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Increased risk for anxiety and depression in children and adolescents with migraine
Key clinical point: The odds of anxiety and depression disorders were significantly higher in children and adolescents with migraine compared with control individuals, highlighting the need to routinely screen children and adolescents with migraine for anxiety and depression.
Major finding: Children and adolescents with migraine vs control individuals were at a higher risk for anxiety disorders (odds ratio [OR] 1.93; 95% CI 1.49-2.50), depressive disorders (OR 2.01; 95% CI 1.46-2.78), and mixed internalizing (anxiety and depressive) disorders (OR 4.69; 95% CI 3.08-7.14).
Study details: This was a systematic review of 80 observational studies, of which 51 involving children and adolescents with migraine and control individuals were included in the meta-analysis.
Disclosures: This study was supported by the Alberta Children’s Hospital Research Institute (ACHRI) and Cumming School of Medicine, Canada. SL Orr reported receiving royalties for book publication, grant funding from the Canadian Health Research and ACHRI, and serving on the editorial boards of journals and the American Migraine Foundation.
Source: Falla K et al. Anxiety and depressive symptoms and disorders in children and adolescents with migraine: A systematic review and meta-analysis. JAMA Pediatr. 2022 (Oct 31). Doi: 10.1001/jamapediatrics.2022.3940
Key clinical point: The odds of anxiety and depression disorders were significantly higher in children and adolescents with migraine compared with control individuals, highlighting the need to routinely screen children and adolescents with migraine for anxiety and depression.
Major finding: Children and adolescents with migraine vs control individuals were at a higher risk for anxiety disorders (odds ratio [OR] 1.93; 95% CI 1.49-2.50), depressive disorders (OR 2.01; 95% CI 1.46-2.78), and mixed internalizing (anxiety and depressive) disorders (OR 4.69; 95% CI 3.08-7.14).
Study details: This was a systematic review of 80 observational studies, of which 51 involving children and adolescents with migraine and control individuals were included in the meta-analysis.
Disclosures: This study was supported by the Alberta Children’s Hospital Research Institute (ACHRI) and Cumming School of Medicine, Canada. SL Orr reported receiving royalties for book publication, grant funding from the Canadian Health Research and ACHRI, and serving on the editorial boards of journals and the American Migraine Foundation.
Source: Falla K et al. Anxiety and depressive symptoms and disorders in children and adolescents with migraine: A systematic review and meta-analysis. JAMA Pediatr. 2022 (Oct 31). Doi: 10.1001/jamapediatrics.2022.3940
Key clinical point: The odds of anxiety and depression disorders were significantly higher in children and adolescents with migraine compared with control individuals, highlighting the need to routinely screen children and adolescents with migraine for anxiety and depression.
Major finding: Children and adolescents with migraine vs control individuals were at a higher risk for anxiety disorders (odds ratio [OR] 1.93; 95% CI 1.49-2.50), depressive disorders (OR 2.01; 95% CI 1.46-2.78), and mixed internalizing (anxiety and depressive) disorders (OR 4.69; 95% CI 3.08-7.14).
Study details: This was a systematic review of 80 observational studies, of which 51 involving children and adolescents with migraine and control individuals were included in the meta-analysis.
Disclosures: This study was supported by the Alberta Children’s Hospital Research Institute (ACHRI) and Cumming School of Medicine, Canada. SL Orr reported receiving royalties for book publication, grant funding from the Canadian Health Research and ACHRI, and serving on the editorial boards of journals and the American Migraine Foundation.
Source: Falla K et al. Anxiety and depressive symptoms and disorders in children and adolescents with migraine: A systematic review and meta-analysis. JAMA Pediatr. 2022 (Oct 31). Doi: 10.1001/jamapediatrics.2022.3940
Proton pump inhibitor use increases gastric cancer risk, says meta-analysis
Key clinical point: Proton pump inhibitor (PPI) use is significantly associated with an increased risk for gastric cancer.
Major finding: PPI users vs nonusers were significantly more likely to develop gastric cancer (odds ratio 1.75; 95% CI 1.28-2.40).
Study details: This study meta-analyzed 16 observational studies (cohort and case-control studies; n = 2,936,935) that evaluated the association between PPI use and the risk for gastric cancer.
Disclosures: This study was sponsored by grants from the Taipei Tzu Chi Hospital and Buddhist Tzu Chi Medical Foundation, Taiwan. The authors declared no conflicts of interest.
Source: Peng TR et al. Association between proton-pump inhibitors and the risk of gastric cancer: A systematic review and meta-analysis. Int J Clin Oncol. 2022 (Oct 12). Doi: 10.1007/s10147-022-02253-2
Key clinical point: Proton pump inhibitor (PPI) use is significantly associated with an increased risk for gastric cancer.
Major finding: PPI users vs nonusers were significantly more likely to develop gastric cancer (odds ratio 1.75; 95% CI 1.28-2.40).
Study details: This study meta-analyzed 16 observational studies (cohort and case-control studies; n = 2,936,935) that evaluated the association between PPI use and the risk for gastric cancer.
Disclosures: This study was sponsored by grants from the Taipei Tzu Chi Hospital and Buddhist Tzu Chi Medical Foundation, Taiwan. The authors declared no conflicts of interest.
Source: Peng TR et al. Association between proton-pump inhibitors and the risk of gastric cancer: A systematic review and meta-analysis. Int J Clin Oncol. 2022 (Oct 12). Doi: 10.1007/s10147-022-02253-2
Key clinical point: Proton pump inhibitor (PPI) use is significantly associated with an increased risk for gastric cancer.
Major finding: PPI users vs nonusers were significantly more likely to develop gastric cancer (odds ratio 1.75; 95% CI 1.28-2.40).
Study details: This study meta-analyzed 16 observational studies (cohort and case-control studies; n = 2,936,935) that evaluated the association between PPI use and the risk for gastric cancer.
Disclosures: This study was sponsored by grants from the Taipei Tzu Chi Hospital and Buddhist Tzu Chi Medical Foundation, Taiwan. The authors declared no conflicts of interest.
Source: Peng TR et al. Association between proton-pump inhibitors and the risk of gastric cancer: A systematic review and meta-analysis. Int J Clin Oncol. 2022 (Oct 12). Doi: 10.1007/s10147-022-02253-2
Gastric cancer surveillance holds value in SMAD4-associated juvenile polyposis syndrome
Key clinical point: The occurrence of gastric cancer is highest in patients with SMAD4-associated juvenile polyposis syndrome (JPS) and is not reported in those without identifiable pathogenic germline variants (PGV).
Major finding: Gastric cancer occurred in 10.1% (95% CI 3.2%-16.8%) of patients with SMAD4 PGV and in only 1 patient with BMPR1A PGV. It was not reported in patients without an identifiable PGV.
Study details: This was a meta-analysis of 11 retrospective studies including 637 patients with JPS, of which 272 had a SMAD4 PGV, 181 had a BMPR1A PGV, 106 had no identifiable PGV, and 78 had an unknown PGV status.
Disclosures: This study did not receive any specific funding. The authors declared no conflicts of interest.
Source: Singh AD et al. Occurrence of gastric cancer in patients with juvenile polyposis syndrome: A systematic review and meta-analysis. Gastrointest Endosc. 2022 (Oct 17). Doi: 10.1016/j.gie.2022.10.026
Key clinical point: The occurrence of gastric cancer is highest in patients with SMAD4-associated juvenile polyposis syndrome (JPS) and is not reported in those without identifiable pathogenic germline variants (PGV).
Major finding: Gastric cancer occurred in 10.1% (95% CI 3.2%-16.8%) of patients with SMAD4 PGV and in only 1 patient with BMPR1A PGV. It was not reported in patients without an identifiable PGV.
Study details: This was a meta-analysis of 11 retrospective studies including 637 patients with JPS, of which 272 had a SMAD4 PGV, 181 had a BMPR1A PGV, 106 had no identifiable PGV, and 78 had an unknown PGV status.
Disclosures: This study did not receive any specific funding. The authors declared no conflicts of interest.
Source: Singh AD et al. Occurrence of gastric cancer in patients with juvenile polyposis syndrome: A systematic review and meta-analysis. Gastrointest Endosc. 2022 (Oct 17). Doi: 10.1016/j.gie.2022.10.026
Key clinical point: The occurrence of gastric cancer is highest in patients with SMAD4-associated juvenile polyposis syndrome (JPS) and is not reported in those without identifiable pathogenic germline variants (PGV).
Major finding: Gastric cancer occurred in 10.1% (95% CI 3.2%-16.8%) of patients with SMAD4 PGV and in only 1 patient with BMPR1A PGV. It was not reported in patients without an identifiable PGV.
Study details: This was a meta-analysis of 11 retrospective studies including 637 patients with JPS, of which 272 had a SMAD4 PGV, 181 had a BMPR1A PGV, 106 had no identifiable PGV, and 78 had an unknown PGV status.
Disclosures: This study did not receive any specific funding. The authors declared no conflicts of interest.
Source: Singh AD et al. Occurrence of gastric cancer in patients with juvenile polyposis syndrome: A systematic review and meta-analysis. Gastrointest Endosc. 2022 (Oct 17). Doi: 10.1016/j.gie.2022.10.026
Gastric transcatheter chemoembolization shows promise against advanced gastric cancer with obstruction
Key clinical point: Gastric transcatheter chemoembolization (GTC) is a safe and effective alternative treatment method for advanced gastric cancer with obstruction.
Major finding: All patients achieved successful selection of tumor-feeding blood vessels and injection of chemotherapeutics and embolic agents, while 22 achieved a gastric outlet obstruction scoring system (GOOSS) score of ≥2. The median time of GTC was 83 minutes, and the median time of hospitalization after GTC was 3 days. One patient experienced abdominal pain during and after GTC. The pre- and post-intervention GOOSS scores were 1 and 2, respectively (P = .000).
Study details: This retrospective study included 42 patients with advanced gastric cancer complicated with obstruction who underwent GTC.
Disclosures: This study was supported by the Chongqing Science and Health Joint Project, China. The authors declared no conflicts of interest.
Source: Peng D et al. Gastric transcatheter chemoembolization can resolve advanced gastric cancer presenting with obstruction. Front Surg. 2022;9:1004064 (Oct 20). Doi: 10.3389/fsurg.2022.1004064
Key clinical point: Gastric transcatheter chemoembolization (GTC) is a safe and effective alternative treatment method for advanced gastric cancer with obstruction.
Major finding: All patients achieved successful selection of tumor-feeding blood vessels and injection of chemotherapeutics and embolic agents, while 22 achieved a gastric outlet obstruction scoring system (GOOSS) score of ≥2. The median time of GTC was 83 minutes, and the median time of hospitalization after GTC was 3 days. One patient experienced abdominal pain during and after GTC. The pre- and post-intervention GOOSS scores were 1 and 2, respectively (P = .000).
Study details: This retrospective study included 42 patients with advanced gastric cancer complicated with obstruction who underwent GTC.
Disclosures: This study was supported by the Chongqing Science and Health Joint Project, China. The authors declared no conflicts of interest.
Source: Peng D et al. Gastric transcatheter chemoembolization can resolve advanced gastric cancer presenting with obstruction. Front Surg. 2022;9:1004064 (Oct 20). Doi: 10.3389/fsurg.2022.1004064
Key clinical point: Gastric transcatheter chemoembolization (GTC) is a safe and effective alternative treatment method for advanced gastric cancer with obstruction.
Major finding: All patients achieved successful selection of tumor-feeding blood vessels and injection of chemotherapeutics and embolic agents, while 22 achieved a gastric outlet obstruction scoring system (GOOSS) score of ≥2. The median time of GTC was 83 minutes, and the median time of hospitalization after GTC was 3 days. One patient experienced abdominal pain during and after GTC. The pre- and post-intervention GOOSS scores were 1 and 2, respectively (P = .000).
Study details: This retrospective study included 42 patients with advanced gastric cancer complicated with obstruction who underwent GTC.
Disclosures: This study was supported by the Chongqing Science and Health Joint Project, China. The authors declared no conflicts of interest.
Source: Peng D et al. Gastric transcatheter chemoembolization can resolve advanced gastric cancer presenting with obstruction. Front Surg. 2022;9:1004064 (Oct 20). Doi: 10.3389/fsurg.2022.1004064
Gastric cancer: Sarcopenic obesity is a risk factor for poorer outcomes after gastrectomy
Key clinical point: The presence of sarcopenic obesity (SO) increases the risk for severe postoperative complications and worse survival outcomes in patients who have undergone gastrectomy for gastric cancer.
Major finding: SO was associated with an increased risk for serious Clavien-Dindo complications grade >IIIb/IV (odds ratio 2.82; P = .028) and worse overall survival (adjusted hazard ratio 0.45; P = .026) after gastrectomy.
Study details: This single-center retrospective study included 190 patients with gastric cancer who had undergone curative-intent gastrectomy, of which 40 patients had SO.
Disclosures: This study did not report the source of funding. The authors declared no conflicts of interest.
Source: Juez LD et al. Impact of sarcopenic obesity on long-term cancer outcomes and postoperative complications after gastrectomy for gastric cancer. J Gastrointest Surg. 2022 (Nov 2). Doi: 10.1007/s11605-022-05492-w
Key clinical point: The presence of sarcopenic obesity (SO) increases the risk for severe postoperative complications and worse survival outcomes in patients who have undergone gastrectomy for gastric cancer.
Major finding: SO was associated with an increased risk for serious Clavien-Dindo complications grade >IIIb/IV (odds ratio 2.82; P = .028) and worse overall survival (adjusted hazard ratio 0.45; P = .026) after gastrectomy.
Study details: This single-center retrospective study included 190 patients with gastric cancer who had undergone curative-intent gastrectomy, of which 40 patients had SO.
Disclosures: This study did not report the source of funding. The authors declared no conflicts of interest.
Source: Juez LD et al. Impact of sarcopenic obesity on long-term cancer outcomes and postoperative complications after gastrectomy for gastric cancer. J Gastrointest Surg. 2022 (Nov 2). Doi: 10.1007/s11605-022-05492-w
Key clinical point: The presence of sarcopenic obesity (SO) increases the risk for severe postoperative complications and worse survival outcomes in patients who have undergone gastrectomy for gastric cancer.
Major finding: SO was associated with an increased risk for serious Clavien-Dindo complications grade >IIIb/IV (odds ratio 2.82; P = .028) and worse overall survival (adjusted hazard ratio 0.45; P = .026) after gastrectomy.
Study details: This single-center retrospective study included 190 patients with gastric cancer who had undergone curative-intent gastrectomy, of which 40 patients had SO.
Disclosures: This study did not report the source of funding. The authors declared no conflicts of interest.
Source: Juez LD et al. Impact of sarcopenic obesity on long-term cancer outcomes and postoperative complications after gastrectomy for gastric cancer. J Gastrointest Surg. 2022 (Nov 2). Doi: 10.1007/s11605-022-05492-w
Intestinal metaplasia before H. pylori eradication hints at post-eradication gastric cancer surveillance
Key clinical point: Patients with histological intestinal metaplasia (IM) before eradication of Helicobacter pylori infection, especially at the corpus lesser curvature, may be at an increased risk for gastric cancer after successful eradication.
Major finding: Patients who did vs did not develop gastric cancer had significantly higher histological IM scores at all biopsy sites (P < .05) and a higher proportion of operative link on gastric IM (OLGIM) III/IV stage (P < .01). The corpus lesser curvature had the highest area under the receiver operating characteristic curve value for IM score (0.82), which was similar to OLGIM score (0.82).
Study details: This single-center retrospective study included 247 patients who were diagnosed as positive for H. pylori and achieved infection eradication, of which 11 patients developed gastric cancer after eradication therapy.
Disclosures: This study did not report the source of funding. The authors declared no conflicts of interest.
Source: Hara D et al. Histopathologically defined intestinal metaplasia in lesser curvature of corpus prior to Helicobacter pylori eradication is a risk factor for gastric cancer development. Helicobacter. 2022;27(6):e12934 (Oct 20). Doi: 10.1111/hel.12934
Key clinical point: Patients with histological intestinal metaplasia (IM) before eradication of Helicobacter pylori infection, especially at the corpus lesser curvature, may be at an increased risk for gastric cancer after successful eradication.
Major finding: Patients who did vs did not develop gastric cancer had significantly higher histological IM scores at all biopsy sites (P < .05) and a higher proportion of operative link on gastric IM (OLGIM) III/IV stage (P < .01). The corpus lesser curvature had the highest area under the receiver operating characteristic curve value for IM score (0.82), which was similar to OLGIM score (0.82).
Study details: This single-center retrospective study included 247 patients who were diagnosed as positive for H. pylori and achieved infection eradication, of which 11 patients developed gastric cancer after eradication therapy.
Disclosures: This study did not report the source of funding. The authors declared no conflicts of interest.
Source: Hara D et al. Histopathologically defined intestinal metaplasia in lesser curvature of corpus prior to Helicobacter pylori eradication is a risk factor for gastric cancer development. Helicobacter. 2022;27(6):e12934 (Oct 20). Doi: 10.1111/hel.12934
Key clinical point: Patients with histological intestinal metaplasia (IM) before eradication of Helicobacter pylori infection, especially at the corpus lesser curvature, may be at an increased risk for gastric cancer after successful eradication.
Major finding: Patients who did vs did not develop gastric cancer had significantly higher histological IM scores at all biopsy sites (P < .05) and a higher proportion of operative link on gastric IM (OLGIM) III/IV stage (P < .01). The corpus lesser curvature had the highest area under the receiver operating characteristic curve value for IM score (0.82), which was similar to OLGIM score (0.82).
Study details: This single-center retrospective study included 247 patients who were diagnosed as positive for H. pylori and achieved infection eradication, of which 11 patients developed gastric cancer after eradication therapy.
Disclosures: This study did not report the source of funding. The authors declared no conflicts of interest.
Source: Hara D et al. Histopathologically defined intestinal metaplasia in lesser curvature of corpus prior to Helicobacter pylori eradication is a risk factor for gastric cancer development. Helicobacter. 2022;27(6):e12934 (Oct 20). Doi: 10.1111/hel.12934
Disease progression pattern linked with poor prognosis in advanced gastric cancer patients on nivolumab
Key clinical point: New lesions in different organs and appearance/increase in ascites, but not the originally defined characteristics of hyperprogressive disease (HPD), are disease progression patterns associated with poor prognosis in patients with advanced gastric cancer (AGC) and progressive disease (PD) as the best response to nivolumab therapy.
Major finding: Overall survival was comparable between patients with HPD and those with PD other than HPD (hazard ratio [HR] 1.0; P = 1.0) but significantly shorter in patients who did vs did not develop new lesions in different organs (HR 1.8; P = .0031) and in patients with appearance or increase in ascites vs those with stable or decreased ascites (HR 2.6; P < .0001).
Study details: This multicenter retrospective study included 245 patients with AGC and ≥1 measurable lesion who received nivolumab as a third-line or later treatment.
Disclosures: No source of funding was reported. Some authors declared serving on data safety monitoring or advisory boards or receiving research grants, honoraria, or consulting fees from various sources.
Source: Aoki M et al. Pattern of disease progression during third-line or later chemotherapy with nivolumab associated with poor prognosis in advanced gastric cancer: A multicenter retrospective study in Japan. Gastric Cancer. 2022 (Nov 1). Doi: 10.1007/s10120-022-01349-y
Key clinical point: New lesions in different organs and appearance/increase in ascites, but not the originally defined characteristics of hyperprogressive disease (HPD), are disease progression patterns associated with poor prognosis in patients with advanced gastric cancer (AGC) and progressive disease (PD) as the best response to nivolumab therapy.
Major finding: Overall survival was comparable between patients with HPD and those with PD other than HPD (hazard ratio [HR] 1.0; P = 1.0) but significantly shorter in patients who did vs did not develop new lesions in different organs (HR 1.8; P = .0031) and in patients with appearance or increase in ascites vs those with stable or decreased ascites (HR 2.6; P < .0001).
Study details: This multicenter retrospective study included 245 patients with AGC and ≥1 measurable lesion who received nivolumab as a third-line or later treatment.
Disclosures: No source of funding was reported. Some authors declared serving on data safety monitoring or advisory boards or receiving research grants, honoraria, or consulting fees from various sources.
Source: Aoki M et al. Pattern of disease progression during third-line or later chemotherapy with nivolumab associated with poor prognosis in advanced gastric cancer: A multicenter retrospective study in Japan. Gastric Cancer. 2022 (Nov 1). Doi: 10.1007/s10120-022-01349-y
Key clinical point: New lesions in different organs and appearance/increase in ascites, but not the originally defined characteristics of hyperprogressive disease (HPD), are disease progression patterns associated with poor prognosis in patients with advanced gastric cancer (AGC) and progressive disease (PD) as the best response to nivolumab therapy.
Major finding: Overall survival was comparable between patients with HPD and those with PD other than HPD (hazard ratio [HR] 1.0; P = 1.0) but significantly shorter in patients who did vs did not develop new lesions in different organs (HR 1.8; P = .0031) and in patients with appearance or increase in ascites vs those with stable or decreased ascites (HR 2.6; P < .0001).
Study details: This multicenter retrospective study included 245 patients with AGC and ≥1 measurable lesion who received nivolumab as a third-line or later treatment.
Disclosures: No source of funding was reported. Some authors declared serving on data safety monitoring or advisory boards or receiving research grants, honoraria, or consulting fees from various sources.
Source: Aoki M et al. Pattern of disease progression during third-line or later chemotherapy with nivolumab associated with poor prognosis in advanced gastric cancer: A multicenter retrospective study in Japan. Gastric Cancer. 2022 (Nov 1). Doi: 10.1007/s10120-022-01349-y
Preoperative D-dimer-to-albumin ratio: A biomarker for long-term prognosis in gastric cancer
Key clinical point: Preoperative D-dimer-to-albumin ratio (DAR) serves as an independent predictive marker for long-term prognosis in patients with gastric cancer.
Major finding: The low-DAR vs high-DAR group had significantly higher overall survival (OS; 63.8% vs 44.2%; P < .001) and recurrence-free survival (RFS; 62.4% vs 46.6%; P < .001) rates. The preoperative DAR was an independent risk factor for OS (training cohort: adjusted hazard ratio [aHR] 1.47; P < .001; testing cohort: aHR 1.50; P = .014) and RFS (training cohort: aHR 1.43; P < .001; testing cohort: aHR 1.59; P = .006).
Study details: This retrospective study included 1766 patients with gastric cancer who underwent gastrectomy (training cohort n = 1236; testing cohort n = 530) and were categorized into the high-DAR (>0.0145) or low-DAR (≤0.0145) group.
Disclosures: No information on the source of funding was provided. The authors declared no conflicts of interest.
Source: Lin GS et al. Value of the preoperative D-dimer to albumin ratio for survival and recurrence patterns in gastric cancer. Ann Surg Oncol. 2022 (Oct 25). Doi: 10.1245/s10434-022-12625-7
Key clinical point: Preoperative D-dimer-to-albumin ratio (DAR) serves as an independent predictive marker for long-term prognosis in patients with gastric cancer.
Major finding: The low-DAR vs high-DAR group had significantly higher overall survival (OS; 63.8% vs 44.2%; P < .001) and recurrence-free survival (RFS; 62.4% vs 46.6%; P < .001) rates. The preoperative DAR was an independent risk factor for OS (training cohort: adjusted hazard ratio [aHR] 1.47; P < .001; testing cohort: aHR 1.50; P = .014) and RFS (training cohort: aHR 1.43; P < .001; testing cohort: aHR 1.59; P = .006).
Study details: This retrospective study included 1766 patients with gastric cancer who underwent gastrectomy (training cohort n = 1236; testing cohort n = 530) and were categorized into the high-DAR (>0.0145) or low-DAR (≤0.0145) group.
Disclosures: No information on the source of funding was provided. The authors declared no conflicts of interest.
Source: Lin GS et al. Value of the preoperative D-dimer to albumin ratio for survival and recurrence patterns in gastric cancer. Ann Surg Oncol. 2022 (Oct 25). Doi: 10.1245/s10434-022-12625-7
Key clinical point: Preoperative D-dimer-to-albumin ratio (DAR) serves as an independent predictive marker for long-term prognosis in patients with gastric cancer.
Major finding: The low-DAR vs high-DAR group had significantly higher overall survival (OS; 63.8% vs 44.2%; P < .001) and recurrence-free survival (RFS; 62.4% vs 46.6%; P < .001) rates. The preoperative DAR was an independent risk factor for OS (training cohort: adjusted hazard ratio [aHR] 1.47; P < .001; testing cohort: aHR 1.50; P = .014) and RFS (training cohort: aHR 1.43; P < .001; testing cohort: aHR 1.59; P = .006).
Study details: This retrospective study included 1766 patients with gastric cancer who underwent gastrectomy (training cohort n = 1236; testing cohort n = 530) and were categorized into the high-DAR (>0.0145) or low-DAR (≤0.0145) group.
Disclosures: No information on the source of funding was provided. The authors declared no conflicts of interest.
Source: Lin GS et al. Value of the preoperative D-dimer to albumin ratio for survival and recurrence patterns in gastric cancer. Ann Surg Oncol. 2022 (Oct 25). Doi: 10.1245/s10434-022-12625-7
Gastric ulcer increases the risk for gastric cancer
Key clinical point: Gastric ulcer (GU) is positively associated with the risk for gastric cancer, whereas duodenal ulcer (DU) shows no association with gastric cancer risk.
Major finding: GU was associated with an increased risk for gastric cancer (odds ratio [OR] 3.04; 95% CI 2.07-4.49). No association between DU and gastric cancer risk was observed (OR 1.03; 95% CI 0.77-1.39).
Study details: This pooled analysis of 11 case-control studies in the Stomach Cancer Pooling Consortium investigated the association between peptic ulcer disease and gastric cancer among 4106 patients with gastric cancer and 6922 control individuals.
Disclosures: This study was sponsored by Associazione Italiana per la Ricerca sul Cancro, Italy, and others. The authors declared no conflicts of interest.
Source: Paragomi P et al. The association between peptic ulcer disease and gastric cancer: Results from the Stomach Cancer Pooling (StoP) project consortium. Cancers (Basel). 2022;14(19):4905 (Oct 7). Doi: 10.3390/cancers14194905
Key clinical point: Gastric ulcer (GU) is positively associated with the risk for gastric cancer, whereas duodenal ulcer (DU) shows no association with gastric cancer risk.
Major finding: GU was associated with an increased risk for gastric cancer (odds ratio [OR] 3.04; 95% CI 2.07-4.49). No association between DU and gastric cancer risk was observed (OR 1.03; 95% CI 0.77-1.39).
Study details: This pooled analysis of 11 case-control studies in the Stomach Cancer Pooling Consortium investigated the association between peptic ulcer disease and gastric cancer among 4106 patients with gastric cancer and 6922 control individuals.
Disclosures: This study was sponsored by Associazione Italiana per la Ricerca sul Cancro, Italy, and others. The authors declared no conflicts of interest.
Source: Paragomi P et al. The association between peptic ulcer disease and gastric cancer: Results from the Stomach Cancer Pooling (StoP) project consortium. Cancers (Basel). 2022;14(19):4905 (Oct 7). Doi: 10.3390/cancers14194905
Key clinical point: Gastric ulcer (GU) is positively associated with the risk for gastric cancer, whereas duodenal ulcer (DU) shows no association with gastric cancer risk.
Major finding: GU was associated with an increased risk for gastric cancer (odds ratio [OR] 3.04; 95% CI 2.07-4.49). No association between DU and gastric cancer risk was observed (OR 1.03; 95% CI 0.77-1.39).
Study details: This pooled analysis of 11 case-control studies in the Stomach Cancer Pooling Consortium investigated the association between peptic ulcer disease and gastric cancer among 4106 patients with gastric cancer and 6922 control individuals.
Disclosures: This study was sponsored by Associazione Italiana per la Ricerca sul Cancro, Italy, and others. The authors declared no conflicts of interest.
Source: Paragomi P et al. The association between peptic ulcer disease and gastric cancer: Results from the Stomach Cancer Pooling (StoP) project consortium. Cancers (Basel). 2022;14(19):4905 (Oct 7). Doi: 10.3390/cancers14194905
Bemarituzumab shows promising efficacy in patients with FGFR2b-selected gastric cancer
Key clinical point: Bemarituzumab is safe and may lead to clinically meaningful improvements in progression-free survival (PFS) in patients with fibroblast growth factor receptor 2b (FGFR2b)-selected advanced gastric or gastro-esophageal junction adenocarcinoma compared with placebo.
Major finding: After a 10.9-month median follow-up, the bemarituzumab and placebo groups had a median PFS of 9.5 (95% CI 7.3-12.9) and 7.4 (95% CI 5.8-8.4) months, respectively (hazard ratio 0.68; P = .073), and serious treatment-emergent adverse event rates of 32% and 36%, respectively.
Study details: Findings are from a multicenter phase 2 study, FIGHT, that included 155 adult patients with HER2 non-positive, FGFR2b-selected advanced gastric (n = 137) or gastro-esophageal junction (n = 18) adenocarcinoma who were randomized (1:1) to bemarituzumab (n = 77) or placebo (n = 78) plus modified 5-fluorouracil, leucovorin, and oxaliplatin.
Disclosures: Five Prime Therapeutics funded this study. Some authors declared receiving consulting, advisory, speaking fees, research funding, honoraria, or travel, accommodation and expenses from various sources, including Five Prime. Three authors reported employment and stock or other ownership interests in Five Prime.
Source: Wainberg ZA et al. Bemarituzumab in patients with FGFR2b-selected gastric or gastro-oesophageal junction adenocarcinoma (FIGHT): A randomised, double-blind, placebo-controlled, phase 2 study. Lancet Oncol. 2022;23(11):1430-1440 (Oct 13). Doi: 10.1016/S1470-2045(22)00603-9
Key clinical point: Bemarituzumab is safe and may lead to clinically meaningful improvements in progression-free survival (PFS) in patients with fibroblast growth factor receptor 2b (FGFR2b)-selected advanced gastric or gastro-esophageal junction adenocarcinoma compared with placebo.
Major finding: After a 10.9-month median follow-up, the bemarituzumab and placebo groups had a median PFS of 9.5 (95% CI 7.3-12.9) and 7.4 (95% CI 5.8-8.4) months, respectively (hazard ratio 0.68; P = .073), and serious treatment-emergent adverse event rates of 32% and 36%, respectively.
Study details: Findings are from a multicenter phase 2 study, FIGHT, that included 155 adult patients with HER2 non-positive, FGFR2b-selected advanced gastric (n = 137) or gastro-esophageal junction (n = 18) adenocarcinoma who were randomized (1:1) to bemarituzumab (n = 77) or placebo (n = 78) plus modified 5-fluorouracil, leucovorin, and oxaliplatin.
Disclosures: Five Prime Therapeutics funded this study. Some authors declared receiving consulting, advisory, speaking fees, research funding, honoraria, or travel, accommodation and expenses from various sources, including Five Prime. Three authors reported employment and stock or other ownership interests in Five Prime.
Source: Wainberg ZA et al. Bemarituzumab in patients with FGFR2b-selected gastric or gastro-oesophageal junction adenocarcinoma (FIGHT): A randomised, double-blind, placebo-controlled, phase 2 study. Lancet Oncol. 2022;23(11):1430-1440 (Oct 13). Doi: 10.1016/S1470-2045(22)00603-9
Key clinical point: Bemarituzumab is safe and may lead to clinically meaningful improvements in progression-free survival (PFS) in patients with fibroblast growth factor receptor 2b (FGFR2b)-selected advanced gastric or gastro-esophageal junction adenocarcinoma compared with placebo.
Major finding: After a 10.9-month median follow-up, the bemarituzumab and placebo groups had a median PFS of 9.5 (95% CI 7.3-12.9) and 7.4 (95% CI 5.8-8.4) months, respectively (hazard ratio 0.68; P = .073), and serious treatment-emergent adverse event rates of 32% and 36%, respectively.
Study details: Findings are from a multicenter phase 2 study, FIGHT, that included 155 adult patients with HER2 non-positive, FGFR2b-selected advanced gastric (n = 137) or gastro-esophageal junction (n = 18) adenocarcinoma who were randomized (1:1) to bemarituzumab (n = 77) or placebo (n = 78) plus modified 5-fluorouracil, leucovorin, and oxaliplatin.
Disclosures: Five Prime Therapeutics funded this study. Some authors declared receiving consulting, advisory, speaking fees, research funding, honoraria, or travel, accommodation and expenses from various sources, including Five Prime. Three authors reported employment and stock or other ownership interests in Five Prime.
Source: Wainberg ZA et al. Bemarituzumab in patients with FGFR2b-selected gastric or gastro-oesophageal junction adenocarcinoma (FIGHT): A randomised, double-blind, placebo-controlled, phase 2 study. Lancet Oncol. 2022;23(11):1430-1440 (Oct 13). Doi: 10.1016/S1470-2045(22)00603-9