Evidence map›Paper›PMID 28766272›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2017

Laparoscopic Distal Pancreatectomy for Cancer Provides Oncologic Outcomes and Overall Survival Identical to Open Distal Pancreatectomy.

Olga Kantor, Darren S Bryan, Mark S Talamonti, Waseem Lutfi, Susan Sharpe, David J Winchester, Richard A Prinz, Marshall S Baker

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Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  3. Surgical management of pancreatic ductal adenocarcinoma: a narrative review.Translational gastroenterology and hepatology · 2023
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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 3 institutions in 1 country.

Olga KantorDepartment of Surgery, University of Chicago, Chicago, IL, USA.
Darren S BryanDepartment of Surgery, University of Chicago, Chicago, IL, USA.
Mark S TalamontiDepartment of Surgery, NorthShore University HealthSystem, Evanston, IL, USA.
Waseem LutfiDepartment of Surgery, University of Chicago, Chicago, IL, USA.
Susan SharpeDepartment of Surgery, MetroHealth Medical Center, Cleveland, OH, USA.
David J WinchesterDepartment of Surgery, NorthShore University HealthSystem, Evanston, IL, USA.
Richard A PrinzDepartment of Surgery, NorthShore University HealthSystem, Evanston, IL, USA.
Marshall S BakerDepartment of Surgery, NorthShore University HealthSystem, Evanston, IL, USA. Mbaker3@northshore.org.
University of Chicago · USNorthShore University HealthSystem · USMetroHealth Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic distal pancreatectomy (LDP) has been shown to provide short-term clinical outcomes similar to open distal pancreatectomy (ODP) for patients with benign tumors. Our aim was to better define oncologic outcomes and long-term survival profiles following LDP for pancreatic ductal adenocarcinoma (PDAC).

methodsWe queried the National Cancer Database to identify patients with pathologic stage I-III PDAC who underwent distal pancreatectomy between 2010 and 2013. Logistic regression was performed to examine predictors of oncologic outcomes. Cox modeling was used for survival analysis and to estimate median overall survival (OS).

resultsOne thousand five hundred fifty-four patients were included in the analysis. Patients undergoing LDP and ODP demonstrated identical probabilities of an adequate lymph node sampling and 90-day mortality. Those undergoing LDP demonstrated an increased probability of margin-negative resection (OR 1.78, CI 1.25-2.52) and a decreased probability of a prolonged hospital stay (OR 0.55, CI 0.32-0.95) or readmission (OR 0.56, CI 0.33-0.95) relative to those undergoing ODP. There was no difference in OS between groups (29.6 vs. 23.8 months, p = 0.10).

conclusionLDP is an effective modality for managing resectable cancer in the pancreatic body and tail. LDP provides short-term oncologic outcomes and long-term OS rates identical to those for ODP while affording an accelerated recovery.

Indexed as

AgedCarcinoma, Pancreatic DuctalDatabases, FactualFemaleHumansLaparoscopyLength of StayMaleMargins of ExcisionMiddle AgedPancreatectomyPancreatic NeoplasmsPatient ReadmissionProportional Hazards ModelsRetrospective StudiesSurvival RateDistal pancreatectomyLaparoscopic surgeryPancreatic adenocarcinomaSurgical outcomes

Identifiers

PMID28766272
OpenAlexW2741417979

What OpenQuestion holds

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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.