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Kamarajah, Sivesh K, Marson, Ella J, Zhou, Dengyi, Wyn-Griffiths, Freddie, Lin, Aaron, Evans, Richard P T, Bundred, James R, Singh, Pritam and Griffiths, Ewen A (2020) Meta-analysis of prognostic factors of overall survival in patients undergoing oesophagectomy for oesophageal cancer. Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus. ISSN 1442-2050. This article is available to all UHB staff and students login using a UHB Athens Account. Register for Athens here - https://openathens.nice.org.uk/
Full text not available from this repository.Abstract
INTRODUCTION
Currently, the American Joint Commission on Cancer (AJCC) staging system is used for prognostication for oesophageal cancer. However, several prognostically important factors have been reported but not incorporated. This meta-analysis aimed to characterize the impact of preoperative, operative, and oncological factors on the prognosis of patients undergoing curative resection for oesophageal cancer.
METHODS
This systematic review was performed according to PRISMA guidelines and eligible studies were identified through a search of PubMed, Scopus, and Cochrane CENTRAL databases up to 31 December 2018. A meta-analysis was conducted with the use of random-effects modeling to determine pooled univariable hazard ratios (HRs). The study was prospectively registered with the PROSPERO database (Registration: CRD42018157966).
RESULTS
One-hundred and seventy-one articles including 73,629 patients were assessed quantitatively. Of the 122 factors associated with survival, 39 were significant on pooled analysis. Of these. the strongly associated prognostic factors were 'pathological' T stage (HR: 2.07, CI95%: 1.77-2.43, P < 0.001), 'pathological' N stage (HR: 2.24, CI95%: 1.95-2.59, P < 0.001), perineural invasion (HR: 1.54, CI95%: 1.36-1.74, P < 0.001), circumferential resection margin (HR: 2.17, CI95%: 1.82-2.59, P < 0.001), poor tumor grade (HR: 1.53, CI95%: 1.34-1.74, P < 0.001), and high neutrophil:lymphocyte ratio (HR: 1.47, CI95%: 1.30-1.66, P < 0.001).
CONCLUSION
Several tumor biological variables not included in the AJCC 8th edition classification can impact on overall survival. Incorporation and validation of these factors into prognostic models and next edition of the AJCC system will enable personalized approach to prognostication and treatment.
| Item Type: | Article |
|---|---|
| Additional Information: | This article is available to all UHB staff and students login using a UHB Athens Account. Register for Athens here - https://openathens.nice.org.uk/ |
| Subjects: | QW Microbiology. Immunology QZ Pathology. Oncology WI Digestive system. Gastroenterology |
| Divisions: | Planned IP Care > Gastroentrology |
| Related URLs: | |
| Depositing User: | Jamie Edgar |
| Date Deposited: | 04 Jun 2020 09:11 |
| Last Modified: | 05 May 2022 07:25 |
| URI: | http://www.repository.uhblibrary.co.uk/id/eprint/3130 |
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