Evidence map›Paper›PMID 37358310›Full record

ReviewCA: a cancer journal for clinicians

Survival outcomes used to validate version 9 of the American Joint Committee on Cancer staging system for appendiceal cancer.

Lauren M Janczewski, Amanda E Browner, Joseph H Cotler, Heidi Nelson, Sanjay Kakar, Norman J Carr, Nader N Hanna, Andreana N Holowatyj, Richard M Goldberg, M Kay Washington and 3 more

Registry-linked trialOpen access · diamondAbstract readReview
In one paragraph

Review in CA: a cancer journal for clinicians. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05734430 (Genetics of Appendix Cancer), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
6.0field-weighted citation impact, top 3% 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.

NCT05734430 recruitingnot on this map

Genetics of Appendix Cancer: The GAP Study

TypeobservationalSponsorAndreana Holowatyj, PhD, MSCIRan2022 to 2034Enrolled700ConditionsAppendix Cancer, Appendiceal Cancer, Appendiceal Neoplasms, Appendiceal Mucinous NeoplasmArmsGenetic profiling, Retrospective tissue procurement
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
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  7. Article
  8. Microorganisms · 2025
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  10. 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

13 authors at 10 institutions in 2 countries.

Lauren M JanczewskiDepartment of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Amanda E BrownerAmerican College of Surgeons Cancer Programs, Chicago, Illinois, USA.
Joseph H CotlerAmerican College of Surgeons Cancer Programs, Chicago, Illinois, USA.
Heidi NelsonAmerican College of Surgeons Cancer Programs, Chicago, Illinois, USA.
Sanjay KakarDepartment of Pathology, University of California San Francisco, San Francisco, California, USA.
Norman J CarrDepartment of Pathology, Basingstoke and North Hampshire Hospital, Basingstoke, UK.
Nader N HannaDepartment of Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Andreana N HolowatyjDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Richard M GoldbergWest Virginia University Cancer Institute, Morgantown, West Virginia, USA.
M Kay WashingtonDepartment of Pathology, Microbiology, and Immunology, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Elliot A AsareDepartment of Surgery, University of Utah Huntsman Cancer Institute, Salt Lake City, Utah, USA.ORCID 0000-0002-0176-3865
Michael J OvermanDepartment of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
American Joint Committee on Cancer Expert Panel on Cancers for the Lower Gastrointestinal Appendix Disease SiteAmerican College of Surgeons Cancer Programs, Chicago, Illinois, USA.
American College of Surgeons · USBasingstoke and North Hampshire Hospital · GBNorthwestern University · USThe University of Texas MD Anderson Cancer Center · USUniversity of California, San Francisco · USUniversity of Maryland, Baltimore · USUniversity of Utah · USVanderbilt University · USVanderbilt University Medical Center · USWest Virginia University · US

Funding

Understanding and Controlling p120 Dysfunction in CRCP50CA095103 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI COFFEY, ROBERT J. · 2002 to 2017
$33.6M
Vanderbilt-Ingram Cancer Center SPORE in Gastrointestinal CancerP50CA236733 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI STEPHEN W. FESIK · 2019 to 2026
$19.6M
Building Interdisciplinary Research Careers in Women's HealthK12HD043483 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HARTMANN, KATHERINE E, MAJOR, AMY S · 2002 to 2023
$10.3M
Building Interdisciplinary Research Careers in Women's HealthK12AR084232 · NIAMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI AMY S MAJOR, Digna R Velez Edwards · 2023 to 2026
$1.3M
COllaborative Northwestern Surgical Oncology Research Training (CONSORT)T32CA247801 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ACKERMANN, RONALD T., KHAN, SEEMA AHSAN · 2020 to 2024
$1.3M
NCI NIH HHS P50 CA236733NCI NIH HHS T32 CA247801NICHD NIH HHS K12 HD043483
6 · The paper itself

Abstract

The standard for cancer staging in the United States for all cancer sites, including primary carcinomas of the appendix, is the American Joint Committee on Cancer (AJCC) staging system. AJCC staging criteria undergo periodic revisions, led by a panel of site-specific experts, to maintain contemporary staging definitions through the evaluation of new evidence. Since its last revision, the AJCC has restructured its processes to include prospectively collected data because large data sets have become increasingly robust and available over time. Thus survival analyses using AJCC eighth edition staging criteria were used to inform stage group revisions in the version 9 AJCC staging system, including appendiceal cancer. Although the current AJCC staging definitions were maintained for appendiceal cancer, incorporating survival analysis into the version 9 staging system provided unique insight into the clinical challenges in staging rare malignancies. This article highlights the critical clinical components of the now published version 9 AJCC staging system for appendix cancer, which (1) justified the separation of three different histologies (non-mucinous, mucinous, signet-ring cell) in terms of prognostic variance, (2) demonstrated the clinical implications and challenges in staging heterogeneous and rare tumors, and (3) emphasized the influence of data limitations on survival analysis for low-grade appendiceal mucinous neoplasms.

Indexed as

Appendiceal NeoplasmsHumansNeoplasm StagingPrognosisSurvival AnalysisUnited StatesAmerican Joint Committee on Cancer (AJCC) stagingappendiceal cancermucinous appendix cancernon-mucinous appendix cancersignet-ring cell appendix cancer

Identifiers

PMID37358310
PMCPMC11954078
OpenAlexW4382010487

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.