Evidence map›Paper›PMID 21793028›Full record

ReviewHepatology (Baltimore, Md.)2011

Cancer surveillance in patients with primary sclerosing cholangitis.

Nataliya Razumilava, Gregory J Gores, Keith D Lindor

Open access · bronzeAbstract readReview
In one paragraph

Review in Hepatology (Baltimore, Md.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 109 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 3 pooled it
9.9field-weighted citation impact, top 1% 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

109 citing papers in PubMed, 3 syntheses or guidelines pooled it, 288 citations in OpenAlex.

  1. Pooled it
  2. [Guidelines on the diagnosis and management of primary sclerosing cholangitis (2021)].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2022
    Guideline
  3. ACG Clinical Guideline: Primary Sclerosing Cholangitis.The American journal of gastroenterology · 2015
    Guideline
  4. Trial
  5. Article
  6. Review
  7. Incidence, screening, and management ofWorld journal of transplantation · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review

49 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Nataliya RazumilavaDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN 55905, USA.
Gregory J Gores
Keith D Lindor
Mayo Clinic in Arizona · US

Funding

MULTIDISCRIPLINARY TRAINING IN DIGESTIVE DISEASEST32DK007198 · NIDDK · MAYO CLINIC ROCHESTER · PI Harmeet Malhi · 1986 to 2026
$8.9M
Multicentered Randomized Trial of High-dose Urso in PSCR01DK056924 · NIDDK · MAYO CLINIC ROCHESTER · PI TALWALKAR, JAYANT A · 2001 to 2011
$6.5M
Mechanisms of Carcinogenesis in Biliary EpitheliaR01DK059427 · NIDDK · MAYO CLINIC ROCHESTER · PI GORES, GREGORY J. · 2001 to 2016
$4.3M
Mechanisms of Carcinogenesis in Biliary EpitheliaR56DK059427 · NIDDK · MAYO CLINIC ROCHESTER · PI GORES, GREGORY J. · 2006 to 2006
$243k
NIDDK NIH HHS R01 DK056924NIDDK NIH HHS R01 DK059427NIDDK NIH HHS R56 DK059427NIDDK NIH HHS T32 DK007198
6 · The paper itself

Abstract

Primary sclerosing cholangitis (PSC) is a chronic fibroinflammatory syndrome involving the biliary tract, often accompanied by inflammatory bowel disease (IBD). This syndrome is a prototype disease linking chronic inflammation to carcinogenesis. Indeed, PSC is associated with an increased risk of cholangiocarcinoma (CCA), gallbladder cancer, hepatocellular carcinoma (HCC), and colorectal cancer. Herein, we review the risk for these malignancies in PSC and discuss rational cancer surveillance strategies for these patients. Where evidence is limited, we suggest a pragmatic approach. In this regard, we recommend interval screening for CCA with noninvasive imaging modalities and serum carbohydrate antigen 19-9 determinations annually. These imaging studies also serve to screen for gallbladder cancer and HCC. Screening for colorectal cancer is more firmly established in PSC patients with IBD and includes colonoscopy at the time of PSC diagnosis and, thereafter, at 1-2-year intervals. We also highlight areas where more information is required, such as management of biliary tract dysplasia and cancer chemoprevention in PSC.

Indexed as

Population SurveillanceBile Duct NeoplasmsBile Ducts, IntrahepaticCarcinoma, HepatocellularCholangiocarcinomaCholangitis, SclerosingColorectal NeoplasmsHumansLiver NeoplasmsRisk Factors

Identifiers

PMID21793028
PMCPMC3205332
OpenAlexW1995850023

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.