Evidence map›Paper›PMID 36172146›Full record

SynthesisFrontiers in oncology2022

Palliative radiotherapy combined with stent insertion to relieve dysphagia in advanced esophageal carcinoma patients: A systematic review and meta-analysis.

Zhiyuan Xu, Haonan Liu, Shengli Li, Zhengxiang Han, Jingjing Chen, Xiangting Liu, Qiang Li, Hong Mu, Jiaqi Yuan, Hailong Lu and 2 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. 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

12 authors at 2 institutions in 1 country.

Zhiyuan XuXuzhou Medical University, Xuzhou, Jiangsu, China.
Haonan LiuXuzhou Medical University, Xuzhou, Jiangsu, China.
Shengli LiDepartment of Medical Record Statistics, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Zhengxiang HanDepartment of Oncology, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Jingjing ChenXuzhou Medical University, Xuzhou, Jiangsu, China.
Xiangting LiuXuzhou Medical University, Xuzhou, Jiangsu, China.
Qiang LiDepartment of Plastic Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Hong MuFollow-Up Office, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Jiaqi YuanXuzhou Medical University, Xuzhou, Jiangsu, China.
Hailong LuDepartment of Gerontology, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Peisheng JinDepartment of Plastic Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Xianliang YanDepartment of Emergency, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Xuzhou Medical College · CNXuzhou No.1 People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Esophageal cancer is one of the most aggressive malignancies with limited treatment options, thus resulting in high morbidity and mortality. For patients with advanced esophageal cancer, the median survival is 3-6 months, with the majority requiring intervention for dysphagia. Objective: To compare the relief of dysphagia in patients with incurable esophageal cancer treated with stenting alone or a combination of stenting and palliative radiotherapy. Methods: The protocol of this study was pre-registered on PROSPERO (CRD42022337481). We searched PubMed, Wan Fang, Cochrane Library, Embase, and Web of Science databases. The literature search, quality assessment, and data extraction were conducted by two reviewers independently. The primary endpoints included median overall survival and dysphagia scores. Bleeding events, stent migration, and pain events were secondary outcomes. The meta-analysis results (the primary and secondary outcomes) were pooled by means of a random-effect model or a fixed-effects model. Results: Nine studies with a total of 851 patients were included in this meta-analysis, consisting of 412 patients in the stenting alone group and 439 patients in the palliative radiotherapy after esophageal cancer stenting (ROCS) group. The ROCS group could significantly improve dysphagia scores (SMD: -0.77; 95% CI: -1.02 to -0.51) and median overall survival (SMD: 1.70; 95% CI: 0.67-2.72). Moreover, there were no significant differences between the two groups in bleeding events, pain events, and stent migration. Conclusion: Patients with dysphagia in advanced esophageal cancer may benefit further from ROCS in median overall survival and dysphagia scores. However, there was no significant advantage in improving bleeding events, pain events, and stent migration. Therefore, it is urgent to find a better therapy to improve adverse events in the future. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/, identifier CRD42022337481.

Indexed as

dysphagiameta-analysisoesophagal cancerradiotherapystent

Identifiers

PMID36172146
PMCPMC9511165
OpenAlexW4295270545

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.