Evidence map›Paper›PMID 40155975›Full record

SynthesisBMC surgery2025

Impact of negative lymph node removal on survival in esophageal cancer: a systematic review and meta-analysis.

Mansour Bahardoust, Seyedmohammadreza Torabi, Danyal Yarahmadi, Mohammad Mahdi Kakoienejad, Fatemeh Abbasi, Mohammadsadra Shamohammadi, Meisam Haghmoradi, Babak Goodarzy, Adnan Tizmaghz

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
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  4. Article
  5. 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

9 authors.

Mansour Bahardoust *Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Seyedmohammadreza TorabiFaculty of Medical Sciences, Fasa University of Medical Sciences, Fasa, Iran.
Danyal YarahmadiSchool of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Mohammad Mahdi KakoienejadSchool of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Fatemeh Abbasi *School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Mohammadsadra ShamohammadiGastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran.
Meisam HaghmoradiDepartment of Orthopedic Surgery, Urmia University of Medical Sciences, Urmia, Iran.
Babak GoodarzySchool of Medicine, Iran University of Medical Sciences, Tehran, Iran. Babakgoodarzidvm@gmail.com.
Adnan TizmaghzFiroozabadi Clinical Research Development Unit (F A CRD U), Iran University of Medical Sciences (IUMS), Tehran, Iran. adnan_ti@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent studies have reported that a high number of negative lymph nodes (NLNs) removed can be associated with improved survival in esophageal cancer( EC) after surgery; however, the effect size of a high number of removed NLNs on survival rates has been reported to vary, which may be due to the small sample size of early studies. This meta-analysis aimed to evaluate the effect of the high number of NLNs removed on the survival rate of patients with EC after surgery.

methodsWe searched PubMed, Embase, Scopus, Web of Science, and Google Scholar databases with relevant Mesh terms to find studies that investigated the effect of the number of NLNs resected on the survival of EC patients after surgery until February 17, 2025. This systematic review was conducted based on the PRISMA 2020 checklist. Cochran's I

resultsThe survival rate in patients whose number of removed NLNs ≥ 19 was significantly better than those with removed NLNs < 19 (HR: 0.88, 95% CI: 0.81, 0.95, I

conclusionThe high number of NLNs removed (≥ 19) during surgery was associated with improved survival after surgery, especially in patients with adenocarcinoma. Removing ≥ 19 NLNs significantly improves survival in EC patients, particularly those with adenocarcinoma. This threshold should be incorporated into surgical guidelines.

Indexed as

Esophageal NeoplasmsLymph Node ExcisionLymph NodesEsophagectomyHumansSurvival RateEsophageal cancerEsophagostomyFive- survival rateLymph nodeSurgery

Identifiers

PMID40155975
PMCPMC11951649

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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 Socratic graph.