Evidence map›Paper›PMID 26172135›Full record

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

Gallbladder cancer: expert consensus statement.

Thomas A Aloia, Nicolas Járufe, Milind Javle, Shishir K Maithel, Juan C Roa, Volkan Adsay, Felipe J F Coimbra, William R Jarnagin

Open access · bronzeAbstract readPractice GuidelineConsensus Statement
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 192 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
192citing papers in PubMed, 7 pooled it
22.4field-weighted citation impact, top 1% 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

192 citing papers in PubMed, 7 syntheses or guidelines pooled it, 459 citations in OpenAlex.

  1. Pooled it
  2. Surgical and Oncological Outcomes of Wedge Resection Versus Segment 4b + 5 Resection for T2 and T3 Gallbladder Cancer: a Meta-Analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
    Pooled it
  3. The Significance of Tumor Locations in Patients with Gallbladder Carcinoma After Curative-Intent Resection.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
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132 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Thomas A AloiaDepartment of Surgical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Nicolas JárufeDepartment of Digestive Surgery, School of Medicine, Catholic University of Chile (Pontificia Universidad Católica de Chile), Santiago, Chile.
Milind JavleDepartment of GI Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Shishir K MaithelDepartment of Surgery, Winship Cancer Institute, Emory University, Atlanta, GA, USA.
Juan C RoaDepartment of Digestive Surgery, School of Medicine, Catholic University of Chile (Pontificia Universidad Catolica de Chile), Santiago, Chile.
Volkan AdsayDepartment of Pathology and Laboratory Medicine, Winship Cancer Institute, Emory University, Atlanta, GA, USA.
Felipe J F CoimbraDepartment of Abdominal Surgery, AC Camargo Cancer Centre, São Paulo, Brazil.
William R JarnaginDepartment of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Emory University · USThe University of Texas MD Anderson Cancer Center · USAC Camargo Hospital · BRMemorial Sloan Kettering Cancer Center · USPontificia Universidad Católica de Chile · CL

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

An American Hepato-Pancreato-Biliary Association (AHPBA)-sponsored consensus meeting of expert panellists was convened on 15 January 2014 to review current evidence on the management of gallbladder carcinoma in order to establish practice guidelines. In summary, within high incidence areas, the assessment of routine gallbladder specimens should include the microscopic evaluation of a minimum of three sections and the cystic duct margin; specimens with dysplasia or proven cancer should be extensively sampled. Provided the patient is medically fit for surgery, data support the resection of all gallbladder polyps of >1.0 cm in diameter and those with imaging evidence of vascular stalks. The minimum staging evaluation of patients with suspected or proven gallbladder cancer includes contrasted cross-sectional imaging and diagnostic laparoscopy. Adequate lymphadenectomy includes assessment of any suspicious regional nodes, evaluation of the aortocaval nodal basin, and a goal recovery of at least six nodes. Patients with confirmed metastases to N2 nodal stations do not benefit from radical resection and should receive systemic and/or palliative treatments. Primary resection of patients with early T-stage (T1b-2) disease should include en bloc resection of adjacent liver parenchyma. Patients with T1b, T2 or T3 disease that is incidentally identified in a cholecystectomy specimen should undergo re-resection unless this is contraindicated by advanced disease or poor performance status. Re-resection should include complete portal lymphadenectomy and bile duct resection only when needed to achieve a negative margin (R0) resection. Patients with preoperatively staged T3 or T4 N1 disease should be considered for clinical trials of neoadjuvant chemotherapy. Following R0 resection of T2-4 disease in N1 gallbladder cancer, patients should be considered for adjuvant systemic chemotherapy and/or chemoradiotherapy.

Indexed as

CholecystectomyAntineoplastic Combined Chemotherapy ProtocolsCarcinomaConsensusGallbladder NeoplasmsHumansIncidenceIncidental FindingsLymph Node ExcisionNeoplasm StagingPalliative CarePatient SelectionRisk FactorsSex DistributionTreatment FailureTreatment Outcome

Identifiers

PMID26172135
PMCPMC4527853
OpenAlexW1480537273

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.