Evidence map›Paper›PMID 41602380›Full record

ArticleFrontiers in oncology2025

Predictors of postoperative recurrence in locally advanced gastric cancer patients achieving pathological complete response after neoadjuvant therapy: a matched case-control study.

Zhiqiang Jiang, Jiankai Lyu, Xiliang Cong, Na Xu, Ziyan Bai, Zhouyi Zhao, Siyun Fu, Baozhen Ma, Lingdi Zhao

Abstract read
In one paragraph

Article in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Zhiqiang JiangDepartment of General Surgery, the Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Jiankai LyuDepartment of General Surgery, the Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Xiliang CongDepartment of General Surgery, the Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Na XuEndoscopy Center, the Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Ziyan BaiDepartment of General Surgery, the Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Zhouyi ZhaoDepartment of General Surgery, the Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Siyun FuDepartment of General Surgery, the Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Baozhen MaDepartment of Immunotherapy, the Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Lingdi ZhaoDepartment of Immunotherapy, the Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Achieving a pathological complete response (pCR) after neoadjuvant therapy is a favorable prognostic factor in locally advanced gastric/gastroesophageal junction cancer. However, recurrence still occurs in a subset of these patients. This study aimed to identify clinical factors associated with recurrence in patients who attained pCR. Methods: This retrospective study included 16 patients with recurrence early after achieving pCR. Each case was matched with two controls (non-recurrence) based on age and sex. Clinical characteristics were compared, and factors with Results: Univariate analysis identified significant differences between recurrence and non-recurrence groups in tumor grade, neoadjuvant therapy regimen, PD-L1 expression, and preoperative CEA levels. Multivariate analysis established clinical T stage and neoadjuvant regimen as independent prognostic factors for recurrence. Specifically, compared to patients with cT4 stage and those receiving neoadjuvant chemotherapy, patients with cT3 stage (P=0.035) and those receiving neoadjuvant chemoimmunotherapy (P=0.009) had a significantly lower risk of recurrence. Conclusion: Achieving pCR does not guarantee cure. Clinical T stage and neoadjuvant regimen were independent risk factors for recurrence. Identifying high-risk patients among those with pCR was crucial for tailoring personalized surveillance and adjuvant strategies.

Indexed as

complete pathological responsegastric or gastroesophageal junction cancerneoadjuvantprognostic factorsrecurrence

Identifiers

PMID41602380
PMCPMC12833515

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.