Evidence map›Paper›PMID 35947781›Full record

SynthesisAmerican journal of clinical oncology2022

American Radium Society (ARS) Appropriate Use Criteria (AUC) for Locoregional Gastric Adenocarcinoma: Systematic Review and Guidelines.

Rachit Kumar, Leila Tchelebi, Christopher J Anker, Navesh Sharma, Nancy A Bianchi, Jadranka Dragovic, Karyn A Goodman, Joseph M Herman, Yixing Jiang, William E Jones and 8 more

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in American journal of clinical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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 at 13 institutions in 1 country.

Rachit KumarBanner MD Anderson Cancer Center, Gilbert, AZ.
Leila TchelebiNorthwell Health Cancer Institute, Mount Kisco.
Christopher J AnkerUniversity of Vermont, Larner College of Medicine.
Navesh SharmaNorthwell Health Cancer Institute, Mount Kisco.
Nancy A BianchiUniversity of Vermont, Dana Medical Library, Burlington, VT.
Jadranka DragovicHenry Ford Cancer Institute, Henry Ford Hospital, Detroit, MI.
Karyn A GoodmanIcahn School of Medicine at Mount Sinai.
Joseph M HermanNorthwell Health Cancer Institute, Hyde Park, NY.
Yixing JiangUT Health Cancer Center, University of Texas Health Science Center, San Antonio.
William E JonesUniversity of Maryland Greenbaum Cancer Center, Baltimore, MD.
Timothy J KennedyRutgers Cancer Institute of New Jersey.
Percy LeeThe University of Texas MD Anderson Cancer Center, Houston, TX.
Madappa KundrandaBanner MD Anderson Cancer Center, Gilbert, AZ.
Suzanne RussoSchool of Medicine, University Hospitals, Case Western Reserve University, Cleveland, OH.
William SmallDepartment of Radiation Oncology, Stritch School of Medicine, Cardinal Bernardin Cancer Center, Loyola University Chicago, Maywood, IL.
Wonsuk W SuhRidley-Tree Cancer Center Santa Barbara at Sansum Clinic, Santa Barbara, CA.
Nelson YeeNorthwell Health Cancer Institute, Mount Kisco.
Salma K JabbourPanel Chair, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ.
Northwell Health · USBanner MD Anderson Cancer CenterHenry Ford Hospital · USIcahn School of Medicine at Mount Sinai · USLoyola University Chicago · USRutgers Cancer Institute of New JerseyRutgers, The State University of New Jersey · USSansum Medical Clinic · USThe University of Texas Health Science Center at San Antonio · USThe University of Texas MD Anderson Cancer Center · USUniversity of Maryland, Baltimore · USUniversity of Vermont · USUniversity of Vermont Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
TRANSCRIPTIONAL PROFILINGP30CA072720 · NCI · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI Tracie Saunders · 1997 to 2026
$94.5M
Dr. Salma Jabbour’s NCI Research Specialist (Clinician Scientist) Award (R50)R50CA275877 · NCI · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI Salma Jabbour · 2023 to 2026
$785k
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA072720NCI NIH HHS R50 CA275877
6 · The paper itself

Abstract

objectiveThe objective of this study was to systematically evaluate the data regarding the use of neoadjuvant, perioperative, surgical, and adjuvant treatment options in localized gastric cancer patients and to develop Appropriate Use Criteria recommended by a panel of experts convened by the American Radium Society.

methodsPreferred reporting items for systematic reviews and meta-analyses methodology was used to develop an extensive analysis of peer-reviewed phase 2/2R/3 trials, as well as meta-analyses found within the Ovid Medline database between 2010 and 2020. The expert panel then rated the appropriateness of various treatments in 5 representative clinical scenarios through a well-established consensus methodology (modified Delphi).

resultsFor patients with medically operable locally advanced gastric cancer, the strongest recommendation was for perioperative chemotherapy based on high-quality data. Acceptable alternatives included surgery followed by either chemotherapy or concurrent chemoradiotherapy (CRT). For patients with upfront resection of stages I to III gastric cancer (no neoadjuvant therapy), the group strongly recommended adjuvant therapy with either chemotherapy alone or CRT, based on high-quality data. For patients with locally advanced disease who received preoperative chemotherapy without tumor regression, the group strongly recommended postoperative chemotherapy or postoperative CRT. Finally, for medically inoperable gastric cancer patients, there was moderate consensus recommending definitive concurrent CRT.

conclusionsThe addition of chemotherapy and/or radiation, either in the neoadjuvant, adjuvant, or perioperative setting, results in improved survival rates for patients compared with surgery alone. For inoperable patients, definitive CRT is a reasonable treatment option, though largely palliative.

Indexed as

AdenocarcinomaRadiumStomach NeoplasmsArea Under CurveChemoradiotherapyChemotherapy, AdjuvantHumansUnited StatesRadium

Identifiers

PMID35947781
PMCPMC10865426
OpenAlexW4291020309

What OpenQuestion holds

Textmetadata
LicenceTDM
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.