Evidence map›Paper›PMID 37296694›Full record

ArticleDiagnostics (Basel, Switzerland)2023

Linear EUS Accuracy in Preoperative Staging of Gastric Cancer: A Retrospective Multicenter Study.

Germana de Nucci, Tommaso Gabbani, Giovanna Impellizzeri, Simona Deiana, Paolo Biancheri, Laura Ottaviani, Leonardo Frazzoni, Enzo Domenico Mandelli, Paola Soriani, Maurizio Vecchi and 2 more

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
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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

12 authors at 3 institutions in 1 country.

Germana de NucciGastroenterology and Digestive Endoscopy Unit, ASST Rhodense, 20094 Garbagnate Milanese, Italy.ORCID 0000-0001-8758-654X
Tommaso GabbaniGastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, 41012 Carpi, Italy.ORCID 0000-0001-8457-2994
Giovanna ImpellizzeriGastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, 41012 Carpi, Italy.
Simona DeianaGastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, 41012 Carpi, Italy.
Paolo BiancheriGastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, 41012 Carpi, Italy.
Laura OttavianiGastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, 41012 Carpi, Italy.
Leonardo FrazzoniGastroenterology Unit, Surgical and Medical Sciences Department, Sant'Orsola Malpighi Hospital, 40138 Bologna, Italy.
Enzo Domenico MandelliGastroenterology and Digestive Endoscopy Unit, ASST Rhodense, 20094 Garbagnate Milanese, Italy.
Paola SorianiGastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, 41012 Carpi, Italy.
Maurizio VecchiGastroenterology Unit, Major Policlinic Hospital, 20122 Milan, Italy.
Gianpiero ManesGastroenterology and Digestive Endoscopy Unit, ASST Rhodense, 20094 Garbagnate Milanese, Italy.
Mauro MannoGastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, 41012 Carpi, Italy.ORCID 0000-0002-7854-1080
Azienda Unita' Sanitaria Locale Di Modena · ITAziende Socio Sanitaria Territoriale RhodenseIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPreoperative gastric cancer (GC) staging is the most reliable prognostic factor that affects therapeutic strategies. Contrast-enhanced computed tomography (CECT) and radial endoscopic ultrasound (R-EUS) scans are the most commonly used staging tools for GC. The accuracy of linear EUS (L-EUS) in this setting is still controversial. The aim of this retrospective multicenter study was to evaluate the accuracy of L-EUS and CECT in preoperative GC staging, with regards to depth of tumor invasion (T staging) and nodal involvement (N staging). MATERIALS AND

methods191 consecutive patients who underwent surgical resection for GC were retrospectively enrolled. Preoperative staging had been performed using both L-EUS and CECT, and the results were compared to postoperative staging by histopathologic analysis of surgical specimens.

resultsL-EUS diagnostic accuracy for depth of invasion of the GC was 100%, 60%, 74%, and 80% for T1, T2, T3, and T4, respectively. CECT accuracy for T staging was 78%, 55%, 45%, and 10% for T1, T2, T3, and T4, respectively. L-EUS diagnostic accuracy for N staging of GC was 85%, significantly higher than CECT accuracy (61%).

conclusionsOur data suggest that L-EUS has a higher accuracy than CECT in preoperative T and N staging of GC.

Indexed as

diagnostic accuracygastric cancer staginglinear endoscopic ultrasound

Identifiers

PMID37296694
PMCPMC10252418
OpenAlexW4378228346

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Registered trials

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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.