Evidence map›Paper›PMID 22895395›Full record

ReviewAnnals of surgery2013

Screening for pancreatic cancer: why, how, and who?

Katherine E Poruk, Matthew A Firpo, Douglas G Adler, Sean J Mulvihill

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Annals of surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 130 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
130citing papers in PubMed, 5 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.

NCT02456051 terminatednot on this mapstarted 2015, after this paper: background citation

Role of Adrenomedullin in Early Diagnosis of Pancreatic Cancer in New Onset Diabetes Patients

TypeobservationalSponsorUniversity of Roma La SapienzaRan2015 to 2017Enrolled21ConditionsDiabetes Mellitus, Adult-Onset, Diabetes Complications, Carcinoma, Pancreatic Ductal, Pancreatic Neoplasm
NCT04899739 nacompletednot on this mapstarted 2021, after this paper: background citation

Prospective Study of Preoperative Diagnostic Endoscopy for the Diagnosis of Occult Metastatic Lesions of Operable Pancreatic Cancer

TypeinterventionalSponsorIHU StrasbourgRan2021 to 2025Enrolled33ConditionsPancreatic CancerArmsEchoendoscopy
3 · Its place in the literature

Who cites it

130 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  8. Unravelling the pathogenesis and therapeutic approaches of pancreatic ductal adenocarcinoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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70 more citing papers are in PubMed but not listed here.

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

4 authors.

Katherine E PorukDepartment of Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA.
Matthew A Firpo
Douglas G Adler
Sean J Mulvihill

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI CORNELIA M ULRICH · 1986 to 2026
$72.6M
Short-Term Training: Students in Health Professional SchoolsT35HL007744 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RONDINA, MATTHEW THOMAS, TRISTANI-FIROUZI, MARTIN · 1993 to 2025
$3.1M
Magnetoresistive Sensor Platform for Parallel Cancer Marker DetectionU01CA151650 · NCI · UNIVERSITY OF UTAH · PI MULVIHILL, SEAN J, PORTER, MARC D · 2010 to 2014
$2.1M
Advanced Development of a Multiplexed SERS-based Biomarker Detection Platform: AR33CA155586 · NCI · UNIVERSITY OF UTAH · PI MULVIHILL, SEAN J, PORTER, MARC D · 2011 to 2013
$983k
Novel Serum Markers for Pancreatic AdenocarcinomaR03CA115225 · NCI · UNIVERSITY OF UTAH · PI MULVIHILL, SEAN J · 2005 to 2006
$148k
NCI NIH HHS P30 CA042014NCI NIH HHS P30CA042014NCI NIH HHS R03 CA115225NCI NIH HHS R33 CA155586NCI NIH HHS R33CA155586NCI NIH HHS U01CA15165NCI NIH HHS U01 CA151650NHLBI NIH HHS T35 HL007744NHLBI NIH HHS T35HL007744
6 · The paper itself

Abstract

Pancreatic cancer is the fourth most common cause of cancer mortality in the United States, with 5-year survival rates for patients with resectable tumors ranging from 15% to 20%. However, most patients presenting with distant metastases, are not resectable, and have a 5-year survival rate of close to 0%. This demonstrates a need for improved screening to identify pancreatic cancer while the tumor is still localized and amenable to surgical resection. Studies of patients with pancreatic tumors incidentally diagnosed demonstrate longer median survival than tumors discovered only when the patient is symptomatic, suggesting that early detection may improve outcome. Recent evidence from genomic sequencing indicates a 15-year interval for genetic progression of pancreatic cancer from initiation to the metastatic stage, suggesting a sufficient window for early detection. Still, many challenges remain in implementing effective screening. Early diagnosis of pancreatic cancer relies on developing screening methodologies with highly sensitive and specific biomarkers and imaging modalities. It also depends on a better understanding of the risk factors and natural history of the disease to accurately identify high-risk groups that would be best served by screening. This review summarizes our current understanding of the biology of pancreatic cancer relevant to methods available for screening. At this time, given the lack of proven benefit in this disease, screening efforts should probably be undertaken in the context of prospective trials.

Indexed as

AdenocarcinomaBiomarkers, TumorEarly Detection of CancerEndosonographyHumansMagnetic Resonance ImagingPancreatic NeoplasmsPrecancerous ConditionsRisk FactorsSensitivity and SpecificityTomography, X-Ray ComputedUnited StatesBiomarkers, Tumor

Identifiers

PMID22895395
PMCPMC4113008

What OpenQuestion holds

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Registered trials

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.