Evidence map›Paper›PMID 35715937›Full record

ArticleThe journal of pathology. Clinical research2022

Post-neoadjuvant assessment of tumour budding according to ITBCC subgroups delivers stage- and regression-grade independent prognostic information in intestinal-type gastric adenocarcinoma.

Moritz Jesinghaus, Anna-Lina Herz, Meike Kohlruss, Miguel Silva, Albert Grass, Sebastian Lange, Alexander Novotny, Katja Ott, Thomas Schmidt, Matthias Gaida and 4 more

Open access · goldAbstract read
In one paragraph

Article in The journal of pathology. Clinical research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 23% 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, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Tumor budding in gastric adenocarcinoma: prognostic value and association with clinicopathological markers.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2025
    Article
  5. Article
  6. Article
  7. Tumor budding in gastric cancer.World journal of gastrointestinal surgery · 2023
    Review
  8. Article
  9. Review
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

14 authors at 7 institutions in 1 country.

Moritz JesinghausInstitute of Pathology, University Hospital Marburg, Marburg, Germany.ORCID 0000-0002-0018-5661
Anna-Lina HerzInstitute of Pathology, Technical University Munich, Munich, Germany.
Meike KohlrussInstitute of Pathology, Technical University Munich, Munich, Germany.
Miguel SilvaInstitute of Pathology, Technical University Munich, Munich, Germany.
Albert GrassInstitute of Pathology, University Hospital Marburg, Marburg, Germany.
Sebastian LangeII Medizinische Klinik, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Alexander NovotnyDepartment of Surgery, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Katja OttDepartment of Surgery, Klinikum Rosenheim, Rosenheim, Germany.
Thomas SchmidtDepartment of Surgery, University of Heidelberg, Heidelberg, Germany.
Matthias GaidaInstitute of Pathology, University Hospital Heidelberg, Heidelberg, Germany.
Alexander HapfelmeierInstitute of General Practice and Health Services Research, Technical University Munich, Munich, Germany.
Carsten DenkertInstitute of Pathology, University Hospital Marburg, Marburg, Germany.
Wilko WeichertInstitute of Pathology, Technical University Munich, Munich, Germany.
Gisela KellerInstitute of Pathology, Technical University Munich, Munich, Germany.ORCID 0000-0003-2886-0371
Technical University of Munich · DEPhilipps University of Marburg · DEHeidelberg University · DETUM Klinikum · DEComprehensive Cancer Center Mainfranken · DEInstitute for Sports Medicine · DERoMed Kliniken · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumour budding (TB) has been associated with adverse clinicopathological factors and poor survival in a plethora of therapy-naïve carcinoma entities including gastric adenocarcinoma (GC). As conventional histopathological grading is usually omitted in the post-neoadjuvant setting of GC, our study aimed to investigate the prognostic impact of TB in GCs resected after neoadjuvant therapy. We evaluated TB according to the criteria from the International Tumour Budding Consensus Conference (ITBCC) in 167 post-neoadjuvant resections of intestinal-type GC and correlated the results with overall survival (OS) and clinicopathological parameters. GCs were categorised into Bd1 (0-4 buds, low TB), Bd2 (5-9 buds, intermediate TB), and Bd3 (≥10 buds, high TB). Carcinomas with intermediate and high TB were significantly enriched in higher ypTNM stages and strongly associated with reduced 5-year OS in univariable analyses (p < 0.001). In multivariable analyses including sex, age, resection status, UICC stage, and tumour regression grading, TB remained a stage-independent predictor of survival (p < 0.001, hazard ratio Bd2: 2.60, Bd3: 4.74). The assessment of TB according to the ITBCC criteria provides valuable prognostic information in the post-neoadjuvant setting of intestinal-type GC and may be a considerable substitute for the conventional grading system in GCs after neoadjuvant therapy.

Indexed as

AdenocarcinomaStomach NeoplasmsHumansNeoadjuvant TherapyPrognosisgastric adenocarcinomaneoadjuvant therapyprognosistumour budding

Identifiers

PMID35715937
PMCPMC9353660
OpenAlexW4283079392

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.