Evidence map›Paper›PMID 26966431›Full record

ArticleGastroenterology research and practice2016

Extensive Use of Interventional Therapies Improves Survival in Unresectable or Recurrent Intrahepatic Cholangiocarcinoma.

Ricarda Seidensticker, Max Seidensticker, Kathleen Doegen, Konrad Mohnike, Kerstin Schütte, Patrick Stübs, Erika Kettner, Maciej Pech, Holger Amthauer, Jens Ricke

Abstract read
In one paragraph

Article in Gastroenterology research and practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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  6. Patient-Derived Xenografts Can Be Reliably Generated from Patient Clinical Biopsy Specimens.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019
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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

10 authors.

Ricarda SeidenstickerKlinik für Radiologie und Nuklearmedizin, Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany; Zentrum für Gastrointestinale Tumoren (ZeGIT), Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany; Deutsche Akademie für Mikrotherapie (DAfMT), Leipziger Strasse 44, 39120 Magdeburg, Germany.
Max SeidenstickerKlinik für Radiologie und Nuklearmedizin, Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany; Zentrum für Gastrointestinale Tumoren (ZeGIT), Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany; Deutsche Akademie für Mikrotherapie (DAfMT), Leipziger Strasse 44, 39120 Magdeburg, Germany.
Kathleen DoegenKlinik für Radiologie und Nuklearmedizin, Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany.
Konrad MohnikeKlinik für Radiologie und Nuklearmedizin, Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany; Zentrum für Gastrointestinale Tumoren (ZeGIT), Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany; Deutsche Akademie für Mikrotherapie (DAfMT), Leipziger Strasse 44, 39120 Magdeburg, Germany.
Kerstin SchütteZentrum für Gastrointestinale Tumoren (ZeGIT), Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany; Klinik für Gastroenterologie, Hepatologie und Infektiologie, Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany.
Patrick StübsZentrum für Gastrointestinale Tumoren (ZeGIT), Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany; Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany.
Erika KettnerKlinik für Radiologie und Nuklearmedizin, Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany; Zentrum für Gastrointestinale Tumoren (ZeGIT), Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany.
Maciej PechKlinik für Radiologie und Nuklearmedizin, Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany; Deutsche Akademie für Mikrotherapie (DAfMT), Leipziger Strasse 44, 39120 Magdeburg, Germany.
Holger AmthauerKlinik für Radiologie und Nuklearmedizin, Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany; Deutsche Akademie für Mikrotherapie (DAfMT), Leipziger Strasse 44, 39120 Magdeburg, Germany.
Jens RickeKlinik für Radiologie und Nuklearmedizin, Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany; Zentrum für Gastrointestinale Tumoren (ZeGIT), Universitätsklinikum Magdeburg, Leipziger Strasse 44, 39120 Magdeburg, Germany; Deutsche Akademie für Mikrotherapie (DAfMT), Leipziger Strasse 44, 39120 Magdeburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim. To assess the outcomes of patients with unresectable intrahepatic cholangiocellular carcinoma (ICC) treated by a tailored therapeutic approach, combining systemic with advanced image-guided local or locoregional therapies. Materials and Methods. Treatment followed an algorithm established by a multidisciplinary GI-tumor team. Treatment options comprised ablation (RFA, CT-guided brachytherapy) or locoregional techniques (TACE, radioembolization, i.a. chemotherapy). Results. Median survival was 33.1 months from time of diagnosis and 16.0 months from first therapy. UICC stage analysis showed a median survival of 15.9 months for stage I, 9 months for IIIa, 18.4 months for IIIc, and 13 months for IV. Only the number of lesions, baseline serum CEA and serum CA19-9, and objective response (RECIST) were independently associated with survival. Extrahepatic metastases had no influence. Conclusion. Patients with unresectable ICC may benefit from hepatic tumor control provided by local or locoregional therapies. Future prospective study formats should focus on supplementing systemic therapy by classes of interventions ("toolbox") rather than specific techniques, that is, local ablation leading to complete tumor destruction (such as RFA) or locoregional treatment leading to partial remission (such as radioembolization). This trial is registered with German Clinical Trials Registry (Deutsche Register Klinischer Studien), DRKS-ID: DRKS00006237.

Identifiers

PMID26966431
PMCPMC4758109

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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.