author_facet Xia, Wenjie
Liu, Suyao
Mao, Qixing
Chen, Bing
Ma, Weidong
Dong, Gaochao
Xu, Lin
Jiang, Feng
Xia, Wenjie
Liu, Suyao
Mao, Qixing
Chen, Bing
Ma, Weidong
Dong, Gaochao
Xu, Lin
Jiang, Feng
author Xia, Wenjie
Liu, Suyao
Mao, Qixing
Chen, Bing
Ma, Weidong
Dong, Gaochao
Xu, Lin
Jiang, Feng
spellingShingle Xia, Wenjie
Liu, Suyao
Mao, Qixing
Chen, Bing
Ma, Weidong
Dong, Gaochao
Xu, Lin
Jiang, Feng
Thoracic Cancer
Effect of lymph node examined count on accurate staging and survival of resected esophageal cancer
Pulmonary and Respiratory Medicine
Oncology
General Medicine
author_sort xia, wenjie
spelling Xia, Wenjie Liu, Suyao Mao, Qixing Chen, Bing Ma, Weidong Dong, Gaochao Xu, Lin Jiang, Feng 1759-7706 1759-7714 Wiley Pulmonary and Respiratory Medicine Oncology General Medicine http://dx.doi.org/10.1111/1759-7714.13056 <jats:sec><jats:title>Background</jats:title><jats:p>We examined the association between numbers of lymph nodes examined (LNEs) and accurate staging and survival to determine the optimal LNE count during esophagectomy using data from the Surveillance, Epidemiology, and End Results (SEER) cancer registry and the Department of Thoracic Surgery of a single institution (SI).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A total of 7356 EC patients met our inclusion criteria from the SEER database and 1275 patients from SI. We applied multivariate models to investigate the relationship between the LNE count and LN metastasis and cancer‐specific survival (CSS). Odds ratios (ORs) and hazard ratios (HRs) generated by the multivariate models were fitted with Locally Weighted Scatterplot Smoothing, and the structural breakpoints were determined by the Chow test.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Higher numbers of LNEs were linked to a higher proportion of LN metastasis and better CSS in both cohorts. Cut‐point analysis determined a threshold of LNEs of 12 for adenocarcinoma and 14 for esophageal squamous cell cancer (ESCC) considering accurate staging, and 15 for adenocarcinoma and 14 for ESCC considering OS. The cut‐points for CSS were examined in the SEER database and validated in the divided cohort from SI (all <jats:italic>P</jats:italic> &lt; 0.05).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>A greater number of LNEs are significantly associated with more accurate N staging and better survival in EC patients. We recommend 15 and 14 as the threshold LNE counts for adenocarcinoma and ESCC patients, respectively.</jats:p></jats:sec> Effect of lymph node examined count on accurate staging and survival of resected esophageal cancer Thoracic Cancer
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title Effect of lymph node examined count on accurate staging and survival of resected esophageal cancer
title_unstemmed Effect of lymph node examined count on accurate staging and survival of resected esophageal cancer
title_full Effect of lymph node examined count on accurate staging and survival of resected esophageal cancer
title_fullStr Effect of lymph node examined count on accurate staging and survival of resected esophageal cancer
title_full_unstemmed Effect of lymph node examined count on accurate staging and survival of resected esophageal cancer
title_short Effect of lymph node examined count on accurate staging and survival of resected esophageal cancer
title_sort effect of lymph node examined count on accurate staging and survival of resected esophageal cancer
topic Pulmonary and Respiratory Medicine
Oncology
General Medicine
url http://dx.doi.org/10.1111/1759-7714.13056
publishDate 2019
physical 1149-1157
description <jats:sec><jats:title>Background</jats:title><jats:p>We examined the association between numbers of lymph nodes examined (LNEs) and accurate staging and survival to determine the optimal LNE count during esophagectomy using data from the Surveillance, Epidemiology, and End Results (SEER) cancer registry and the Department of Thoracic Surgery of a single institution (SI).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A total of 7356 EC patients met our inclusion criteria from the SEER database and 1275 patients from SI. We applied multivariate models to investigate the relationship between the LNE count and LN metastasis and cancer‐specific survival (CSS). Odds ratios (ORs) and hazard ratios (HRs) generated by the multivariate models were fitted with Locally Weighted Scatterplot Smoothing, and the structural breakpoints were determined by the Chow test.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Higher numbers of LNEs were linked to a higher proportion of LN metastasis and better CSS in both cohorts. Cut‐point analysis determined a threshold of LNEs of 12 for adenocarcinoma and 14 for esophageal squamous cell cancer (ESCC) considering accurate staging, and 15 for adenocarcinoma and 14 for ESCC considering OS. The cut‐points for CSS were examined in the SEER database and validated in the divided cohort from SI (all <jats:italic>P</jats:italic> &lt; 0.05).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>A greater number of LNEs are significantly associated with more accurate N staging and better survival in EC patients. We recommend 15 and 14 as the threshold LNE counts for adenocarcinoma and ESCC patients, respectively.</jats:p></jats:sec>
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author Xia, Wenjie, Liu, Suyao, Mao, Qixing, Chen, Bing, Ma, Weidong, Dong, Gaochao, Xu, Lin, Jiang, Feng
author_facet Xia, Wenjie, Liu, Suyao, Mao, Qixing, Chen, Bing, Ma, Weidong, Dong, Gaochao, Xu, Lin, Jiang, Feng, Xia, Wenjie, Liu, Suyao, Mao, Qixing, Chen, Bing, Ma, Weidong, Dong, Gaochao, Xu, Lin, Jiang, Feng
author_sort xia, wenjie
container_issue 5
container_start_page 1149
container_title Thoracic Cancer
container_volume 10
description <jats:sec><jats:title>Background</jats:title><jats:p>We examined the association between numbers of lymph nodes examined (LNEs) and accurate staging and survival to determine the optimal LNE count during esophagectomy using data from the Surveillance, Epidemiology, and End Results (SEER) cancer registry and the Department of Thoracic Surgery of a single institution (SI).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A total of 7356 EC patients met our inclusion criteria from the SEER database and 1275 patients from SI. We applied multivariate models to investigate the relationship between the LNE count and LN metastasis and cancer‐specific survival (CSS). Odds ratios (ORs) and hazard ratios (HRs) generated by the multivariate models were fitted with Locally Weighted Scatterplot Smoothing, and the structural breakpoints were determined by the Chow test.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Higher numbers of LNEs were linked to a higher proportion of LN metastasis and better CSS in both cohorts. Cut‐point analysis determined a threshold of LNEs of 12 for adenocarcinoma and 14 for esophageal squamous cell cancer (ESCC) considering accurate staging, and 15 for adenocarcinoma and 14 for ESCC considering OS. The cut‐points for CSS were examined in the SEER database and validated in the divided cohort from SI (all <jats:italic>P</jats:italic> &lt; 0.05).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>A greater number of LNEs are significantly associated with more accurate N staging and better survival in EC patients. We recommend 15 and 14 as the threshold LNE counts for adenocarcinoma and ESCC patients, respectively.</jats:p></jats:sec>
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spelling Xia, Wenjie Liu, Suyao Mao, Qixing Chen, Bing Ma, Weidong Dong, Gaochao Xu, Lin Jiang, Feng 1759-7706 1759-7714 Wiley Pulmonary and Respiratory Medicine Oncology General Medicine http://dx.doi.org/10.1111/1759-7714.13056 <jats:sec><jats:title>Background</jats:title><jats:p>We examined the association between numbers of lymph nodes examined (LNEs) and accurate staging and survival to determine the optimal LNE count during esophagectomy using data from the Surveillance, Epidemiology, and End Results (SEER) cancer registry and the Department of Thoracic Surgery of a single institution (SI).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A total of 7356 EC patients met our inclusion criteria from the SEER database and 1275 patients from SI. We applied multivariate models to investigate the relationship between the LNE count and LN metastasis and cancer‐specific survival (CSS). Odds ratios (ORs) and hazard ratios (HRs) generated by the multivariate models were fitted with Locally Weighted Scatterplot Smoothing, and the structural breakpoints were determined by the Chow test.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Higher numbers of LNEs were linked to a higher proportion of LN metastasis and better CSS in both cohorts. Cut‐point analysis determined a threshold of LNEs of 12 for adenocarcinoma and 14 for esophageal squamous cell cancer (ESCC) considering accurate staging, and 15 for adenocarcinoma and 14 for ESCC considering OS. The cut‐points for CSS were examined in the SEER database and validated in the divided cohort from SI (all <jats:italic>P</jats:italic> &lt; 0.05).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>A greater number of LNEs are significantly associated with more accurate N staging and better survival in EC patients. We recommend 15 and 14 as the threshold LNE counts for adenocarcinoma and ESCC patients, respectively.</jats:p></jats:sec> Effect of lymph node examined count on accurate staging and survival of resected esophageal cancer Thoracic Cancer
spellingShingle Xia, Wenjie, Liu, Suyao, Mao, Qixing, Chen, Bing, Ma, Weidong, Dong, Gaochao, Xu, Lin, Jiang, Feng, Thoracic Cancer, Effect of lymph node examined count on accurate staging and survival of resected esophageal cancer, Pulmonary and Respiratory Medicine, Oncology, General Medicine
title Effect of lymph node examined count on accurate staging and survival of resected esophageal cancer
title_full Effect of lymph node examined count on accurate staging and survival of resected esophageal cancer
title_fullStr Effect of lymph node examined count on accurate staging and survival of resected esophageal cancer
title_full_unstemmed Effect of lymph node examined count on accurate staging and survival of resected esophageal cancer
title_short Effect of lymph node examined count on accurate staging and survival of resected esophageal cancer
title_sort effect of lymph node examined count on accurate staging and survival of resected esophageal cancer
title_unstemmed Effect of lymph node examined count on accurate staging and survival of resected esophageal cancer
topic Pulmonary and Respiratory Medicine, Oncology, General Medicine
url http://dx.doi.org/10.1111/1759-7714.13056