Evidence map›Paper›PMID 28413673›Full record

ArticleMolecular and clinical oncology2017

Survival of patients with pancreatic cancer treated with varied modalities: A single-centre study.

Michael Blaszak, Maher El-Masri, Khalid Hirmiz, John Mathews, Abeer Omar, Tarek Elfiki, Rasna Gupta, Caroline Hamm, Sindu Kanjeekal, Amin Kay and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Molecular and clinical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. MIR-203A-3P AND MMP-2 PROTEINS ARE HIGHLY EXPRESSED IN CIRCULATING TUMOR CELLS FROM PATIENTS WITH PANCREATIC CARCINOMA.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2022
    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

12 authors at 3 institutions in 1 country.

Michael BlaszakSchulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, Canada.
Maher El-MasriSchulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, Canada.
Khalid HirmizSchulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, Canada.
John MathewsSchulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, Canada.
Abeer OmarFaculty of Nursing, University of Windsor, Windsor, Ontario, ON N9B 3P4, Canada.
Tarek ElfikiSchulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, Canada.
Rasna GuptaSchulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, Canada.
Caroline HammSchulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, Canada.
Sindu KanjeekalSchulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, Canada.
Amin KaySchulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, Canada.
Swati KulkarniSchulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, Canada.
Akmal GhafoorSchulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, Canada.
Western University · CAWindsor Regional Hospital · CAUniversity of Windsor · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The present retrospective chart review examined the overall survival (OS) of patients with pancreatic ductal adenocarcinoma based on the disease stage in a sample of 296 patients with pancreatic cancer. Secondary outcome measurements included OS in chemotherapy vs. supportive treatment groups among metastatic patients, OS based on response to chemotherapy among metastatic patients, and OS and disease free survival (DFS) in surgically resected disease with vs. without adjuvant therapy. Data were analyzed using Kaplan-Meier and multivariate cox-regression analyses based on a 95% confidence interval (CI) or an α-value of 0.05. OS was significantly different based on the disease stage, with 3.63 (95% CI, 2.84-4.43), 6.57 (95% CI, 4.06-9.08) and 15.57 (95% CI, 11.79-19.35) months in the advanced, locally advanced, and localized disease groups, respectively. OS was higher in metastatic-stage patients who received chemotherapy [6.07 months (95% CI, 4.75-7.39)] compared with those who received supportive therapy alone [2.50 months (95% CI, 2.16-2.84; P<.001)]. Metastatic-stage patients with partial or stable response to chemotherapy had higher OS [10.53 months (95% CI, 6.35-14.72)] in comparison with those with progression [6.33 months (95% CI, 5.79-6.88)] or an undocumented response [3.30 months (95% CI, 1.76-4.84; P<0.001)]. In patients who underwent surgical resection of localized disease, adjuvant therapy increased the adjusted OS and DFS as compared with surgical excision alone (P=0.013; 95% CI, 0.278-0.862). Positive margins reduced OS [hazard ratio (HR) 2.670; 95% CI, 1.467-4.860]. The present single-site study has demonstrated that OS may markedly differ on the basis of the disease status at the time of diagnosis. Metastatic-stage patients with stable or partial response to chemotherapy had an increased OS, as did surgical patients with localized disease who received adjuvant treatment, after adjusting for margin status.

Indexed as

adjuvant therapycancerchemotherapydisease free survivalmarginoverall survivalpancreatic ductal adenocarcinomaprognosissupportive therapysurgical resection

Identifiers

PMID28413673
PMCPMC5374945
OpenAlexW2593081215

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.