Evidence map›Paper›PMID 34650387›Full record

ReviewEXCLI journal2021

Prophylactic hyperthermic intraperitoneal chemotherapy (HIPEC) for the prevention and control of peritoneal metastasis in patients with gastrointestinal malignancies: a systematic review of randomized controlled trials.

Jerry Lorren Dominic, Amudhan Kannan, Anjli Tara, Abdul Rub Hakim Mohammed, Myat Win, Arseni Khorochkov, Waleed Sultan, Asma Ahmed, Ketan Kantamaneni, Michael W Syzmanski and 5 more

Open access · greenAbstract readReview
In one paragraph

Review in EXCLI journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
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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

15 authors at 11 institutions in 3 countries.

Jerry Lorren DominicGeneral Surgery, Stony Brook Medicine/Southampton Hospital, Southampton, New York, United States.
Amudhan KannanJawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Anjli TaraGeneral Surgery, California Institute of Behavioral Neurosciences and Psychology, Fairfield, California, United States.
Abdul Rub Hakim MohammedEmergency Medicine, The George Washington University - Kokilaben Dhirubhai Ambani Hospital & Medical Research Institute, Mumbai, India.
Myat WinGeneral Surgery, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom.
Arseni KhorochkovGeneral Surgery, California Institute of Behavioral Neurosciences and Psychology, Fairfield, California, United States.
Waleed SultanGeneral Surgery, Halifax Health Medical Center, Daytona Beach, Florida, United States.
Asma AhmedGeneral Surgery, University of Missouri - Kansas City, Missouri, United States.
Ketan KantamaneniGeneral Surgery, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences & Research Foundation, Gannavaram, Andhra Pradesh, India.
Michael W SyzmanskiGeneral Surgery, Stony Brook Medicine/Southampton Hospital, Southampton, New York, United States.
Rajbir SinghGeneral Surgery, Stony Brook Medicine/Southampton Hospital, Southampton, New York, United States.
Raul A MarquezOrthopedic Surgery, Cornerstone Regional Hospital/South Texas Health System, Edinburg, Texas, United States.
Armand AsarianGeneral Surgery, The Brooklyn Hospital Center, Brooklyn, New York, United States.
Pragatheeshwar ThirunavukarasuDirector of Surgical Oncology, Cape Fear Valley Medical Center, Fayetteville, North Carolina, United States and Adjunct Clinical Assistant Professor of Surgery, Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma, United States.ORCID https://orcid.org/0000-0002-4714-5907
George KeckeisenGeneral Surgery, Stony Brook Medicine/Southampton Hospital, Southampton, New York, United States.
Southampton Hospital · USCalifornia Institute of Behavioral Neurosciences and Psychology (United States) · USBrooklyn Hospital Center · USCape Fear Valley Medical Center · USHalifax Health Medical Center · USJawaharlal Institute of Post Graduate Medical Education and Research · INKokilaben Dhirubhai Ambani Hospital · INNottingham University Hospitals NHS Trust · GBParkland Health & Hospital System · USSiddhartha Medical College · INUniversity of Missouri–Kansas City · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peritoneal metastasis is associated with poor prognosis, with studies in the literature reporting the survival of peritoneal metastasis without treatment to be three to six months. Hyperthermic intraperitoneal chemotherapy (HIPEC) has shown positive outcomes by improving the prognosis in patients with gastrointestinal malignancies. This systematic review of randomized controlled trials was done to determine the prophylactic role of hyperthermic intraperitoneal chemotherapy in preventing and controlling peritoneal metastasis gastrointestinal origin. Randomized controlled trials published between January 2019 to June 2021 were included. The databases used were MEDLINE (PubMed), EMBASE (Ovid), and the Cochrane library. Cochrane handbook for systematic review of intervention was used to assess the risk of bias in included trials. The results were reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. A total of five trials met the inclusion criteria. Two studies were on patients with gastric cancer, and the other three studies were on patients with colorectal cancer. HIPEC was given to a total of 116 gastric cancer patients and 308 colorectal cancer patients. In all the included studies on patients with gastric cancer, the peritoneal recurrence-free survival was significantly higher in the group that received HIPEC. There was no significant improvement in peritoneal-free survival in patients with colorectal cancer who received HIPEC. HIPEC appears to be effective in preventing peritoneal metastasis in patients with locally advanced gastric cancer without minimal postoperative complications. However, in patients with advanced colorectal malignancy, HIPEC does not seem to play a crucial role in preventing and controlling peritoneal metastasis.

Indexed as

colorectal neoplasmgastric neoplasmgastrointestinal neoplasmhyperthermic intraperitoneal chemotherapymortalityperitoneal neoplasms

Identifiers

PMID34650387
PMCPMC8495114
OpenAlexW3206653904

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.