Comparison of the safety and efficacy of different neoadjuvant therapy cycles for locally advanced gastric cancer: a retrospective propensity score-matched cohort study.
[BACKGROUND] For locally advanced gastric cancer (LAGC), neoadjuvant therapy prior to radical gastrectomy has been widely used.
- 95% CI 1.055–2.957
- OR 4.555
- HR 1.767
APA
Ren Z, Tang J, et al. (2026). Comparison of the safety and efficacy of different neoadjuvant therapy cycles for locally advanced gastric cancer: a retrospective propensity score-matched cohort study.. World journal of surgical oncology, 24(1). https://doi.org/10.1186/s12957-026-04207-8
MLA
Ren Z, et al.. "Comparison of the safety and efficacy of different neoadjuvant therapy cycles for locally advanced gastric cancer: a retrospective propensity score-matched cohort study.." World journal of surgical oncology, vol. 24, no. 1, 2026.
PMID
41652463
Abstract
[BACKGROUND] For locally advanced gastric cancer (LAGC), neoadjuvant therapy prior to radical gastrectomy has been widely used. However, the treatment cycle and factors affecting the efficacy of neoadjuvant therapy are still unclear.
[METHODS] This study analysed LAGC patients who underwent radical gastrectomy after different neoadjuvant therapy cycles at the Qilu Hospital of Shandong University between October 2016 and July 2024. 221 patients were enrolled in the study. After propensity score matching (PSM), baseline data, surgical and pathological features, surgical safety and postoperative recovery, tumor regression grade (TRG) and cumulative survival analysis were compared between the different neoadjuvant therapy cycle groups, and prognostic risk factors for overall survival (OS) were explored.
[RESULTS] There was no statistically significant difference in survival between the different neoadjuvant therapy cycle groups before and after PSM ( > 0.05). Multivariate Cox regression analysis revealed that TRG > 1 (HR = 1.767, 95% CI: 1.055–2.957, = 0.03) was an independent prognostic risk factor for OS. Furthermore, multivariate logistic regression analysis revealed that neoadjuvant therapy regimen (neoadjuvant chemotherapy alone) (OR = 4.555, 95% CI: 2.159–9.613, < 0.001), histopathological type (others) (OR = 6.514, 95% CI: 1.429–29.688, = 0.015) and tumor size (≥ 5 cm) (OR = 4.059, 95% CI: 1.842–8.944, < 0.001) were independent risk factors for TRG ≤ 1.
[CONCLUSION] The number of cycles of neoadjuvant therapy has no significant impact on TRG and OS. TRG > 1 is an independent prognostic risk factor, and patients with better tumor regression have a better prognosis. The neoadjuvant therapy regimen, histopathological type and tumor size can affect TRG.
[SUPPLEMENTARY INFORMATION] The online version contains supplementary material available at 10.1186/s12957-026-04207-8.
[METHODS] This study analysed LAGC patients who underwent radical gastrectomy after different neoadjuvant therapy cycles at the Qilu Hospital of Shandong University between October 2016 and July 2024. 221 patients were enrolled in the study. After propensity score matching (PSM), baseline data, surgical and pathological features, surgical safety and postoperative recovery, tumor regression grade (TRG) and cumulative survival analysis were compared between the different neoadjuvant therapy cycle groups, and prognostic risk factors for overall survival (OS) were explored.
[RESULTS] There was no statistically significant difference in survival between the different neoadjuvant therapy cycle groups before and after PSM ( > 0.05). Multivariate Cox regression analysis revealed that TRG > 1 (HR = 1.767, 95% CI: 1.055–2.957, = 0.03) was an independent prognostic risk factor for OS. Furthermore, multivariate logistic regression analysis revealed that neoadjuvant therapy regimen (neoadjuvant chemotherapy alone) (OR = 4.555, 95% CI: 2.159–9.613, < 0.001), histopathological type (others) (OR = 6.514, 95% CI: 1.429–29.688, = 0.015) and tumor size (≥ 5 cm) (OR = 4.059, 95% CI: 1.842–8.944, < 0.001) were independent risk factors for TRG ≤ 1.
[CONCLUSION] The number of cycles of neoadjuvant therapy has no significant impact on TRG and OS. TRG > 1 is an independent prognostic risk factor, and patients with better tumor regression have a better prognosis. The neoadjuvant therapy regimen, histopathological type and tumor size can affect TRG.
[SUPPLEMENTARY INFORMATION] The online version contains supplementary material available at 10.1186/s12957-026-04207-8.
같은 제1저자의 인용 많은 논문 (5)
- K-means clustering-based analysis of quantitative ultrafast DCE-MRI for predicting breast cancer response to neoadjuvant chemotherapy.
- The disguised liver abscess closely resembled diffuse hepatocellular carcinoma with portal vein tumor thrombus: a case description and literature analysis.
- An "off-on" fluorescent sensor based on FRET and magnetic beads for APE1 activity detection in breast cancer cell lysates.
- Development of a self-assembling aggregation-induced emission nanoprobe for targeted therapy and real-time imaging in non-small cell lung cancer.
- Network pharmacology research integrating LC-MS/MS, machine learning, molecular docking, and dynamics simulation: key biomarkers and potential mechanisms of against prostate cancer.