Evidence map›Paper›PMID 39650059›Full record

SynthesisFrontiers in oncology2024

The efficacy of neoadjuvant immunotherapy in gastric cancer, adenocarcinoma of the esophagogastric junction, and esophageal cancer: a meta-analysis.

Mengyi Qian, Yingying Fang, Zhiyi Xiang, Yueming Zhang, Hujie Zhan, Xiaotong Chen, Yihang Chen, Tinghui Xu

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 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. Review
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.

Mengyi QianThe Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China.
Yingying FangThe First Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China.
Zhiyi XiangThe First Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China.
Yueming ZhangIntensive Care Unit, Hospital of Zhejiang People's Armed Police, Hangzhou, China.
Hujie ZhanCollege of Pharmaceutical Science, Zhejiang University of Technology, Hangzhou, China.
Xiaotong ChenThe Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China.
Yihang ChenSchool of Ophthalmology & Optometry, Wenzhou Medical University, Wenzhou, China.
Tinghui XuDepartment of Cardiothoracic Surgery, Ningbo Yinzhou No. 2 Hospital, Ningbo, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Neoadjuvant immunotherapy holds promise in managing resectable locally advanced gastric cancer (GC), adenocarcinoma of the esophagogastric junction (AEG), and esophageal cancer (EC). However, consensus is lacking regarding the efficacy of programmed death-1 (PD-1) and programmed death ligand 1 (PD-L1) inhibitors in neoadjuvant immunochemotherapy (NICT). This study aims to assess the added benefit of PD-1/PD-L1 inhibitors in neoadjuvant chemotherapy (NCT) for these malignancies. Methods: Up to October 2024, randomized controlled trials, case-control studies, and cohort studies that evaluated the addition of PD-1/PD-L1 inhibitors to NCT were systematically retrieved from electronic databases. The primary endpoints included pathologic complete response (pCR), major pathological response (MPR), overall survival (OS), and progression-free survival (PFS). Results: Thirteen studies published between 2021 and 2024 were analyzed. Statistical analyses revealed significantly higher pCR rates (OR: 2.73, Conclusion: This meta-analysis demonstrates that NICT enhances pathological response rates in patients with resectable locally advanced GC, AEG, and EC. However, no significant long-term prognostic benefits were associated with NICT. Systematic review registration: https://www.crd.york.ac.uk/prospero, identifier CRD42024545725.

Indexed as

adenocarcinoma of the esophagogastric junctionesophageal cancergastric cancermeta-analysisneoadjuvant immunotherapyPD-1/PD-L1 inhibitors

Identifiers

PMID39650059
PMCPMC11621004

What OpenQuestion holds

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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.