 vs 31%; all P <0.05). Treatment paradigms, operative outcomes, and DSS were similar between Hispanic and non-Hispanic patients when accounting for cancer stage. Cancer stage, pathologically positive nodes, and negative surgical margins were independently associated with DSS.

conclusionsA diagnosis of gastric cancer must be considered in previously healthy Hispanic patients who present to the emergency room with both abdominal pain and weight loss. Fewer than 50% of Hispanic patients have a PCP, indicating poor outpatient support. Efforts to improve outpatient support and screening may improve gastric cancer outcomes in this vulnerable population.

Indexed as

Stomach NeoplasmsEthnicityHispanic or LatinoHumansMiddle AgedNeoplasm StagingRetrospective StudiesGastric cancerHispanicSafety-netSurvival

Identifiers

PMID34469859
PMCPMC8678299

What OpenQuestion holds

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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.