Evidence map›Paper›PMID 25071332›Full record

ReviewWorld journal of gastroenterology2014

Neoadjuvant strategies for pancreatic cancer.

Francesco Polistina, Giuseppe Di Natale, Giorgio Bonciarelli, Giovanni Ambrosino, Mauro Frego

Open access · greenAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Total neoadjuvant therapy for pancreatic adenocarcinoma increases probability for a complete pathologic response.European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2022
    Article
  5. Article
  6. Article
  7. Article
  8. Article
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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 1 institution in 1 country.

Francesco PolistinaFrancesco Polistina, Giuseppe Di Natale, Mauro Frego, Department of General Surgery, Monselice Hospital, 35043 Monselice, Italy.
Giuseppe Di NataleFrancesco Polistina, Giuseppe Di Natale, Mauro Frego, Department of General Surgery, Monselice Hospital, 35043 Monselice, Italy.
Giorgio BonciarelliFrancesco Polistina, Giuseppe Di Natale, Mauro Frego, Department of General Surgery, Monselice Hospital, 35043 Monselice, Italy.
Giovanni AmbrosinoFrancesco Polistina, Giuseppe Di Natale, Mauro Frego, Department of General Surgery, Monselice Hospital, 35043 Monselice, Italy.
Mauro FregoFrancesco Polistina, Giuseppe Di Natale, Mauro Frego, Department of General Surgery, Monselice Hospital, 35043 Monselice, Italy.
Ospedale San Giuseppe · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pancreatic cancer (PC) is the fourth cause of cancer death in Western countries, the only chance for long term survival is an R0 surgical resection that is feasible in about 10%-20% of all cases. Five years cumulative survival is less than 5% and rises to 25% for radically resected patients. About 40% has locally advanced in PC either borderline resectable (BRPC) or unresectable locally advanced (LAPC). Since LAPC and BRPC have been recognized as a particular form of PC neoadjuvant therapy (NT) has increasingly became a valid treatment option. The aim of NT is to reach local control of disease but, also, it is recognized to convert about 40% of LAPC patients to R0 resectability, thus providing a significant improvement of prognosis for responding patients. Once R0 resection is achieved, survival is comparable to that of early stage PCs treated by upfront surgery. Thus it is crucial to look for a proper patient selection. Neoadjuvant strategies are multiples and include neoadjuvant chemotherapy (nCT), and the association of nCT with radiotherapy (nCRT) given as either a combination of a radio sensitizing drug as gemcitabine or capecitabine or and concomitant irradiation or as upfront nCT followed by nRT associated to a radio sensitizing drug. This latter seem to be most promising as it may select patients who do not go on disease progression during initial treatment and seem to have a better prognosis. The clinical relevance of nCRT may be enhanced by the application of higher active protocols as FOLFIRINOX.

Indexed as

PancreatectomyAntineoplastic Combined Chemotherapy ProtocolsChemoradiotherapy, AdjuvantChemotherapy, AdjuvantHumansNeoadjuvant TherapyNeoplasm StagingPancreatic NeoplasmsPatient SelectionRadiotherapy, AdjuvantRisk FactorsTime FactorsTreatment OutcomeChemoradiationChemotherapNeoadjuvantPancreatic cancerRadiotherapy

Identifiers

PMID25071332
PMCPMC4110569
OpenAlexW166281969

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.