Evidence map›Paper›PMID 26692444›Full record

ArticlePancreas2016

Early Pancreatic Ductal Adenocarcinoma Survival Is Dependent on Size: Positive Implications for Future Targeted Screening.

Chin Hur, Angela C Tramontano, Emily C Dowling, Gabriel A Brooks, Alvin Jeon, William R Brugge, G Scott Gazelle, Chung Yin Kong, Pari V Pandharipande

Abstract read
In one paragraph

Article in Pancreas, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Chin HurFrom the *Institute for Technology Assessment and †Gastroenterology Division, Department of Medicine, Massachusetts General Hospital; ‡Harvard Medical School; §Department of Radiology, Massachusetts General Hospital; and ∥Dana Farber Cancer Institute, Boston, MA.
Angela C Tramontano
Emily C Dowling
Gabriel A Brooks
Alvin Jeon
William R Brugge
G Scott Gazelle
Chung Yin Kong
Pari V Pandharipande
Dana-Farber Cancer Institute · US

Funding

Improving Esophageal Adenocarcinoma Prevention, Screening and TreatmentR01CA140574 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI HUR, CHIN · 2010 to 2018
$3.4M
Cost-Effectiveness of Radiofrequency Ablation for Small, Incidental Renal TumorsK07CA133097 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI PANDHARIPANDE, PARI VIJAY · 2009 to 2013
$891k
NCI NIH HHS K07 CA133097NCI NIH HHS R01 CA140574
6 · The paper itself

Abstract

objectivesPancreatic ductal adenocarcinoma (PDAC) has not experienced a meaningful mortality improvement for the past few decades. Successful screening is difficult to accomplish because most PDACs present late in their natural history, and current interventions have not provided significant benefit. Our goal was to identify determinants of survival for early PDAC to help inform future screening strategies.

methodsEarly PDACs from the National Cancer Institute's Surveillance, Epidemiology, and End Results Program database (2000-2010) were analyzed. We stratified by size and included carcinomas in situ (Tis). Overall cancer-specific survival was calculated. A Cox proportional hazards model was developed and the significance of key covariates for survival prediction was evaluated.

resultsA Kaplan-Meier plot demonstrated significant differences in survival by size at diagnosis; these survival benefits persisted after adjustment for key covariates in the Cox proportional hazards analysis. In addition, relatively weaker predictors of worse survival included older age, male sex, black race, nodal involvement, tumor location within the head of the pancreas, and no surgery or radiotherapy.

conclusionsFor early PDAC, we found tumor size to be the strongest predictor of survival, even after adjustment for other patient characteristics. Our findings suggest that early PDAC detection can have clinical benefit, which has positive implications for future screening strategies.

Indexed as

AgedAged, 80 and overAge FactorsCarcinoma, Pancreatic DuctalCohort StudiesEarly Detection of CancerFemaleForecastingHumansKaplan-Meier EstimateMaleMiddle AgedMultivariate AnalysisOutcome Assessment, Health CarePancreasPancreatic Neoplasms

Identifiers

PMID26692444
PMCPMC4912943
OpenAlexW2319323237

What OpenQuestion holds

Textmetadata
LicenceTDM
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.