Evidence map›Paper›PMID 40186133›Full record

ArticleBMC gastroenterology2025

Prolonged time interval from neoadjuvant immunotherapy combined with chemotherapy to surgery is related to unimproved pathological response and poor survival prognosis for esophageal squamous cell carcinoma.

Guanzhi Ye, Gaojian Pan, Xiaolei Zhu, Hongming Liu, Ning Li, Guojun Geng, Jie Jiang

Abstract read
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Article in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Guanzhi Ye *Department of Thoracic Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, No 55, Zhenhai Road, Xiamen, Fujian, 361003, China.
Gaojian Pan *Department of Thoracic Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, No 55, Zhenhai Road, Xiamen, Fujian, 361003, China.
Xiaolei Zhu *Department of Thoracic Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, No 55, Zhenhai Road, Xiamen, Fujian, 361003, China.
Hongming LiuDepartment of Thoracic Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, No 55, Zhenhai Road, Xiamen, Fujian, 361003, China.
Ning LiDepartment of Thoracic Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, No 55, Zhenhai Road, Xiamen, Fujian, 361003, China.
Guojun GengDepartment of Thoracic Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, No 55, Zhenhai Road, Xiamen, Fujian, 361003, China. ggj622@126.com.
Jie JiangDepartment of Thoracic Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, No 55, Zhenhai Road, Xiamen, Fujian, 361003, China. jiangjie06@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal time interval from neoadjuvant immunotherapy combined with chemotherapy to surgery for esophageal squamous cell carcinoma remains unknown. This research aims to assess the impact of time interval on pathological response and survival prognosis.

methodsEsophageal squamous cell carcinoma patients receiving neoadjuvant immunotherapy combined with chemotherapy followed by esophagectomy between January 2021 and March 2024 were included. The pathological response, survival outcomes, surgical outcomes, and postoperative complications were compared between the timely surgery group (time interval ≤ 6 weeks) and the delayed surgery group (time interval > 6 weeks).

resultsA total of 133 cases were included in this research. The pathological complete response (pCR) rates in timely surgery group and delayed surgery group were 23.4% and 12.8% (P = 0.167). There were no statistically significant differences between the two groups in terms of anastomotic fistula (P = 0.321), pulmonary infection (P = 0.427), chylothorax (P = 0.502), multiple organ dysfunction syndrome (P = 0.206), operation time (P = 0.359), blood loss (P = 0.093), number of resected lymph nodes (P = 0.091), hospital stay (P = 0.167), and R0 resection rate (P = 0.523). The 3-year overall survival (OS) rates were 77.5% in timely surgery group, and 63.5% in delayed surgery group (P = 0.046). The 3-year disease-free survival (DFS) rates were 59.1% and 38.4% in the two groups, respectively (P = 0.037). Additionally, multivariate Cox regression analyses indicated that the time interval from immunochemotherapy to surgery was independent prognostic factor for both OS (P = 0.049) and DFS (P = 0.025).

conclusionsProlonged time interval from neoadjuvant immunotherapy combined with chemotherapy to surgery did not improve pCR rate and was associated with worse OS and DFS in esophageal squamous cell carcinoma.

Indexed as

Esophageal NeoplasmsEsophageal Squamous Cell CarcinomaEsophagectomyImmunotherapyNeoadjuvant TherapyTime-to-TreatmentAgedChemotherapy, AdjuvantFemaleHumansMaleMiddle AgedPostoperative ComplicationsPrognosisRetrospective StudiesSurvival RateChemotherapyEsophageal squamous cell carcinomaImmunotherapyNeoadjuvant therapyTime interval

Identifiers

PMID40186133
PMCPMC11969882

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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.