Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

2,293 questions · 2,395 findings · 172 reviews · Gut

No studies found 420 · 17.5%GRADE not reported 60 · 2.5%Very low 821 · 34.3%Low 602 · 25.1%Moderate 397 · 16.6%High 95 · 4%

Intervention not reported

the rate of complete remission and partly remission · patients with induction of remission in advanced or late gastric cancer

It is very uncertain whether the intervention changes the rate of complete remission and partly remission (very low certainty).

1 finding from 1 review

Intervention not reported

the toxic and side effects in digestive system after chemotherapy · patients with induction of remission in advanced or late gastric cancer

It is very uncertain whether the intervention changes the toxic and side effects in digestive system after chemotherapy (very low certainty).

1 finding from 1 review

Intervention not reported

the toxic and side effects of leukopenia after chemotherapy · patients with induction of remission in advanced or late gastric cancer

It is very uncertain whether the intervention changes the toxic and side effects of leukopenia after chemotherapy (very low certainty).

1 finding from 1 review

Intervention not reported

the rate of complete remission and partly remission (Copy) · patients with induction of remission in advanced or late gastric cancer

It is very uncertain whether the intervention changes the rate of complete remission and partly remission (Copy) (very low certainty).

1 finding from 1 review

Intervention not reported

the toxic and side effects of leukopenia after chemotherapy(no special data in trial of Zhang 2006) · patients with induction of remission in advanced or late gastric cancer

It is very uncertain whether the intervention changes the toxic and side effects of leukopenia after chemotherapy(no… (very low certainty).

1 finding from 1 review

Intervention not reported

the rate of complete remission and partly remission(no special data in trial of Zhang 2009) · patients with induction of remission in advanced or late gastric cancer

It is very uncertain whether the intervention changes the rate of complete remission and partly remission(no special data… (very low certainty).

1 finding from 1 review

Intervention not reported

the toxic and side effects in digestive system after chemotherapy · patients with induction of remission in advanced or late gastric cancer

It is very uncertain whether the intervention changes the toxic and side effects in digestive system after chemotherapy (very low certainty).

1 finding from 1 review

Intervention not reported

the toxic and side effects of leukopenia after chemotherapy(no special data in trial of Jia 2003, Zhang 2009) · patients with induction of remission in advanced or late gastric cancer

It is very uncertain whether the intervention changes the toxic and side effects of leukopenia after chemotherapy(no… (very low certainty).

1 finding from 1 review

Intervention not reported

the rate of complete remission and partly remission(no special data in trial of Fu 2011) · patients with induction of remission in advanced or late gastric cancer

It is very uncertain whether the intervention changes the rate of complete remission and partly remission(no special data… (very low certainty).

1 finding from 1 review

Intervention not reported

the toxic and side effects in digestive system after chemotherapy(no special data in trial of Fu 2011, Liu 2009a, Zhang 2010) · patients with induction of remission in advanced or late gastric cancer

It is very uncertain whether the intervention changes the toxic and side effects in digestive system after chemotherapy(no… (very low certainty).

1 finding from 1 review

Intervention not reported

the toxic and side effects of leukopenia after chemotherapy · patients with induction of remission in advanced or late gastric cancer

It is very uncertain whether the intervention changes the toxic and side effects of leukopenia after chemotherapy (very low certainty).

1 finding from 1 review

Perioperative chemotherapy vs primary surgery

Overall survival among all patients · resectable adenocarcinoma of the stomach, gastroesophageal junction, and lower esophagus

Perioperative chemotherapy leads to lower overall survival among all patients compared with primary surgery (high certainty).

1 finding from 1 review

Perioperative chemotherapy vs primary surgery

Presence of tumor‐free resection margin · resectable adenocarcinoma of the stomach, gastroesophageal junction, and lower esophagus

Perioperative chemotherapy showed no clear difference in presence of tumor‐free resection margin compared with primary surgery (moderate certainty).

1 finding from 1 review

Perioperative chemotherapy vs primary surgery

Tumor stage at resection (T0 to T2 vs T3 to T4) · resectable adenocarcinoma of the stomach, gastroesophageal junction, and lower esophagus

Perioperative chemotherapy probably leads to higher tumor stage at resection (T0 to T2 vs T3 to T4) compared with primary surgery (moderate certainty).

1 finding from 1 review