Worldwide Esophageal Cancer Collaboration: clinical staging data.
Identifieur interne : 001382 ( PubMed/Checkpoint ); précédent : 001381; suivant : 001383Worldwide Esophageal Cancer Collaboration: clinical staging data.
Auteurs : T W Rice [États-Unis] ; C. Apperson-Hansen [États-Unis] ; L M Dipaola [États-Unis] ; M E Semple [États-Unis] ; T E M R. Lerut [Belgique] ; M B Orringer [États-Unis] ; L-Q Chen [République populaire de Chine] ; W L Hofstetter [États-Unis] ; B M Smithers [Australie] ; V W Rusch [États-Unis] ; B P L. Wijnhoven [Pays-Bas] ; K N Chen [République populaire de Chine] ; A R Davies [Royaume-Uni] ; X B D'Journo [France] ; K A Kesler [États-Unis] ; J D Luketich [États-Unis] ; M K Ferguson [États-Unis] ; J V R S Nen [Finlande] ; R. Van Hillegersberg [Pays-Bas] ; W. Fang [République populaire de Chine] ; L. Durand [Argentine] ; W H Allum [Royaume-Uni] ; I. Cecconello [Brésil] ; R J Cerfolio [États-Unis] ; M. Pera [Espagne] ; S M Griffin [Royaume-Uni] ; R. Burger [Afrique du Sud] ; J-F Liu [République populaire de Chine] ; M S Allen [États-Unis] ; S. Law [République populaire de Chine] ; T J Watson [États-Unis] ; G E Darling [Canada] ; W J Scott [États-Unis] ; A. Duranceau [Canada] ; C E Denlinger [États-Unis] ; P H Schipper [États-Unis] ; H. Ishwaran [États-Unis] ; E H Blackstone [États-Unis]Source :
- Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus [ 1442-2050 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Carcinomes (), Carcinomes (anatomopathologie), Carcinomes (mortalité), Collaboration intersectorielle, Femelle, Humains, Mâle, Oesophagectomie (mortalité), Pronostic, Stade de la tumeur (mortalité), Sujet âgé, Tumeurs de l'oesophage (), Tumeurs de l'oesophage (anatomopathologie), Tumeurs de l'oesophage (mortalité), Évaluation des risques ().
- MESH :
- anatomopathologie : Carcinomes, Tumeurs de l'oesophage.
- mortalité : Carcinomes, Oesophagectomie, Stade de la tumeur, Tumeurs de l'oesophage.
- Adulte, Adulte d'âge moyen, Carcinomes, Collaboration intersectorielle, Femelle, Humains, Mâle, Pronostic, Sujet âgé, Tumeurs de l'oesophage, Évaluation des risques.
English descriptors
- KwdEn :
- Adult, Aged, Carcinoma (mortality), Carcinoma (pathology), Carcinoma (surgery), Esophageal Neoplasms (mortality), Esophageal Neoplasms (pathology), Esophageal Neoplasms (surgery), Esophagectomy (mortality), Female, Humans, Intersectoral Collaboration, Male, Middle Aged, Neoplasm Staging (mortality), Prognosis, Risk Assessment (methods).
- MESH :
- methods : Risk Assessment.
- mortality : Carcinoma, Esophageal Neoplasms, Esophagectomy, Neoplasm Staging.
- pathology : Carcinoma, Esophageal Neoplasms.
- surgery : Carcinoma, Esophageal Neoplasms.
- Adult, Aged, Female, Humans, Intersectoral Collaboration, Male, Middle Aged, Prognosis.
Abstract
To address uncertainty of whether clinical stage groupings (cTNM) for esophageal cancer share prognostic implications with pathologic groupings after esophagectomy alone (pTNM), we report data-simple descriptions of patient characteristics, cancer categories, and non-risk-adjusted survival-for clinically staged patients from the Worldwide Esophageal Cancer Collaboration (WECC). Thirty-three institutions from six continents submitted data using variables with standard definitions: demographics, comorbidities, clinical cancer categories, and all-cause mortality from first management decision. Of 22,123 clinically staged patients, 8,156 had squamous cell carcinoma, 13,814 adenocarcinoma, 116 adenosquamous carcinoma, and 37 undifferentiated carcinoma. Patients were older (62 years) men (80%) with normal body mass index (18.5-25 mg/kg(2) , 47%), little weight loss (2.4 ± 7.8 kg), 0-1 ECOG performance status (67%), and history of smoking (67%). Cancers were cT1 (12%), cT2 (22%), cT3 (56%), cN0 (44%), cM0 (95%), and cG2-G3 (89%); most involved the distal esophagus (73%). Non-risk-adjusted survival for squamous cell carcinoma was not distinctive for early cT or cN; for adenocarcinoma, it was distinctive for early versus advanced cT and for cN0 versus cN+. Patients with early cancers had worse survival and those with advanced cancers better survival than expected from equivalent pathologic categories based on prior WECC pathologic data. Thus, clinical and pathologic categories do not share prognostic implications. This makes clinically based treatment decisions difficult and pre-treatment prognostication inaccurate. These data will be the basis for the 8th edition cancer staging manuals following risk adjustment for patient characteristics, cancer categories, and treatment characteristics and should direct 9th edition data collection.
DOI: 10.1111/dote.12493
PubMed: 27731549
Affiliations:
- Afrique du Sud, Argentine, Australie, Belgique, Brésil, Canada, Espagne, Finlande, France, Pays-Bas, Royaume-Uni, République populaire de Chine, États-Unis
- Alabama, Angleterre, Caroline du Sud, Catalogne, Floride, Grand Londres, Hollande-Méridionale, Illinois, Indiana, Michigan, Minnesota, Ohio, Oregon, Pennsylvanie, Provence-Alpes-Côte d'Azur, Texas, Utrecht (province), État de New York, État de São Paulo
- Barcelone, Londres, Marseille, Pékin, Rotterdam, São Paulo, Utrecht
- Université de São Paulo
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pubmed:27731549Le document en format XML
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<author><name sortKey="Pera, M" sort="Pera, M" uniqKey="Pera M" first="M" last="Pera">M. Pera</name>
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<author><name sortKey="Burger, R" sort="Burger, R" uniqKey="Burger R" first="R" last="Burger">R. Burger</name>
<affiliation wicri:level="1"><nlm:affiliation>Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.</nlm:affiliation>
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<author><name sortKey="Liu, J F" sort="Liu, J F" uniqKey="Liu J" first="J-F" last="Liu">J-F Liu</name>
<affiliation wicri:level="1"><nlm:affiliation>Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.</nlm:affiliation>
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<author><name sortKey="Allen, M S" sort="Allen, M S" uniqKey="Allen M" first="M S" last="Allen">M S Allen</name>
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<author><name sortKey="Law, S" sort="Law, S" uniqKey="Law S" first="S" last="Law">S. Law</name>
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<author><name sortKey="Watson, T J" sort="Watson, T J" uniqKey="Watson T" first="T J" last="Watson">T J Watson</name>
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<author><name sortKey="Darling, G E" sort="Darling, G E" uniqKey="Darling G" first="G E" last="Darling">G E Darling</name>
<affiliation wicri:level="1"><nlm:affiliation>Toronto General Hospital, Toronto, Ontario, Canada.</nlm:affiliation>
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<wicri:noRegion>Ontario</wicri:noRegion>
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<author><name sortKey="Scott, W J" sort="Scott, W J" uniqKey="Scott W" first="W J" last="Scott">W J Scott</name>
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<placeName><region type="state">Pennsylvanie</region>
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<author><name sortKey="Duranceau, A" sort="Duranceau, A" uniqKey="Duranceau A" first="A" last="Duranceau">A. Duranceau</name>
<affiliation wicri:level="1"><nlm:affiliation>University of Montreal, Montreal, Quebec, Canada.</nlm:affiliation>
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<wicri:noRegion>Quebec</wicri:noRegion>
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<author><name sortKey="Denlinger, C E" sort="Denlinger, C E" uniqKey="Denlinger C" first="C E" last="Denlinger">C E Denlinger</name>
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<author><name sortKey="Schipper, P H" sort="Schipper, P H" uniqKey="Schipper P" first="P H" last="Schipper">P H Schipper</name>
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<author><name sortKey="Ishwaran, H" sort="Ishwaran, H" uniqKey="Ishwaran H" first="H" last="Ishwaran">H. Ishwaran</name>
<affiliation wicri:level="2"><nlm:affiliation>University of Miami, Miami, Florida, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Miami, Miami, Florida</wicri:regionArea>
<placeName><region type="state">Floride</region>
</placeName>
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<author><name sortKey="Blackstone, E H" sort="Blackstone, E H" uniqKey="Blackstone E" first="E H" last="Blackstone">E H Blackstone</name>
<affiliation wicri:level="2"><nlm:affiliation>Cleveland Clinic, Cleveland, Ohio, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Cleveland Clinic, Cleveland, Ohio</wicri:regionArea>
<placeName><region type="state">Ohio</region>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Worldwide Esophageal Cancer Collaboration: clinical staging data.</title>
<author><name sortKey="Rice, T W" sort="Rice, T W" uniqKey="Rice T" first="T W" last="Rice">T W Rice</name>
<affiliation wicri:level="2"><nlm:affiliation>Cleveland Clinic, Cleveland, Ohio, USA. ricet@ccf.org.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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</author>
<author><name sortKey="Apperson Hansen, C" sort="Apperson Hansen, C" uniqKey="Apperson Hansen C" first="C" last="Apperson-Hansen">C. Apperson-Hansen</name>
<affiliation wicri:level="2"><nlm:affiliation>Case Western Reserve University, Cleveland, Ohio, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Case Western Reserve University, Cleveland, Ohio</wicri:regionArea>
<placeName><region type="state">Ohio</region>
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</author>
<author><name sortKey="Dipaola, L M" sort="Dipaola, L M" uniqKey="Dipaola L" first="L M" last="Dipaola">L M Dipaola</name>
<affiliation wicri:level="2"><nlm:affiliation>Cleveland Clinic, Cleveland, Ohio, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Semple, M E" sort="Semple, M E" uniqKey="Semple M" first="M E" last="Semple">M E Semple</name>
<affiliation wicri:level="2"><nlm:affiliation>Cleveland Clinic, Cleveland, Ohio, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Cleveland Clinic, Cleveland, Ohio</wicri:regionArea>
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</affiliation>
</author>
<author><name sortKey="Lerut, T E M R" sort="Lerut, T E M R" uniqKey="Lerut T" first="T E M R" last="Lerut">T E M R. Lerut</name>
<affiliation wicri:level="1"><nlm:affiliation>University Ziekenhuizen Leuven, Leuven, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>University Ziekenhuizen Leuven, Leuven</wicri:regionArea>
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</author>
<author><name sortKey="Orringer, M B" sort="Orringer, M B" uniqKey="Orringer M" first="M B" last="Orringer">M B Orringer</name>
<affiliation wicri:level="2"><nlm:affiliation>University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Michigan, Ann Arbor, Michigan</wicri:regionArea>
<placeName><region type="state">Michigan</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Chen, L Q" sort="Chen, L Q" uniqKey="Chen L" first="L-Q" last="Chen">L-Q Chen</name>
<affiliation wicri:level="1"><nlm:affiliation>West China Hospital of Sichuan University, Chengdu, Sichuan, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>West China Hospital of Sichuan University, Chengdu, Sichuan</wicri:regionArea>
<wicri:noRegion>Sichuan</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hofstetter, W L" sort="Hofstetter, W L" uniqKey="Hofstetter W" first="W L" last="Hofstetter">W L Hofstetter</name>
<affiliation wicri:level="2"><nlm:affiliation>University of Texas MD Anderson Hospital, Houston, Texas, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Texas MD Anderson Hospital, Houston, Texas</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Smithers, B M" sort="Smithers, B M" uniqKey="Smithers B" first="B M" last="Smithers">B M Smithers</name>
<affiliation wicri:level="1"><nlm:affiliation>University of Queensland, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>University of Queensland, Princess Alexandra Hospital, Brisbane, Queensland</wicri:regionArea>
<wicri:noRegion>Queensland</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Rusch, V W" sort="Rusch, V W" uniqKey="Rusch V" first="V W" last="Rusch">V W Rusch</name>
<affiliation wicri:level="2"><nlm:affiliation>Memorial Sloan-Kettering Cancer Center, New York, New York, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Memorial Sloan-Kettering Cancer Center, New York, New York</wicri:regionArea>
<placeName><region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Wijnhoven, B P L" sort="Wijnhoven, B P L" uniqKey="Wijnhoven B" first="B P L" last="Wijnhoven">B P L. Wijnhoven</name>
<affiliation wicri:level="3"><nlm:affiliation>Erasmus Medical Center, Rotterdam, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Erasmus Medical Center, Rotterdam</wicri:regionArea>
<placeName><settlement type="city">Rotterdam</settlement>
<region nuts="2" type="province">Hollande-Méridionale</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Chen, K N" sort="Chen, K N" uniqKey="Chen K" first="K N" last="Chen">K N Chen</name>
<affiliation wicri:level="3"><nlm:affiliation>Beijing Cancer Hospital, Beijing, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Beijing Cancer Hospital, Beijing</wicri:regionArea>
<placeName><settlement type="city">Pékin</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Davies, A R" sort="Davies, A R" uniqKey="Davies A" first="A R" last="Davies">A R Davies</name>
<affiliation wicri:level="3"><nlm:affiliation>Guy's & St Thomas' Hospitals, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Guy's & St Thomas' Hospitals, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
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</affiliation>
</author>
<author><name sortKey="D Journo, X B" sort="D Journo, X B" uniqKey="D Journo X" first="X B" last="D'Journo">X B D'Journo</name>
<affiliation wicri:level="3"><nlm:affiliation>Hôpital Nord, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Hôpital Nord, Marseille</wicri:regionArea>
<placeName><region type="region">Provence-Alpes-Côte d'Azur</region>
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<settlement type="city">Marseille</settlement>
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</affiliation>
</author>
<author><name sortKey="Kesler, K A" sort="Kesler, K A" uniqKey="Kesler K" first="K A" last="Kesler">K A Kesler</name>
<affiliation wicri:level="2"><nlm:affiliation>Indiana University Medical Center, Indianapolis, Indiana, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Indiana University Medical Center, Indianapolis, Indiana</wicri:regionArea>
<placeName><region type="state">Indiana</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Luketich, J D" sort="Luketich, J D" uniqKey="Luketich J" first="J D" last="Luketich">J D Luketich</name>
<affiliation wicri:level="2"><nlm:affiliation>University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ferguson, M K" sort="Ferguson, M K" uniqKey="Ferguson M" first="M K" last="Ferguson">M K Ferguson</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, The University of Chicago, Chicago, Illinois, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgery, The University of Chicago, Chicago, Illinois</wicri:regionArea>
<placeName><region type="state">Illinois</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="R S Nen, J V" sort="R S Nen, J V" uniqKey="R S Nen J" first="J V" last="R S Nen">J V R S Nen</name>
<affiliation wicri:level="1"><nlm:affiliation>Helsinki University Hospital, Helsinki, Finland.</nlm:affiliation>
<country xml:lang="fr">Finlande</country>
<wicri:regionArea>Helsinki University Hospital, Helsinki</wicri:regionArea>
<wicri:noRegion>Helsinki</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Van Hillegersberg, R" sort="Van Hillegersberg, R" uniqKey="Van Hillegersberg R" first="R" last="Van Hillegersberg">R. Van Hillegersberg</name>
<affiliation wicri:level="3"><nlm:affiliation>University Medical Center Utrecht, Utrecht, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>University Medical Center Utrecht, Utrecht</wicri:regionArea>
<placeName><settlement type="city">Utrecht</settlement>
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</placeName>
</affiliation>
</author>
<author><name sortKey="Fang, W" sort="Fang, W" uniqKey="Fang W" first="W" last="Fang">W. Fang</name>
<affiliation wicri:level="1"><nlm:affiliation>Shanghai Chest Hospital, Shanghai, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Shanghai Chest Hospital, Shanghai</wicri:regionArea>
<wicri:noRegion>Shanghai</wicri:noRegion>
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</author>
<author><name sortKey="Durand, L" sort="Durand, L" uniqKey="Durand L" first="L" last="Durand">L. Durand</name>
<affiliation wicri:level="1"><nlm:affiliation>Hospital de Clinicas, University of Buenos Aires, Buenos Aires, Argentina.</nlm:affiliation>
<country xml:lang="fr">Argentine</country>
<wicri:regionArea>Hospital de Clinicas, University of Buenos Aires, Buenos Aires</wicri:regionArea>
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<author><name sortKey="Allum, W H" sort="Allum, W H" uniqKey="Allum W" first="W H" last="Allum">W H Allum</name>
<affiliation wicri:level="3"><nlm:affiliation>Royal Marsden NHS Foundation Trust, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Royal Marsden NHS Foundation Trust, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
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</affiliation>
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<author><name sortKey="Cecconello, I" sort="Cecconello, I" uniqKey="Cecconello I" first="I" last="Cecconello">I. Cecconello</name>
<affiliation wicri:level="4"><nlm:affiliation>University of São Paulo, São Paulo, Brazil.</nlm:affiliation>
<country xml:lang="fr">Brésil</country>
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<settlement type="city">São Paulo</settlement>
</placeName>
<orgName type="university">Université de São Paulo</orgName>
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<author><name sortKey="Cerfolio, R J" sort="Cerfolio, R J" uniqKey="Cerfolio R" first="R J" last="Cerfolio">R J Cerfolio</name>
<affiliation wicri:level="2"><nlm:affiliation>University of Alabama at Birmingham, Birmingham, Alabama, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Alabama at Birmingham, Birmingham, Alabama</wicri:regionArea>
<placeName><region type="state">Alabama</region>
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<author><name sortKey="Pera, M" sort="Pera, M" uniqKey="Pera M" first="M" last="Pera">M. Pera</name>
<affiliation wicri:level="3"><nlm:affiliation>Hospital Universitario del Mar, Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Hospital Universitario del Mar, Barcelona</wicri:regionArea>
<placeName><settlement type="city">Barcelone</settlement>
<region nuts="2" type="region">Catalogne</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Griffin, S M" sort="Griffin, S M" uniqKey="Griffin S" first="S M" last="Griffin">S M Griffin</name>
<affiliation wicri:level="1"><nlm:affiliation>University of Newcastle upon Tyne, Newcastle, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>University of Newcastle upon Tyne, Newcastle</wicri:regionArea>
<wicri:noRegion>Newcastle</wicri:noRegion>
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</author>
<author><name sortKey="Burger, R" sort="Burger, R" uniqKey="Burger R" first="R" last="Burger">R. Burger</name>
<affiliation wicri:level="1"><nlm:affiliation>Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.</nlm:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Groote Schuur Hospital, University of Cape Town, Cape Town</wicri:regionArea>
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</author>
<author><name sortKey="Liu, J F" sort="Liu, J F" uniqKey="Liu J" first="J-F" last="Liu">J-F Liu</name>
<affiliation wicri:level="1"><nlm:affiliation>Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei</wicri:regionArea>
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</author>
<author><name sortKey="Allen, M S" sort="Allen, M S" uniqKey="Allen M" first="M S" last="Allen">M S Allen</name>
<affiliation wicri:level="2"><nlm:affiliation>Mayo Clinic, Rochester, Minnesota, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Mayo Clinic, Rochester, Minnesota</wicri:regionArea>
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</placeName>
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<author><name sortKey="Law, S" sort="Law, S" uniqKey="Law S" first="S" last="Law">S. Law</name>
<affiliation wicri:level="1"><nlm:affiliation>University of Hong Kong Medical Center, Queen Mary Hospital, Hong Kong, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>University of Hong Kong Medical Center, Queen Mary Hospital, Hong Kong</wicri:regionArea>
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</author>
<author><name sortKey="Watson, T J" sort="Watson, T J" uniqKey="Watson T" first="T J" last="Watson">T J Watson</name>
<affiliation wicri:level="2"><nlm:affiliation>University of Rochester, Rochester, New York, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Rochester, Rochester, New York</wicri:regionArea>
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<author><name sortKey="Darling, G E" sort="Darling, G E" uniqKey="Darling G" first="G E" last="Darling">G E Darling</name>
<affiliation wicri:level="1"><nlm:affiliation>Toronto General Hospital, Toronto, Ontario, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Toronto General Hospital, Toronto, Ontario</wicri:regionArea>
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<author><name sortKey="Scott, W J" sort="Scott, W J" uniqKey="Scott W" first="W J" last="Scott">W J Scott</name>
<affiliation wicri:level="2"><nlm:affiliation>Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Duranceau, A" sort="Duranceau, A" uniqKey="Duranceau A" first="A" last="Duranceau">A. Duranceau</name>
<affiliation wicri:level="1"><nlm:affiliation>University of Montreal, Montreal, Quebec, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
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<author><name sortKey="Denlinger, C E" sort="Denlinger, C E" uniqKey="Denlinger C" first="C E" last="Denlinger">C E Denlinger</name>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Schipper, P H" sort="Schipper, P H" uniqKey="Schipper P" first="P H" last="Schipper">P H Schipper</name>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Ishwaran, H" sort="Ishwaran, H" uniqKey="Ishwaran H" first="H" last="Ishwaran">H. Ishwaran</name>
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<author><name sortKey="Blackstone, E H" sort="Blackstone, E H" uniqKey="Blackstone E" first="E H" last="Blackstone">E H Blackstone</name>
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<series><title level="j">Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus</title>
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<front><div type="abstract" xml:lang="en">To address uncertainty of whether clinical stage groupings (cTNM) for esophageal cancer share prognostic implications with pathologic groupings after esophagectomy alone (pTNM), we report data-simple descriptions of patient characteristics, cancer categories, and non-risk-adjusted survival-for clinically staged patients from the Worldwide Esophageal Cancer Collaboration (WECC). Thirty-three institutions from six continents submitted data using variables with standard definitions: demographics, comorbidities, clinical cancer categories, and all-cause mortality from first management decision. Of 22,123 clinically staged patients, 8,156 had squamous cell carcinoma, 13,814 adenocarcinoma, 116 adenosquamous carcinoma, and 37 undifferentiated carcinoma. Patients were older (62 years) men (80%) with normal body mass index (18.5-25 mg/kg(2) , 47%), little weight loss (2.4 ± 7.8 kg), 0-1 ECOG performance status (67%), and history of smoking (67%). Cancers were cT1 (12%), cT2 (22%), cT3 (56%), cN0 (44%), cM0 (95%), and cG2-G3 (89%); most involved the distal esophagus (73%). Non-risk-adjusted survival for squamous cell carcinoma was not distinctive for early cT or cN; for adenocarcinoma, it was distinctive for early versus advanced cT and for cN0 versus cN+. Patients with early cancers had worse survival and those with advanced cancers better survival than expected from equivalent pathologic categories based on prior WECC pathologic data. Thus, clinical and pathologic categories do not share prognostic implications. This makes clinically based treatment decisions difficult and pre-treatment prognostication inaccurate. These data will be the basis for the 8th edition cancer staging manuals following risk adjustment for patient characteristics, cancer categories, and treatment characteristics and should direct 9th edition data collection.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27731549</PMID>
<DateCreated><Year>2016</Year>
<Month>10</Month>
<Day>12</Day>
</DateCreated>
<DateCompleted><Year>2017</Year>
<Month>02</Month>
<Day>01</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>09</Month>
<Day>10</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1442-2050</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>29</Volume>
<Issue>7</Issue>
<PubDate><Year>2016</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus</Title>
<ISOAbbreviation>Dis. Esophagus</ISOAbbreviation>
</Journal>
<ArticleTitle>Worldwide Esophageal Cancer Collaboration: clinical staging data.</ArticleTitle>
<Pagination><MedlinePgn>707-714</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/dote.12493</ELocationID>
<Abstract><AbstractText>To address uncertainty of whether clinical stage groupings (cTNM) for esophageal cancer share prognostic implications with pathologic groupings after esophagectomy alone (pTNM), we report data-simple descriptions of patient characteristics, cancer categories, and non-risk-adjusted survival-for clinically staged patients from the Worldwide Esophageal Cancer Collaboration (WECC). Thirty-three institutions from six continents submitted data using variables with standard definitions: demographics, comorbidities, clinical cancer categories, and all-cause mortality from first management decision. Of 22,123 clinically staged patients, 8,156 had squamous cell carcinoma, 13,814 adenocarcinoma, 116 adenosquamous carcinoma, and 37 undifferentiated carcinoma. Patients were older (62 years) men (80%) with normal body mass index (18.5-25 mg/kg(2) , 47%), little weight loss (2.4 ± 7.8 kg), 0-1 ECOG performance status (67%), and history of smoking (67%). Cancers were cT1 (12%), cT2 (22%), cT3 (56%), cN0 (44%), cM0 (95%), and cG2-G3 (89%); most involved the distal esophagus (73%). Non-risk-adjusted survival for squamous cell carcinoma was not distinctive for early cT or cN; for adenocarcinoma, it was distinctive for early versus advanced cT and for cN0 versus cN+. Patients with early cancers had worse survival and those with advanced cancers better survival than expected from equivalent pathologic categories based on prior WECC pathologic data. Thus, clinical and pathologic categories do not share prognostic implications. This makes clinically based treatment decisions difficult and pre-treatment prognostication inaccurate. These data will be the basis for the 8th edition cancer staging manuals following risk adjustment for patient characteristics, cancer categories, and treatment characteristics and should direct 9th edition data collection.</AbstractText>
<CopyrightInformation>© 2016 International Society for Diseases of the Esophagus.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rice</LastName>
<ForeName>T W</ForeName>
<Initials>TW</Initials>
<AffiliationInfo><Affiliation>Cleveland Clinic, Cleveland, Ohio, USA. ricet@ccf.org.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Apperson-Hansen</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Case Western Reserve University, Cleveland, Ohio, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>DiPaola</LastName>
<ForeName>L M</ForeName>
<Initials>LM</Initials>
<AffiliationInfo><Affiliation>Cleveland Clinic, Cleveland, Ohio, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Semple</LastName>
<ForeName>M E</ForeName>
<Initials>ME</Initials>
<AffiliationInfo><Affiliation>Cleveland Clinic, Cleveland, Ohio, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lerut</LastName>
<ForeName>T E M R</ForeName>
<Initials>TE</Initials>
<AffiliationInfo><Affiliation>University Ziekenhuizen Leuven, Leuven, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Orringer</LastName>
<ForeName>M B</ForeName>
<Initials>MB</Initials>
<AffiliationInfo><Affiliation>University of Michigan, Ann Arbor, Michigan, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chen</LastName>
<ForeName>L-Q</ForeName>
<Initials>LQ</Initials>
<AffiliationInfo><Affiliation>West China Hospital of Sichuan University, Chengdu, Sichuan, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hofstetter</LastName>
<ForeName>W L</ForeName>
<Initials>WL</Initials>
<AffiliationInfo><Affiliation>University of Texas MD Anderson Hospital, Houston, Texas, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Smithers</LastName>
<ForeName>B M</ForeName>
<Initials>BM</Initials>
<AffiliationInfo><Affiliation>University of Queensland, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Rusch</LastName>
<ForeName>V W</ForeName>
<Initials>VW</Initials>
<AffiliationInfo><Affiliation>Memorial Sloan-Kettering Cancer Center, New York, New York, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wijnhoven</LastName>
<ForeName>B P L</ForeName>
<Initials>BP</Initials>
<AffiliationInfo><Affiliation>Erasmus Medical Center, Rotterdam, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chen</LastName>
<ForeName>K N</ForeName>
<Initials>KN</Initials>
<AffiliationInfo><Affiliation>Beijing Cancer Hospital, Beijing, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Davies</LastName>
<ForeName>A R</ForeName>
<Initials>AR</Initials>
<AffiliationInfo><Affiliation>Guy's & St Thomas' Hospitals, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>D'Journo</LastName>
<ForeName>X B</ForeName>
<Initials>XB</Initials>
<AffiliationInfo><Affiliation>Hôpital Nord, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kesler</LastName>
<ForeName>K A</ForeName>
<Initials>KA</Initials>
<AffiliationInfo><Affiliation>Indiana University Medical Center, Indianapolis, Indiana, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Luketich</LastName>
<ForeName>J D</ForeName>
<Initials>JD</Initials>
<AffiliationInfo><Affiliation>University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ferguson</LastName>
<ForeName>M K</ForeName>
<Initials>MK</Initials>
<AffiliationInfo><Affiliation>Department of Surgery, The University of Chicago, Chicago, Illinois, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Räsänen</LastName>
<ForeName>J V</ForeName>
<Initials>JV</Initials>
<AffiliationInfo><Affiliation>Helsinki University Hospital, Helsinki, Finland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>van Hillegersberg</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>University Medical Center Utrecht, Utrecht, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fang</LastName>
<ForeName>W</ForeName>
<Initials>W</Initials>
<AffiliationInfo><Affiliation>Shanghai Chest Hospital, Shanghai, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Durand</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Hospital de Clinicas, University of Buenos Aires, Buenos Aires, Argentina.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Allum</LastName>
<ForeName>W H</ForeName>
<Initials>WH</Initials>
<AffiliationInfo><Affiliation>Royal Marsden NHS Foundation Trust, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cecconello</LastName>
<ForeName>I</ForeName>
<Initials>I</Initials>
<AffiliationInfo><Affiliation>University of São Paulo, São Paulo, Brazil.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cerfolio</LastName>
<ForeName>R J</ForeName>
<Initials>RJ</Initials>
<AffiliationInfo><Affiliation>University of Alabama at Birmingham, Birmingham, Alabama, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pera</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Hospital Universitario del Mar, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Griffin</LastName>
<ForeName>S M</ForeName>
<Initials>SM</Initials>
<AffiliationInfo><Affiliation>University of Newcastle upon Tyne, Newcastle, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Burger</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Liu</LastName>
<ForeName>J-F</ForeName>
<Initials>JF</Initials>
<AffiliationInfo><Affiliation>Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Allen</LastName>
<ForeName>M S</ForeName>
<Initials>MS</Initials>
<AffiliationInfo><Affiliation>Mayo Clinic, Rochester, Minnesota, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Law</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>University of Hong Kong Medical Center, Queen Mary Hospital, Hong Kong, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Watson</LastName>
<ForeName>T J</ForeName>
<Initials>TJ</Initials>
<AffiliationInfo><Affiliation>University of Rochester, Rochester, New York, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Darling</LastName>
<ForeName>G E</ForeName>
<Initials>GE</Initials>
<AffiliationInfo><Affiliation>Toronto General Hospital, Toronto, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Scott</LastName>
<ForeName>W J</ForeName>
<Initials>WJ</Initials>
<AffiliationInfo><Affiliation>Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Duranceau</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>University of Montreal, Montreal, Quebec, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Denlinger</LastName>
<ForeName>C E</ForeName>
<Initials>CE</Initials>
<AffiliationInfo><Affiliation>Medical University of South Carolina, Charleston, South Carolina, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Schipper</LastName>
<ForeName>P H</ForeName>
<Initials>PH</Initials>
<AffiliationInfo><Affiliation>Oregon Health and Science University, Portland, Oregon, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ishwaran</LastName>
<ForeName>H</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>University of Miami, Miami, Florida, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Blackstone</LastName>
<ForeName>E H</ForeName>
<Initials>EH</Initials>
<AffiliationInfo><Affiliation>Cleveland Clinic, Cleveland, Ohio, USA.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<GrantList CompleteYN="Y"><Grant><GrantID>R01 CA163739</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
</Grant>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Dis Esophagus</MedlineTA>
<NlmUniqueID>8809160</NlmUniqueID>
<ISSNLinking>1120-8694</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
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<PMID Version="1">20564099</PMID>
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</CommentsCorrections>
</CommentsCorrectionsList>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002277" MajorTopicYN="N">Carcinoma</DescriptorName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004938" MajorTopicYN="N">Esophageal Neoplasms</DescriptorName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016629" MajorTopicYN="N">Esophagectomy</DescriptorName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000070516" MajorTopicYN="N">Intersectoral Collaboration</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName>
<QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">cancer staging</Keyword>
<Keyword MajorTopicYN="N">data sharing</Keyword>
<Keyword MajorTopicYN="N">decision-making</Keyword>
<Keyword MajorTopicYN="N">prognostication</Keyword>
<Keyword MajorTopicYN="N">survival</Keyword>
</KeywordList>
</MedlineCitation>
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<li>Finlande</li>
<li>France</li>
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<li>Royaume-Uni</li>
<li>République populaire de Chine</li>
<li>États-Unis</li>
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<country name="Afrique du Sud"><noRegion><name sortKey="Burger, R" sort="Burger, R" uniqKey="Burger R" first="R" last="Burger">R. Burger</name>
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<country name="Canada"><noRegion><name sortKey="Darling, G E" sort="Darling, G E" uniqKey="Darling G" first="G E" last="Darling">G E Darling</name>
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<name sortKey="Duranceau, A" sort="Duranceau, A" uniqKey="Duranceau A" first="A" last="Duranceau">A. Duranceau</name>
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