Evidence map›Paper›PMID 24140396›Full record

ReviewGastroenterology2013

Pathogenesis, diagnosis, and management of cholangiocarcinoma.

Sumera I Ilyas, Gregory J Gores

3 registry-linked trialsAbstract readReview
In one paragraph

Review in Gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 701 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
701citing 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.

NCT02254681 phase2terminatednot on this mapstarted 2014, after this paper: background citation

A Phase 2 Study of Low-Dose Fractionated Radiation Therapy to the Whole Liver in Combination With Gemcitabine and Cisplatin in Locally Advanced Mass-Forming Intrahepatic Cholangiocarcinoma

TypeinterventionalSponsorAllina Health SystemRan2014 to 2016Enrolled6ConditionsIntrahepatic CholangiocarcinomaArmsGemcitabine, Cisplatin, low dose radiotherapy
NCT02632019 phase1 / phase2unknown statusnot on this mapstarted 2015, after this paper: background citation

A Clinical Study of Adoptive Cellular Immunotherapy Using Precision T Cells Specific to Personalized Neo-antigen in Treating Patients With Advanced Malignant Tumor of Biliary Tract

TypeinterventionalSponsorSecond Military Medical UniversityRan2015 to 2017Enrolled40ConditionsAdvanced Biliary Tract Malignant TumorArmsGemcitabine, Dendritic cell-precision T cell for neo-antigen combined with gemcitabine treatment
NCT03166436 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Radiofrequency Ablation Plus Stenting Versus Stenting Alone for Treatment of Malignant Biliary Obstruction

TypeinterventionalSponsorInstitute for Clinical and Experimental MedicineRan2017 to 2020Enrolled140ConditionsCholangiocarcinoma, Pancreas CancerArmsRadiofrequency ablation, Biliary stenting
3 · Its place in the literature

Who cites it

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

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641 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

2 authors.

Sumera I IlyasDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
Gregory J Gores

Funding

PILOT AND FEASIBILTY PROGRAMP30DK084567 · NIDDK · MAYO CLINIC ROCHESTER · PI GREGORY J. GORES · 2009 to 2026
$22.2M
MULTIDISCRIPLINARY TRAINING IN DIGESTIVE DISEASEST32DK007198 · NIDDK · MAYO CLINIC ROCHESTER · PI Harmeet Malhi · 1986 to 2026
$8.9M
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 DK59427NIDDK NIH HHS P30 DK084567NIDDK NIH HHS R01 DK059427NIDDK NIH HHS R56 DK059427NIDDK NIH HHS T32 DK007198
6 · The paper itself

Abstract

Cholangiocarcinomas (CCAs) are hepatobiliary cancers with features of cholangiocyte differentiation; they can be classified anatomically as intrahepatic CCA (iCCA), perihilar CCA (pCCA), or distal CCA. These subtypes differ not only in their anatomic location, but in epidemiology, origin, etiology, pathogenesis, and treatment. The incidence and mortality of iCCA has been increasing over the past 3 decades, and only a low percentage of patients survive until 5 years after diagnosis. Geographic variations in the incidence of CCA are related to variations in risk factors. Changes in oncogene and inflammatory signaling pathways, as well as genetic and epigenetic alterations and chromosome aberrations, have been shown to contribute to the development of CCA. Furthermore, CCAs are surrounded by a dense stroma that contains many cancer-associated fibroblasts, which promotes their progression. We have gained a better understanding of the imaging characteristics of iCCAs and have developed advanced cytologic techniques to detect pCCAs. Patients with iCCAs usually are treated surgically, whereas liver transplantation after neoadjuvant chemoradiation is an option for a subset of patients with pCCAs. We review recent developments in our understanding of the epidemiology and pathogenesis of CCA, along with advances in classification, diagnosis, and treatment.

Indexed as

Bile Ducts, IntrahepaticDisease ManagementAnimalsBile Duct NeoplasmsChemoradiotherapyCholangiocarcinomaCombined Modality TherapyDisease Models, AnimalHumansIncidenceLiver TransplantationMesothelinProto-Oncogene MasRisk FactorsSurvival RateMesothelinProto-Oncogene MasCA19-9CAFcancer-associated fibroblastCancer-Associated Fibroblastscarbohydrate antigen 19-9CCAchemokine (C-X-C motif) receptor 4cholangiocarcinomacomputed tomographyCTCXCR4dCCAdistal cholangiocarcinomaDistal CholangiocarcinomaECMEGFPEGFREMTendoscopic retrograde cholangiographyenhanced green fluorescent proteinepidermal growth factor–receptorepithelial–mesenchymal transitionERBB2ERCERKextracellular matrixextracellular signal regulated kinaseFGFRfibroblast growth factor receptorFISHfluorescence in situ hybridizationHBVHCCHCVhepatitis B virushepatitis C virushepatocellular carcinomahepatocyte growth factorHGFiCCAIDHIL 6interleukin 6intrahepatic cholangiocarcinomaIntrahepatic Cholangiocarcinomaisocitrate dehydrogenaseKirsten rat sarcoma viral oncogene homologKRASmagnetic resonance imagingMAPKmatrix metalloproteinaseMCL1METmet proto-oncogenemicroRNAmiRmitogen-activated protein kinaseMMPMolecular PathogenesisMRImyeloid cell leukemia sequence 1odds ratioORpCCAPDGFperihilar cholangiocarcinomaphosphatidyl inositolphosphatidylinositol-4,5-bisphosphate 3-kinasePIPI3Kplatelet-derived growth factorprimary sclerosing cholangitisPSCsignal transducer and activator of transcriptionSTATTP53tumor protein 53v-erb-b2 avian erythroblastic leukemia viral oncogene homolog 2α-SMAα-smooth muscle actin

Identifiers

PMID24140396
PMCPMC3862291

What OpenQuestion holds

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Read underepoch 390

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.