Evidence map›Paper›PMID 28687101›Full record

ArticleAmerican journal of surgery2017

Increased pancreatic cancer survival with greater lymph node retrieval in the National Cancer Data Base.

Carlo M Contreras, Chee Paul Lin, Robert A Oster, Sushanth Reddy, Thomas Wang, Selwyn Vickers, Martin Heslin

Abstract read
In one paragraph

Article in American journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
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  9. Review
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  11. Article
  12. Article
  13. Management of pancreatic head adenocarcinoma: From where to where?World journal of gastrointestinal surgery · 2019
    Review
  14. Prognostic value of the metastatic lymph node ratio in patients with pancreatic cancer.International journal of clinical and experimental pathology · 2019
    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

7 authors.

Carlo M ContrerasUniversity of Alabama at Birmingham, Department of Surgery, Birmingham, AL, USA. Electronic address: ccontreras@uabmc.edu.
Chee Paul LinUniversity of Alabama at Birmingham, Center for Clinical and Translational Science, Birmingham, AL, USA.
Robert A OsterUniversity of Alabama at Birmingham, Department of Preventive Medicine, Birmingham, AL, USA.
Sushanth ReddyUniversity of Alabama at Birmingham, Department of Surgery, Birmingham, AL, USA.
Thomas WangUniversity of Alabama at Birmingham, Department of Surgery, Birmingham, AL, USA.
Selwyn VickersUniversity of Alabama at Birmingham, Department of Surgery, Birmingham, AL, USA.
Martin HeslinUniversity of Alabama at Birmingham, Department of Surgery, Birmingham, AL, USA.

Funding

XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Robert S Welner · 1985 to 2026
$165.9M
UAB Center for Clinical and Translational Science (CCTS)UL1TR001417 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KIMBERLY, ROBERT P. · 2015 to 2018
$31.4M
UAB / UMN SPORE in Pancreatic CancerP50CA101955 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BUCHSBAUM, DONALD J · 2010 to 2014
$11.1M
NCATS NIH HHS UL1 TR001417NCI NIH HHS P30 CA013148NCI NIH HHS P50 CA101955
6 · The paper itself

Abstract

backgroundWe evaluated the role of lymph node (LN) retrieval in pancreatic adenocarcinoma (PA) patients undergoing pancreaticoduodenectomy (PD).

methodsWe utilized the National Cancer Data Base; Cox regression models and logistic regression models were used for statistical evaluation.

resultsWe evaluated 26,792 patients with PA who underwent PD. The mean LN retrieved in LN(-) patients was 10.8 vs 14.4 for LN(+) patients (P < 0.0001). Greater LN retrieval is an independent predictor of a negative microscopic margin and decreased length of stay. The median survival of LN(-) patients exceeded that of LN(+) patients (24.5 vs 15.1 months, P < 0.0001). Increasing LN retrieval is a significant predictor of survival in all patients, and in LN(-) patients. The relationship of increased LN retrieval and enhanced survival is a nearly linear trend.

conclusionsRather than demonstrating an inflection point that defines the extent of adequate lymphadenectomy, this dataset demonstrates an incremental relationship between LN retrieval and survival.

Indexed as

Lymph Node ExcisionAdenocarcinomaAdolescentAdultAgedAged, 80 and overDatabases, FactualFemaleHumansLymphatic MetastasisLymph NodesMaleMiddle AgedPancreatic NeoplasmsPancreaticoduodenectomyRetrospective StudiesLymphadenectomyNational Cancer Data BasePancreatic cancer

Identifiers

PMID28687101
PMCPMC5576522

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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.