Evidence map›Paper›PMID 37901653›Full record

ArticleGastrointestinal tumors

Real-World Outcomes of FLOT versus CROSS Regimens for Patients with Oesophagogastric Cancers.

Adel Shahnam, Udit Nindra, Nicholas McNamee, Robert Yoon, Ray Asghari, Weng Ng, Deme Karikios, Mark Wong

Open access · goldAbstract read
In one paragraph

Article in Gastrointestinal tumors. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

8 authors at 4 institutions in 1 country.

Adel ShahnamDepartment of Medical Oncology, Westmead Hospital and Blacktown Hospital, Sydney, NSW, Australia.
Udit NindraDepartment of Medical Oncology, Liverpool Hospital, Sydney, NSW, Australia.
Nicholas McNameeDepartment of Medical Oncology, Westmead Hospital and Blacktown Hospital, Sydney, NSW, Australia.
Robert YoonDepartment of Medical Oncology, Liverpool Hospital, Sydney, NSW, Australia.
Ray AsghariDepartment of Medical Oncology, Bankstown-Lidcombe Hospital, Sydney, NSW, Australia.
Weng NgDepartment of Medical Oncology, Liverpool Hospital, Sydney, NSW, Australia.
Deme KarikiosDepartment of Medical Oncology, Nepean Hospital, Sydney, NSW, Australia.
Mark WongDepartment of Medical Oncology, Westmead Hospital and Blacktown Hospital, Sydney, NSW, Australia.
Blacktown & Mount Druitt Hospital · AULiverpool Hospital · AUBankstown Lidcombe Hospital · AUNepean Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Treatment of oesophageal (OC), gastro-oesophageal junction (GOJ), and gastric cancer (GC) includes either neoadjuvant Chemoradiotherapy for Oesophageal Cancer Followed by Surgery Study (CROSS) for OC or GOJ or perioperative 5-fluorouracil, leucovorin, oxaliplatin, and docetaxel (FLOT) for OC, GOJ, and GC adenocarcinomas. This study aims to describe the real-world outcomes of patients with GC, GOJ, and OC treated with FLOT or CROSS and identify variables associated with efficacy through exploratory analysis. We also aimed to evaluate the comparison of FLOT and CROSS for the treatment of OC and GOJ adenocarcinomas. Methods: This is a retrospective observational study of patients with locally advanced OC, GOJ, or GC treated with FLOT or CROSS between January 2015 and June 2021 in 5 cancer centres across Sydney, Australia. Long-rank test was used to compare survival estimated between subgroups. Hazard ratios for univariate and multivariate analyses were estimated with Cox proportional regression. Results: The study included 168 patients. The 24-month relapse-free survival (RFS) and overall survival (OS) for FLOT were 59% and 69%, respectively. The median RFS was 29.6 months and median OS was not reached. For CROSS, the 24-month RFS and OS were 55% and 63% with a median RFS and OS of 28.5 and 40.2 months, respectively. There was no difference in OS and RFS between the treatments. FLOT was less tolerable than CROSS with more dose reductions, treatment discontinuation, and clinically relevant grade 3 and 4 toxicity. Neutrophil lymphocyte ratio was associated with survival for both treatments. Conclusion: Similar efficacy outcomes were seen in this real-world population compared to the clinical trials for FLOT and CROSS.

Indexed as

CROSSFLOTGastric cancerOesophageal cancerReal world

Identifiers

PMID37901653
PMCPMC10601866
OpenAlexW4385629347

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.