Evidence map›Paper›PMID 26883935›Full record

SynthesisMedical oncology (Northwood, London, England)2016

Adjuvant and neoadjuvant therapies in resectable pancreatic cancer: a systematic review of randomized controlled trials.

Francesco A D'Angelo, Laura Antolino, Mara La Rocca, Niccolò Petrucciani, Paolo Magistri, Paolo Aurello, Giovanni Ramacciato

Open access · greenAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Medical oncology (Northwood, London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Neoadjuvant therapy for resectable pancreatic cancer.World journal of gastrointestinal oncology · 2017
    Review
  7. 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

7 authors at 2 institutions in 1 country.

Francesco A D'AngeloDivision of General Surgery, St Andrea Hospital, Faculty of Medicine and Psychology, Sapienza - Università di Roma, Rome, Italy.
Laura AntolinoDivision of General Surgery, St Andrea Hospital, Faculty of Medicine and Psychology, Sapienza - Università di Roma, Rome, Italy. laura.antolino@uniroma1.it.ORCID http://orcid.org/0000-0002-9559-3595
Mara La RoccaDivision of General Surgery, St Andrea Hospital, Faculty of Medicine and Psychology, Sapienza - Università di Roma, Rome, Italy.
Niccolò PetruccianiDivision of General Surgery, St Andrea Hospital, Faculty of Medicine and Psychology, Sapienza - Università di Roma, Rome, Italy.
Paolo MagistriDivision of General Surgery, St Andrea Hospital, Faculty of Medicine and Psychology, Sapienza - Università di Roma, Rome, Italy.
Paolo AurelloDivision of General Surgery, St Andrea Hospital, Faculty of Medicine and Psychology, Sapienza - Università di Roma, Rome, Italy.
Giovanni RamacciatoDivision of General Surgery, St Andrea Hospital, Faculty of Medicine and Psychology, Sapienza - Università di Roma, Rome, Italy.
Sapienza University of Rome · ITAzienda Ospedaliera Sant'Andrea · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The timing of surgery and antineoplastic therapies in patients with resectable non-metastatic pancreatic cancer is still a controversial matter of debate, with special regard to neoadjuvant approaches. Following the criteria of the PRISMA statement, a literature search was conducted looking for RCTs focusing on adjuvant and neoadjuvant therapies in resectable pancreatic cancer. The quality of the available evidence was assessed using the Cochrane Collaboration's tool for assessing risk of bias. Data extraction was carried out by two independent investigators. The search led to the identification of 2830 papers of which 14 RCTs focusing on adjuvant and neoadjuvant treatment of resectable pancreatic cancer eligible for the systematic review. Risk of bias was estimated "unclear" in 3 studies and "high" in 5 studies. Median age ranged between 53 and 66. Overall survival in the surgery-only arms ranged between 11 and 20.2 months; in the adjuvant treatment arms 12.5-29.8 months; and in the neoadjuvant setting 9.9-19.4 months. Neoadjuvant protocols should be offered only in randomized clinical trials comparing the standard of care (surgery followed by adjuvant treatments) to a neoadjuvant approach followed by surgery and adjuvant treatment.

Indexed as

Chemotherapy, AdjuvantHumansNeoadjuvant TherapyPancreatic NeoplasmsRandomized Controlled Trials as TopicAdjuvant therapyDuctal pancreatic adenocarcinomaNeoadjuvant therapyPancreas surgeryResectable pancreatic cancerSystematic review

Identifiers

PMID26883935
OpenAlexW2276431092

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.