Evidence map›Paper›PMID 19728180›Full record

ArticleJournal of gastrointestinal cancer2009

Cumulative morbidity and late mortality in long-term survivors of exocrine pancreas cancer.

Nisha L Jacobs, Florencia G Que, Robert C Miller, Santhi Swaroop Vege, Michael B Farnell, Aminah Jatoi

Abstract read
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In one paragraph

Article in Journal of gastrointestinal cancer, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nisha L JacobsDepartment of Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Florencia G Que
Robert C Miller
Santhi Swaroop Vege
Michael B Farnell
Aminah Jatoi

Funding

Mentoring and Research in Cancer Palliative CareK24CA131099 · NCI · MAYO CLINIC ROCHESTER · PI JATOI, AMINAH · 2008 to 2012
$873k
NCI NIH HHS K24CA131099
6 · The paper itself

Abstract

backgroundLess than 5% of patients diagnosed with exocrine pancreas cancer live to be long-term survivors (5+ years after diagnosis). As a result, few studies have focused on these patients' cumulative, cancer-related morbidity and late mortality. This descriptive study was undertaken to explore such issues.

methodsOne thousand eight hundred thirty consecutive patients who had exocrine pancreas cancer had been seen at the Mayo Clinic between 1995 and 2001 and who had well-documented evidence of having lived for 5+ years were the focus of this study.

resultsOnly 85 patients (4.6%) met all the above criteria. These patients had a median age of 65 years with a slight female predominance (53%). Eighty-one (95%) were treated with surgery, 42 (49%) with chemotherapy, and 41 (48%) with radiation. Cumulative morbidity included one or more subsequent surgeries in 17 patients (20%), one or more major infections in 14 (16%), diabetes in 39 (45%), depression in 16 (19%), and a second malignancy in 17 (20%). Twenty-nine patients were deceased at the time of this report; 15 (18%) died from recurrent pancreas cancer more than 5 years after their original diagnosis.

conclusionLong-term survivors of exocrine pancreas cancer confront notable rates of cumulative morbidity, which include subsequent major surgeries, major infections, diabetes, depression, and second malignancies, as well as late deaths from pancreas cancer itself.

Indexed as

AgedAntineoplastic AgentsCombined Modality TherapyDigestive System Surgical ProceduresFemaleHumansKaplan-Meier EstimateMiddle AgedMorbidityPancreatic NeoplasmsRadiotherapySurvivorsAntineoplastic Agents

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.