Prognostic markers in oesophageal and gastric cancer review. Are they ready for clinical practice?

V. Kunene , M. Ding , M. Yap , E.A. Griffiths , P. Taniere , D. Fackrell , S. Butler , G. Contino
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Abstract

Oesophageal and gastric cancer outcomes remain poor despite the introduction of new treatments in the past decade. Most patients subjected to chemotherapy or surgery do not, in the long term, benefit from treatment but suffer side-effects. Although next-generation sequencing has accelerated the identification of various genomic aberrations, most have yet to be applied to routine clinical practice. Here, we review published data from systemic reviews and meta-analyses from the past 8 years reporting prognostic markers and why these have not gained traction in clinical practice and how we can improve on this.
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食道癌和胃癌预后标志物回顾。它们准备好用于临床实践了吗?
尽管在过去十年中引入了新的治疗方法,但食道癌和胃癌的治疗效果仍然不佳。大多数接受化疗或手术的患者从长远来看并不能从治疗中获益,反而会产生副作用。虽然新一代测序技术加快了各种基因组畸变的鉴定,但大多数畸变尚未应用于常规临床实践。在此,我们回顾了过去 8 年中系统综述和荟萃分析中报告预后标志物的已发表数据,以及这些标志物未能在临床实践中得到应用的原因,以及我们该如何改进。
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