Evidence map›Paper›PMID 39174706›Full record

Trial reportEsophagus : official journal of the Japan Esophageal Society2024

The impact of time to postoperative recurrence on the prognosis of patients with esophageal cancer post recurrence: exploratory analysis of OGSG 1003.

Soshi Hori, Makoto Yamasaki, Nobuyuki Yamamoto, Takashi Harino, Kota Momose, Kotaro Yamashita, Koji Tanaka, Keijiro Sugimura, Tomoki Makino, Atsushi Takeno and 8 more

Abstract readMulticenter StudyClinical Trial, Phase IIRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Esophagus : official journal of the Japan Esophageal Society, 2024. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. Article
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

18 authors.

Soshi Hori *Department of Surgery, Kansai Medical University, 2-5-1, Shin-machi, Hirakata City, Osaka, 573-1010, Japan.
Makoto Yamasaki *Department of Surgery, Kansai Medical University, 2-5-1, Shin-machi, Hirakata City, Osaka, 573-1010, Japan. yamasakm@hirakata.kmu.ac.jp.ORCID 0000-0003-4810-3343
Nobuyuki YamamotoDepartment of Surgery, Kansai Medical University, 2-5-1, Shin-machi, Hirakata City, Osaka, 573-1010, Japan.
Takashi HarinoDepartment of Surgery, Kansai Medical University, 2-5-1, Shin-machi, Hirakata City, Osaka, 573-1010, Japan.
Kota MomoseDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.
Kotaro YamashitaDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.
Koji TanakaDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.
Keijiro SugimuraDepartment of Surgery, Kansai Rosai Hospital, Hyogo, Japan.
Tomoki MakinoDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.
Atsushi TakenoDepartment of Surgery, National Hospital Organization, Osaka National Hospital, Osaka, Japan.
Osamu ShiraishiDepartment of Surgery, Kindai University Faculty of Medicine, Osakasayama, Osaka, Japan.
Masaaki MotooriDepartment of Surgery, Osaka General Medical Center, Osaka, Japan.
Hiroshi MiyataDepartment of Surgery, Osaka International Cancer Institute, Osaka, Japan.
Yutaka KimuraDepartment of Surgery, Osaka International Cancer Institute, Osaka, Japan.
Motohiro HiraoDepartment of Surgery, National Hospital Organization, Osaka National Hospital, Osaka, Japan.
Takushi YasudaDepartment of Surgery, Osaka International Cancer Institute, Osaka, Japan.
Masahiko YanoDepartment of Surgery, Kindai University Nara Hospital, Nara, Japan.
Yuichiro DokiDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association between recurrence timing and prognosis in patients with locally advanced resectable esophageal cancer undergoing neoadjuvant chemotherapy (NAC) followed by esophagectomy remains unclear. This study aimed to clarify this association using multicenter prospective clinical trial data.

methodsAmong 162 patients enrolled in a NAC phase II study comparing the efficacy of cisplatin and fluorouracil plus docetaxel with cisplatin and fluorouracil plus adriamycin, 64 patients with recurrence after R0 resection were included in this study. We evaluated the association between recurrence timing and overall survival after recurrence (OSr), along with clinicopathological factors associated with recurrence timing and OSr.

resultsAmong 64 patients, 46 (71.9%) and 59 (92.2%) experienced recurrence within 1 and 2 years after surgery, respectively. Groups based on recurrence timing, including ≤ 6, 6-12, and > 12 months, had median OSr of 3.6, 13.9, and 13.4 months, respectively. The prognosis was significantly poorer for patients with recurrence ≤ 6 months after surgery than for other patients (P < 0.001). Multivariate analysis revealed pathological lymph node staging as an independent factor associated with early recurrence (odds ratio: 3.46, 95% confidence interval: 1.47-8.02, P = 0.0045). On the other hand, multivariate analysis for factors associated with OSr revealed pT (hazard ratio [HR]: 1.91, 95%CI 1.26-2.88, P = 0.0022), early recurrence (HR: 6.88, 95%CI 2.68-17.6, P < 0.001), and treatment after recurrence, with both local treatment (HR: 0.47, 95%CI 0.22-0.98, P = 0.043) and chemotherapy (HR: 0.25, 95%CI 0.11-0.58, P = 0.0011) as independent prognostic factors.

conclusionPatients with advanced esophageal cancer experiencing recurrence within 6 months after esophagectomy following NAC have an extremely poor prognosis, suggesting that an advanced pN stage is associated with early recurrence.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCisplatinEsophageal NeoplasmsEsophagectomyFluorouracilNeoadjuvant TherapyNeoplasm Recurrence, LocalAdultAgedChemotherapy, AdjuvantDocetaxelDoxorubicinFemaleHumansMaleMiddle AgedCisplatinDocetaxelDoxorubicinFluorouracilTaxoidsEsophageal cancerEsophagectomyRecurrence

Identifiers

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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.