Evidence map›Paper›PMID 27037208›Full record

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

National trends in resection of cystic lesions of the pancreas.

Bradley N Reames, Christopher P Scally, Timothy L Frankel, Justin B Dimick, Hari Nathan

Open access · bronzeAbstract readComparative Study
PubMed Full text at PMC Publisher
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Natural History of Pancreatic Cysts.Digestive diseases and sciences · 2017
    Review
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

5 authors at 1 institution in 1 country.

Bradley N ReamesDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Christopher P ScallyDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Timothy L FrankelDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Justin B DimickDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Hari NathanDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA. Electronic address: drnathan@umich.edu.
University of Michigan · US

Funding

University of Michigan Surgical Oncology Research Training ProgramT32CA009672 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JACQUELINE SARA JERUSS, WEIPING ZOU · 1991 to 2026
$6.0M
Evaluating Policies for Improving Surgical Care in the ElderlyR01AG039434 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DIMICK, JUSTIN BRIGHAM · 2011 to 2019
$2.9M
NCI NIH HHS 5T32CA009672-23NIA NIH HHS 5R01AG039434-03
6 · The paper itself

Abstract

backgroundManagement of cystic lesions of the pancreas (CLP) is controversial. In this study, we sought to evaluate national changes in the resection of CLP over time, to better understand the impact of evolving guidelines on CLP management.

methodsWe used Medicare data to examine CLP resection among patients undergoing pancreatic resection between 2001 and 2012. Patients with a diagnosis of CLP were identified and compared to patients with non-CLP indications. We then examined changes over time in patient and hospital characteristics and outcomes among patients with a CLP diagnosis.

resultsWe identified 56,419 Medicare patients undergoing pancreatic resection, of which 2129 had a CLP diagnosis. The annual number of CLP resections, and proportion of all resections performed for CLP increased significantly during the period, from 2.1% (65/3072) resections in 2001, to 4.5% (286/6348) in 2012 (p < 0.001). The proportion of CLP resections with a malignant diagnosis did not change (15.5% in 2001-2003 vs. 13.1% in 2010-2012, p = 0.4). Overall rates of 30-day mortality decreased significantly during the period (9.6% in 2001-2003 vs. 5.5% in 2010-2012, p < 0.001). DISCUSSION: CLP resections were performed with increasing frequency in Medicare patients between 2001 and 2012, but this did not correspond to increased diagnosis of malignancy. Additional research is needed to understand the influence of recent guidelines on management of CLP.

Indexed as

AgedAged, 80 and overFemaleHumansMaleMedicareNeoplasms, Cystic, Mucinous, and SerousPancreatectomyPancreatic CystPancreatic NeoplasmsPancreaticoduodenectomyPractice Guidelines as TopicPractice Patterns, Physicians'Process Assessment, Health CareTime FactorsTreatment Outcome

Identifiers

PMID27037208
PMCPMC4814594
OpenAlexW2266322208

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.