Evidence map›Paper›PMID 25138727›Full record

ArticleDeutsches Arzteblatt international2014

Patients with cancer of unknown primary: a retrospective analysis of 223 patients with adenocarcinoma or undifferentiated carcinoma.

Harald Löffler, Joe Puthenparambil, Thomas Hielscher, Kai Neben, Alwin Krämer

Abstract read
In one paragraph

Article in Deutsches Arzteblatt international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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.

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

17 citing papers in PubMed.

  1. Article
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  11. [CUP in the liver].Der Pathologe · 2020
    Review
  12. Review
  13. Review
  14. Article
  15. CUP Syndrome-Metastatic Malignancy with Unknown Primary Tumor.Deutsches Arzteblatt international · 2018
    Review
  16. Article
  17. Article
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.

Harald LöfflerDepartment of Internal Medicine V: Hematology, Oncology and Rheumatology, Heidelberg University Hospital.
Joe PuthenparambilDepartment of Internal Medicine V: Hematology, Oncology and Rheumatology, Heidelberg University Hospital.
Thomas HielscherGerman Cancer Research Center, Department of Biostatistics, Heidelberg.
Kai NebenMedical Clinic 2, Baden-Baden City Hospital, Klinikum Mittelbaden, Baden-Baden.
Alwin KrämerDepartment of Internal Medicine V: Hematology, Oncology and Rheumatology, Heidelberg University Hospital.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer of unknown primary (CUP) now accounts for 2-3% of all fatal cases of cancer in Germany. Histologically, most of these tumors are either adenocarcinoma or undifferentiated carcinoma. Scant data on their clinical features and prognosis are now available, and the published survival times are highly variable. In this article, we document and analyze our own experience with CUP to date.

methodWe took all 223 patients with CUP (adenocarcinoma or undifferentiated carcinoma) whom we saw in our CUP clinic from 2006 to 2010 as an unaltered sample for retrospective analysis of clinical data and overall survival. We performed the analysis with Kaplan-Meier plotting, log-rank testing, and Cox regression.

resultsWith a median follow-up time of 32.9 months, the median survival from the time of diagnosis was 16.5 months. Metastases were most commonly found in the lymph nodes, followed by the liver, bones, and lungs. The main pre-treatment prognostic variables that remained significant after adjustment for multiple testing were the Eastern Cooperative Oncology Group (ECOG) score for overall state of health and the number of organ systems involved. These variables were used to construct a practice-oriented risk stratification.

conclusionIn patients with adeno- or undifferentiated CUP syndrome, the ECOG score and the number of organ systems involved are important risk factors.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overAge DistributionDisease-Free SurvivalFemaleGermanyHumansLymphatic MetastasisMaleMiddle AgedNeoplasms, Unknown PrimaryPrevalenceProportional Hazards ModelsRisk Factors

Identifiers

PMID25138727
PMCPMC4187410

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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.