SynthesisWorld journal of surgical oncology2023
Textbook outcome in oncological gastric surgery: a systematic review and call for an international consensus.
Synthesis in World journal of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Textbook outcome in ovarian cancer with peritoneal carcinomatosis: a systematic review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026Pooled it
- "Textbook outcome(s)" in colorectal surgery: a systematic review and meta-analysis.Irish journal of medical science · 2024Pooled it
- Feasibility and safety of the synchroseal articulating bipolar energy-based device for robotic gastrectomy in patients with gastric cancer: a prospective single-arm clinical trial with historical controls.Updates in surgery · 2025Trial
- Textbook outcome-based performance assessment during transition to the da Vinci SP system in reduced-port robotic gastrectomy.Journal of robotic surgery · 2026Article
- Impact of Textbook Outcome (TO) and Textbook Oncological Outcome (TOO) on Survival Following Surgery for Esophagogastric Cancer: A Systematic Review and Meta-analysis.Annals of surgical oncology · 2026Review
- Validation of Textbook Outcome in Gastric Surgery (TOGS) for Primary Gastric Cancer in an Eastern High-Volume Center.Annals of surgical oncology · 2026Article
- Article
- International Delphi consensus to define textbook outcome parameters for oncological gastrectomy (togs project).World journal of surgical oncology · 2026Article
- Textbook outcome in gastric cancer surgery: a multicenter cohort study and proposal for a new specific index (TOGS).Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026Article
- Perioperative CALLY dynamics after curative gastrectomy for gastric adenocarcinoma: associations with nodal tumor burden, textbook surgical outcome, and disease-free survival.Frontiers in oncology · 2026Article
- Textbook oncological outcomes of robotic and laparoscopic gastrectomy for locally advanced cancer: a propensity score-matched analysis.Surgical endoscopy · 2026Article
- Incorporating Tumor Location into Textbook Outcome Model for Minimally Invasive Gastric GIST Surgery.Annals of surgical oncology · 2026Article
- Assessment of modified textbook outcomes following gastrectomy based on survival benefits: a multicenter observational study.International journal of surgery (London, England) · 2026Observational
- The relationship between examined lymph nodes and oncological outcome of proximal gastrectomy for Siewert II/III adenocarcinoma of the esophagogastric junction.World journal of surgical oncology · 2025Article
- Article
- Textbook outcome in gastrectomy: useful metric or moving target? A scoping review.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025Article
- Textbook Outcomes for Retroperitoneal Sarcoma Resection: A Multi-Centre Review.Current oncology (Toronto, Ont.) · 2025Article
- Comparison of textbook outcomes between laparoscopic and open total gastrectomy for gastric cancer.BMC surgery · 2025Article
- Textbook outcome in ovarian cancer and its impact on survival: comparative study.World journal of surgical oncology · 2025Article
- Textbook outcomes in the laparoscopic common bile duct exploration of choledocholithiasis: a new comprehensive quality evaluation criterion.Frontiers in surgery · 2025Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTextbook outcome (TO) is a multidimensional measure used to assess the quality of surgical practice. It is a reflection of an "ideal" surgical result, based on a series of benchmarks or established reference points that may vary depending on the pathology in question. References to TO in the literature are scarce, and the few reports that are available were all published very recently. In the case of gastric surgery, there is no established consensus on the parameters that should be included in TO, a circumstance that prevents comparison between series.
aimTo present a review of the literature on TO in gastric surgery (TOGS) and to try to establish a consensus on its definition. MATERIAL AND
methodsFollowing the PRISMA guide, we performed an unlimited search for articles on TOGS in the MEDLINE (PubMed), EMBASE and Cochrane, Latindex, Scielo, and Koreamed databases, without language restriction, updated on December 31, 2022. The inclusion criterion was any type of study assessing TO in adult patients after oncological gastric surgery. Selected studies were assessed, and TOGS was measured. The parameters used to assess the achievement of TOGS in selected studies were also recorded.
resultsTwelve articles were included, comprising a total of 44,581 patients who had undergone an oncological gastric resection. The median rate of TOGS was 38.6%. All the publications but one included mortality as a TO variable, showing statistically significant differences in favor of the group in which TOGS was achieved. All articles included the number of nodes examined in the surgical specimen, with the assessment of fewer than 15 being associated with a low rate of TOGS achievement in five studies (41.7%). The variable postoperative complications according to the Clavien-Dindo score was the most important cause of failure to achieve TOGS in four studies (33.3%). Seven articles (58.3%) found a significant increase in long-term survival in patients who obtained TO. Advanced age, elevated ASA, and Charlson score had a negative impact on obtaining TOGS.
conclusionsThe standardization of TOGS is necessary to be able to establish comparable results between groups.
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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.