Evidence map›Paper›PMID 37758514›Full record

ArticleThe British journal of surgery2023

Long-term outcome after surgical resection of non-high-risk gastrointestinal stromal tumours without adjuvant therapy.

Marta Berndsen, Sara Renberg, Toto Hølmebakk, Emma Hancke, Florian Puls, Fredrik Karlsson, Stephan Stoldt, Bodil Bjerkehagen, Felix Haglund de Flon, Andreas Muth and 3 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in The British journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Guideline
  2. Article
  3. 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 4 institutions in 2 countries.

Marta BerndsenDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Sara RenbergDepartment of Head, Neck, Lung and Skin Tumours, Karolinska University Hospital, Stockholm, Sweden.
Toto HølmebakkDepartment of Abdominal and Paediatric Surgery, Oslo University Hospital, Norwegian Radium Hospital, Oslo, Norway.ORCID 0000-0003-2461-9089
Emma HanckeSection of Endocrine and Sarcoma Surgery, Department of Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
Florian PulsDepartment of Clinical Pathology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Fredrik KarlssonDepartment of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.
Stephan StoldtDepartment of Abdominal and Paediatric Surgery, Oslo University Hospital, Norwegian Radium Hospital, Oslo, Norway.
Bodil BjerkehagenDepartment of Pathology, Oslo University Hospital, Oslo, Norway.
Felix Haglund de FlonDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Andreas MuthDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0003-0857-1521
Andri PapakonstantinouDepartment of Breast Cancer, Endocrine Tumours and Sarcoma, Theme Cancer, Karolinska University Hospital, Stockholm, Sweden.
Kjetil BoyeDepartment of Oncology, Oslo University Hospital, Norwegian Radium Hospital, Oslo, Norway.ORCID 0000-0002-5552-6283
Stefan LindskogDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Karolinska University Hospital · SEOslo University Hospital · NOSahlgrenska University Hospital · SEVarberg Hospital · SE

Funding

Swedish Surgical Society Annual
6 · The paper itself

Abstract

backgroundGastrointestinal stromal tumour (GIST) is the most common intra-abdominal sarcoma. Risk classification systems, commonly the modified National Institutes of Health consensus criteria, identify tumour properties relating to patient outcomes. However, owing to limited long-term evidence, most guidelines recommend up to 10-year follow-up for all risk groups except very low-risk GIST.

methodsThis retrospective multicentre study included patients who had complete resection of primary, non-metastatic GIST from three Scandinavian sarcoma centres: Gothenburg (2004-2020), Stockholm (2000-2019), and Oslo (2000-2017). Medical records were reviewed for clinical details regarding diagnosis, treatment, and follow-up, and recurrence-free and disease-specific survival evaluated.

resultsThe total cohort consisted of 1213 patients with GIST. High-risk patients and those treated with tyrosine kinase inhibitors were excluded. The remaining 649 patients were included in the present analysis: 118 with very low-, 381 with low-, and 150 with intermediate-risk GISTs. Five-year recurrence-free survival rates were 100, 98.5, and 100 per cent for the intermediate-, low-, and very low-risk groups respectively (P = 0.246). Disease-specific survival rates 10 years after surgery were 100, 98.4, and 100 per cent for the intermediate-, low-, and very low-risk groups respectively (P = 0.262).

conclusionPatients with completely resected non-high-risk GISTs have an excellent long-term outcome, irrespective of risk group. Follow-up programmes to detect disease recurrences in these patients are probably not indicated.

Indexed as

Gastrointestinal NeoplasmsGastrointestinal Stromal TumorsSarcomaCombined Modality TherapyHumansNeoplasm Recurrence, LocalRetrospective StudiesRisk Factors

Identifiers

PMID37758514
PMCPMC10638541
OpenAlexW4387081496

What OpenQuestion holds

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LicenceCC BY-NC
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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.