Evidence map›Paper›PMID 20670858›Full record

ArticleJournal of the American College of Surgeons2010

Multidisciplinary management strategy for incidental cystic lesions of the pancreas.

Debashish Bose, Eric Tamm, Jun Liu, Leonardo Marcal, Aparna Balachandran, Priya Bhosale, Jason B Fleming, Jeffrey E Lee, Douglas B Evans, Rosa F Hwang

Abstract readComparative Study
In one paragraph

Article in Journal of the American College of Surgeons, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
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

6 citing papers in PubMed, 25 citations in OpenAlex.

  1. Analysis of clinical characteristics and treatment of pancreatic cystic tumors.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2016
    Article
  2. Article
  3. Natural history of asymptomatic pancreatic cystic neoplasms.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2013
    Article
  4. Article
  5. Article
  6. 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

10 authors at 1 institution in 1 country.

Debashish BoseDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Eric Tamm
Jun Liu
Leonardo Marcal
Aparna Balachandran
Priya Bhosale
Jason B Fleming
Jeffrey E Lee
Douglas B Evans
Rosa F Hwang
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

backgroundAt our institution, incidental pancreatic cysts are frequently identified in asymptomatic patients undergoing routine imaging for staging of nonpancreatic malignancies. Management of these patients is unclear because a small but significant number of incidental pancreatic cysts are malignant. STUDY

designOur institutional database was reviewed for patients with ICD-9 codes for pancreatic cysts from 1980 to 2005. Clinicopathologic factors, including CT and endoscopic ultrasound (EUS) characteristics and management strategies, were analyzed.

resultsOver 25 years, 942 patients were identified with pancreatic cysts. Excluding those with symptoms or pseudocysts, 350 patients remained with incidental pancreatic cysts. Mean overall survival was 41.4 months (mean follow-up 32.7 months). Forty-one patients underwent resection, of whom 38 (92.7%) had premalignant or malignant pathology. Univariate analysis of variables predicting pathologic premalignant or malignant diagnosis identified pancreatic neck or body location as significant factors.

conclusionsThese data suggest that most incidental pancreatic cysts can be managed nonoperatively using a selective strategy based on detailed review of CT imaging and EUS findings.

Indexed as

Practice Guidelines as TopicAdolescentAdultAgedAged, 80 and overBiopsy, Fine-NeedleDiagnosis, DifferentialEndosonographyFemaleFollow-Up StudiesHumansMaleMiddle AgedPancreatectomyPancreatic CystPrecancerous Conditions

Identifiers

PMID20670858
PMCPMC4174396
OpenAlexW2143138834

What OpenQuestion holds

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Registered trials

None linked

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.