Evidence map›Paper›PMID 27017164›Full record

ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2016

Preoperative cognitive function predicts survival in patients with resectable pancreatic ductal adenocarcinoma.

Bart M G Baekelandt, Marianne J Hjermstad, Tom Nordby, Morten W Fagerland, Elin H Kure, Turid Heiberg, Trond Buanes, Knut J Labori

Open access · bronzeAbstract read
In one paragraph

Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
0.1field-weighted citation impact, top 43% 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Exploring the role of health-related quality of life measures in predictive modelling for oncology: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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  13. Impact of transfer status on real-world outcomes in nonelective cardiac surgery.The Journal of thoracic and cardiovascular surgery · 2020
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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

8 authors at 4 institutions in 2 countries.

Bart M G BaekelandtInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Norway.
Marianne J HjermstadRegional Centre for Excellence in Palliative Care, Department of Oncology, Oslo University Hospital, Norway; European Palliative Care Research Centre, Department of Cancer Research and Molecular Medicine, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway.
Tom NordbyDepartment of Gastroenterological Surgery, Østfold Hospital Trust, Norway.
Morten W FagerlandOslo Centre for Biostatistics and Epidemiology, Research Support Services, Oslo University Hospital, Norway.
Elin H KureDepartment of Cancer Genetics, Institute for Cancer Research, Oslo University Hospital, Oslo, Norway.
Turid HeibergØstfold University College, Faculty of Health and Social Studies, Halden, Norway.
Trond BuanesInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Norway; Department of Hepato-Pancreato-Biliary Surgery, Oslo University Hospital, Norway.
Knut J LaboriDepartment of Hepato-Pancreato-Biliary Surgery, Oslo University Hospital, Norway. Electronic address: uxknab@ous-hf.no.
Oslo University Hospital · NOØstfold Hospital Trust · NOØstfold University College · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this prospective study was to evaluate whether pre-surgery health-related quality of life (HRQoL) and subjectively rated symptom scores are prognostic factors for survival in patients with resectable pancreatic ductal adenocarcinoma (PDAC).

methodsPatients undergoing pancreatic resection for PDAC completed the Edmonton Symptom Assessment System (ESAS) and the EORTC QLQ-C30 and QLQ-PAN26 questionnaires preoperatively. Patient, tumor and treatment characteristics, recurrence and survival were registered.

resultsSixty-six consecutive patients underwent R0/R1 resection for PDAC. Baseline ESAS and EORTC questionnaire compliance was 44/66 (67%) with no statistically significant differences between compliers (n = 44) and non-compliers (n = 22) when comparing clinicopathological parameters and survival. Univariable analyses showed that three symptoms (nausea, dry mouth, cognitive function) and two clinicopathological factors (CA 19-9 > 400 U/ml, lymph node ratio > 0.1) were significantly associated with shorter survival (p < 0.05). In multivariable analysis, cognitive function was the only independent predictor for survival: hazard ratio = 0.35 (95%CI 0.13-0.93) for high vs low cognitive function. Median survival times for patients with high and low cognitive function were 21 and 10 months, respectively (p < 0.001).

conclusionPresurgery cognitive function is a significant independent predictor of survival in patients with resectable PDAC. Thus, presurgery patient reported outcomes may provide as strong prognostic information as clinicopathological factors.

Indexed as

CognitionAdultAgedAged, 80 and overCarcinoma, Pancreatic DuctalChi-Square DistributionCognition DisordersFemaleHealth StatusHumansKaplan-Meier EstimateMaleMiddle AgedMultivariate AnalysisPancreatectomyPancreatic Neoplasms

Identifiers

PMID27017164
PMCPMC4814590
OpenAlexW2266923483

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.