Evidence map›Paper›PMID 40514519›Full record

ArticleJournal of gastroenterology2025

Asia Pacific Gastroesophageal Cancer Congress (APGCC) 2024 consensus statement on stage 2 and 3 locally advanced gastric and Siewert 3 junctional adenocarcinoma.

Yoshio Masuda, Kang Ler Fong, Danson Yeo, Charleen Yeo, Koy Min Chue, Said Bani Araba, Chiew Woon Lim, Baldwin Yeung, June Lee, Jinlin Lin and 35 more

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Journal of 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
–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

2 citing papers in PubMed.

  1. Review
  2. 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

45 authors.

Yoshio MasudaDepartment of Upper Gastrointestinal & Bariatric Surgery, Division of Surgery, Singapore General Hospital, Singapore, Singapore.
Kang Ler FongDepartment of Upper Gastrointestinal & Bariatric Surgery, Division of Surgery, Singapore General Hospital, Singapore, Singapore.
Danson YeoUpper Gastrointestinal & Bariatric Surgery Service, Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
Charleen YeoUpper Gastrointestinal & Bariatric Surgery Service, Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
Koy Min ChueUpper Gastrointestinal & Bariatric Surgery Service, Department of General Surgery, Sengkang General Hospital, Singapore, Singapore.
Said Bani ArabaDivision of General Surgery (Upper Gastrointestinal Surgery), Department of Surgery, National University Hospital, Singapore, Singapore.
Chiew Woon LimDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Baldwin YeungUpper Gastrointestinal & Bariatric Surgery Service, Department of General Surgery, Sengkang General Hospital, Singapore, Singapore.
June LeeUpper Gastrointestinal & Bariatric Surgery Service, Department of General Surgery, Changi General Hospital, Singapore, Singapore.
Jinlin LinUpper Gastrointestinal & Bariatric Surgery Service, Department of General Surgery, Changi General Hospital, Singapore, Singapore.
Claramae ChiaDivision of Surgery and Surgical Oncology, Department of Sarcoma, Peritoneal and Rare Tumours (SPRinT), National Cancer Centre Singapore and Singapore General Hospital, Singapore, Singapore.
Matthew NgDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Kennedy NgDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Jens SamolDepartment of Medical Oncology, Tan Tock Seng Hospital, Singapore, Singapore.
Daryl ChiaDivision of General Surgery (Upper Gastrointestinal Surgery), Department of Surgery, National University Hospital, Singapore, Singapore.
Jun Liang TehUpper Gastrointestinal & Bariatric Surgery Service, Department of General Surgery, Ng Teng Fong Hospital, Singapore, Singapore.
Raghav SundarCenter for Gastrointestinal Cancers, Yale Cancer Center, New Haven, United States of America.
Wei-Peng YongDepartment of Haematology-Oncology, National University Cancer Institute, Singapore, Singapore.
Hon Lyn TanOncoCare Cancer Centre, Singapore, Singapore.
Kei MuroDepartment of Clinical Oncology and Outpatient Treatment Centre, Alchi Cancer Centre Hospital, Nagoya, Japan.
Florian LordickDepartment of Medical Oncology, University Cancer Centre, Leipzig, Germany.
Zev WainburgDepartment of Medicine, University of California Los Angeles Medical Centre, Los Angeles, CA, USA.
Bo Chuan TanDepartment of Upper Gastrointestinal Surgery, Clinic for Digestive Surgery, Singapore, Singapore.
Guowei KimDepartment of Upper Gastrointestinal Surgery, Crest Surgical Practice, Singapore, Singapore.
Koichi SudaDepartment of Surgery, Fujita Health University, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, Japan.
Simon LawDivision of Esophageal and Upper Gastrointestinal Surgery, Department of Surgery, The University of Hong Kong, Hong Kong, China.
Takeshi SanoGastroenterological Center, The Cancer Institute Hospital, Tokyo, Japan.
Ramesh GurunathanDepartment of Surgery, Sunway Medical Centre, Subang, Selangor, Malaysia.
Philip ChiuDivision of Upper GI and Metabolic Surgery, Department of Surgery, Institute of Digestive Disease, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong S.A.R, China.
Emile WooDepartment of Surgery, University of British Columbia, Vancouver, BC, Canada.
Cuong DuongDepartment of Surgical Oncology, Peter MacCallum Cancer Centre, East Melbourne, Vic., Australia.
Han-Kwang YangNational Cancer Center, Goyang, Korea.
Vo Duy LongGastro-Intestinal Surgery Department, University Medical Center, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Hyung Ho KimComprehensive Cancer Center, Seoul National University Bundang Hospital, Seongnam, South Korea.
Han Alexander MahendrenHospital Sultanah Aminah, Johor Bahru, Malaysia.
Hyuk Joon LeeDepartment of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Inian SamarasamUpper Gastrointestinal Surgery Unit, Department of General Surgery Unit 3, Christian Medical College, Vellore, India.
Takuji GotodaDepartment of Gastroenterology, Cancer Institute Hospital of JFCR, Tokyo, Japan.
Reis LiewDivision of General Surgery (Upper Gastrointestinal Surgery), Department of Surgery, National University Hospital, Singapore, Singapore.
Asim ShabbirDivision of General Surgery (Upper Gastrointestinal Surgery), Department of Surgery, National University Hospital, Singapore, Singapore.
Myint Oo AungUpper Gastrointestinal & Bariatric Surgery Service, Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
Masanori TerashimaDivision of Gastric Surgery, Shizuoka Cancer Center, 1007 Monagakubo, Nagaizumi-Cho, Sunto-Gun, Nagaizumi, Shizuoka, Japan.
Edward CheongDepartment of Upper Gastrointestinal Surgery, PanAsia Surgery, Singapore, Singapore.
Jimmy SoDivision of General Surgery (Upper Gastrointestinal Surgery), Department of Surgery, National University Hospital, Singapore, Singapore. sursbyj@nus.edu.sg.ORCID 0000-0002-9772-7905
Jeremy TanDepartment of Upper Gastrointestinal & Bariatric Surgery, Division of Surgery, Singapore General Hospital, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile the development in multimodal therapies has helped improve treatment outcomes for patients with locally advanced gastric adenocarcinoma (LAGC), there still exist disparities in opinion with an optimal treatment plan. This consensus hopes to provide clinicians with structured guidelines to aid in the decision-making for treatment options for LAGC.

methodsThe consensus statement was initiated by establishing a taskforce in collaboration with the Asia Pacific Gastroesophageal Cancer Congress (APGCC) and a multidisciplinary expert panel was selected. Clinical questions on LAGC where perceived variance in practice or opinion may exist were formulated. Studies involving patients with Stage 2 or 3 gastric or Siewert 3 junctional cancers with treatment arms of perioperative chemotherapy, neoadjuvant chemotherapy, adjuvant chemotherapy, immunotherapy and surgery were included. A total of two rounds of voting were performed. Consensus was determined to be reached when a single answer or a combination of either "strongly agree/agree" or "strongly disagree/disagree" responses exceeded 75%.

resultsA total of thirteen clinical questions were developed. They were identified through five main categories: Distal LAGC, Proximal LAGC, Deficient mismatch repair tumors, Chemotherapy and Immunotherapy, and Elderly/Unfit patients. After two rounds of voting by our multidisciplinary expert panel, eleven out of a total thirteen clinical questions had reached consensus. No consensus was reached for two clinical questions.

conclusionThe APGCC consensus statement aims to guide clinicians in the treatment options for LAGC and Siewert 3 junctional cancer and has clarified some of the roles of perioperative chemotherapy and immunotherapy.

Indexed as

AdenocarcinomaEsophageal NeoplasmsEsophagogastric JunctionStomach NeoplasmsAsiaChemotherapy, AdjuvantCombined Modality TherapyHumansImmunotherapyNeoadjuvant TherapyNeoplasm StagingChemotherapyGastrectomyGastric cancer surgeryImmunotherapyLocally advanced gastric adenocarcinomaModified Delphi consensus

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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.