Evidence map›Paper›PMID 24636662›Full record

GuidelineHPB : the official journal of the International Hepato Pancreato Biliary Association2015

When should a liver resection be performed in patients with liver metastases from neuroendocrine tumours? A systematic review with practice recommendations.

Mickaël Lesurtel, David M Nagorney, Vincenzo Mazzaferro, Robert T Jensen, Graeme J Poston

Open access · bronzeAbstract readConsensus StatementPractice GuidelineSystematic Review
In one paragraph

Guideline in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

24 citing papers in PubMed, 71 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Surgical management of pancreatic neuroendocrine liver metastases.Journal of gastrointestinal oncology · 2020
    Review
  8. Article
  9. Article
  10. Review
  11. The Impact of Extent of Liver Resection Among Patients with Neuroendocrine Liver Metastasis: an International Multi-institutional Study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019
    Article
  12. Article
  13. Article
  14. Review
  15. SSAT State-of-the-Art Conference: Current Surgical Management of Gastric Tumors.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2018
    Article
  16. Liver resection for non-colorectal metastases.European surgery : ACA : Acta chirurgica Austriaca · 2018
    Article
  17. Review
  18. Article
  19. Review
  20. Review
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

5 authors at 5 institutions in 4 countries.

Mickaël LesurtelDepartment of Surgery, Swiss Hepato-Pancreato-Biliary (HPB) and Transplantation Center, University Hospital Zurich, Zurich, Switzerland.
David M Nagorney
Vincenzo Mazzaferro
Robert T Jensen
Graeme J Poston
Aintree University Hospital · GBMayo Clinic · USNational Institute of Diabetes and Digestive and Kidney Diseases · USTumori Foundation · USUniversity of Zurich · CH

Funding

Diagnosis, Natural History, Management,tumor biology of Gastrinomas/PETs/Neuroendocrine tumorsZIADK053200 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI JENSEN, ROBERT · 2009 to 2025
$4.3M
6 · The paper itself

Abstract

aimTo determine the benefits and risks of hepatic resection versus non-resectional liver-directed treatments in patients with potentially resectable neuroendocrine liver metastases.

methodsA systematic review identified 1594 reports which alluded to a possible liver resection for neuroendocrine tumour metastases, of which 38 reports (all retrospective), comprising 3425 patients, were relevant.

resultsThirty studies reported resection alone, and 16 studies reported overall survival (OS). Only two studies addressed quality-of-life (QoL) issues. Five-year overall survival was reported at 41-100%, whereas 5-year progression-free survival (PFS) was 5-54%. We identified no robust evidence that a liver resection was superior to any other liver-directed therapies in improving OS or PFS. There was no evidence to support the use of a R2 resection (debulking), with or without tumour ablation, to improve either OS or QoL. There was little evidence to guide sequencing of surgery for patients presenting in Stage IV with resectable disease, and none to support a resection of asymptomatic primary tumours in the presence of non-resectable liver metastases.

conclusionLow-level recommendations are offered to assist in the management of patients with neuroendocrine liver metastases, along with recommendations for future studies.

Indexed as

Carcinoma, NeuroendocrineHepatectomyHumansLiver NeoplasmsNeoplasm StagingPatient SelectionQuality of LifeRisk AssessmentRisk FactorsTime FactorsTreatment Outcome

Identifiers

PMID24636662
PMCPMC4266436
OpenAlexW2046797893

What OpenQuestion holds

Textmetadata
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.