Evidence map›Paper›PMID 27286454›Full record

ArticleOncotarget2016

Heterogeneity of metastatic pancreatic adenocarcinoma: Lung metastasis show better prognosis than liver metastasis-a case control study.

Claire Decoster, Marine Gilabert, Aurélie Autret, Olivier Turrini, Sandrine Oziel-Taieb, Flora Poizat, Marc Giovannini, Patrice Viens, Juan Iovanna, Jean-Luc Raoul

Abstract read
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

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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.

Claire DecosterDepartment of Medical Oncology, Paoli-Calmettes Institute, Marseille 13273, France.
Marine GilabertDepartment of Medical Oncology, Paoli-Calmettes Institute, Marseille 13273, France.
Aurélie AutretDepartment of Medical Oncology, Paoli-Calmettes Institute, Marseille 13273, France.
Olivier TurriniDepartment of Digestive Surgery, Paoli-Calmettes Institute, Marseille 13273, France.
Sandrine Oziel-TaiebDepartment of Medical Oncology, Paoli-Calmettes Institute, Marseille 13273, France.
Flora PoizatDepartment of Pathology, Paoli-Calmettes Institute, Marseille 13273, France.
Marc GiovanniniDepartment of Medical Oncology, Paoli-Calmettes Institute, Marseille 13273, France.
Patrice ViensDepartment of Medical Oncology, Paoli-Calmettes Institute, Marseille 13273, France.
Juan IovannaCentre de Recherche en Cancérologie de Marseille (CRCM), INSERM U1068, CNRS UMR 7258, Aix-Marseille University and Paoli-Calmettes Institute, Marseille 13273, France.
Jean-Luc RaoulDepartment of Medical Oncology, Paoli-Calmettes Institute, Marseille 13273, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prognosis of metastatic pancreatic ductal adenocarcinoma (PDAC) is grim, with a median overall survival of under 1 year. In our clinical practice, we observed a few cases of isolated lung metastases from PDAC with unusually long outcomes. We compared these cases in a case-control study of lung-only vs. liver-only metastases from PDAC.From our database, we found 37 cases of lung-only metastases and paired them with 37 cases of liver-only metastases by age, tumor location and treatment.The lung-only group differed significantly from the liver-only group with respect to the following parameters: female predominance, more metachronous cases, fewer nodules per patient, and smaller increases in tumor markers. Local invasion parameters (i.e., arterial or venous involvement) were not significantly different. The outcomes were significantly different, with a median overall survival from the occurrence of metastases of 20.8 vs. 9.1 months and a median progression-free survival of 11 vs. 3.5 months.In conclusion, this case-control study seemed to confirm that lung-only PDAC metastases have prognoses different from those of liver-only metastases. A better understanding of the mechanisms underlying these differences will help identify abnormalities associated with tumor aggressiveness.

Indexed as

AgedAged, 80 and overCarcinoma, Pancreatic DuctalCase-Control StudiesDisease-Free SurvivalFemaleHumansKaplan-Meier EstimateLiver NeoplasmsLung NeoplasmsMaleMiddle AgedPancreatic NeoplasmsPrognosislocal evolutionlung metastasesoverall survivalpancreatic adenocarcinomaprognosis

Identifiers

PMID27286454
PMCPMC5216749

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Registered trials

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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.