Evidence map›Paper›PMID 25962092›Full record

ReviewEndocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists2015

AACE/ACE disease state clinical review: diagnosis and management of midgut carcinoids.

Eric H Liu, Carmen C Solorzano, Laurence Katznelson, Aaron I Vinik, Richard Wong, Gregory Randolph

Abstract readReview
In one paragraph

Review in Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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.

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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Flushing in (neuro)endocrinology.Reviews in endocrine & metabolic disorders · 2016
    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

6 authors.

Eric H Liu *Division of Surgical Oncology and Endocrine Surgery, Vanderbilt University, Nashville, Tennessee.
Carmen C Solorzano *Division of Surgical Oncology and Endocrine Surgery, Vanderbilt University, Nashville, Tennessee.
Laurence KatznelsonDepartment of Medicine, Stanford University, Palo Alto, California.
Aaron I VinikDepartment of Medicine, Eastern Virginia Medical School, Norfolk, Virginia.
Richard WongDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
Gregory RandolphDepartment of Otolaryngology, Massachusetts General Hospital, Boston, Massachusetts.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectiveNeuroendocrine tumors (NETs) are a collection of complex tumors that arise from the diffuse endocrine system, primarily from the digestive tract. Carcinoid tumors most commonly originate from the small intestine. These tumors are either referred to as small intestinal neuroendocrine tumors or midgut carcinoids (MGCs). The purpose of this review article is to survey the diagnostic and therapeutic pathways for patients with MGC and provide an overview of the complex multidisciplinary care involved in improving their quality of life, treatment outcomes, and survival.

methodsThe current literature regarding the diagnosis and management of MGCs was reviewed.

resultsDry flushing and secretory diarrhea are the hallmarks of the clinical syndrome of MGC. Managing MGC requires attention to the overall symptom complex, including the physical effects of the tumor and biomarker levels. The somatostatin analogs (SAs) octreotide and lanreotide are highly efficacious for symptomatic improvement. MGCs require resection to encompass the primary tumor and mesenteric lymph node metastases and should include cholecystectomy if the patient is likely to receive SA therapy. Debulking of liver metastasis by resection in combination with ablative therapies and other liver-directed modalities may help palliate symptoms and hormonal overproduction in carefully selected patients. Quality of life is an important measure of patients' perception of the burden of their disease and impact of treatment modalities and may be a useful guide in deciding changes in therapy to alter apparent health status.

conclusionMGC is a challenging malignancy that requires the input of a multidisciplinary team to develop the best treatment plan. Consultation with expert centers that specialize in NETs may also be indicated for complex cases. With expert care, patients can be cured or live with the disease and enjoy good quality of life.

Indexed as

Intestine, SmallAbdominal PainBiomarkers, TumorCarcinoid Heart DiseaseCarcinoid TumorCholecystectomyDiagnostic ImagingDiarrheaFlushingHumansInterdisciplinary CommunicationIntestinal NeoplasmsLiver NeoplasmsLymphatic MetastasisLymph Node ExcisionMesenteryBiomarkers, TumorlanreotideOctreotidePeptides, CyclicSomatostatin

Identifiers

PMID25962092
PMCPMC4987303

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Registered trials

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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.