Evidence map›Paper›PMID 28875420›Full record

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

Prognostic Value of Preoperative Serum Carcinoembryonic Antigen and Carbohydrate Antigen 19-9 After Resection of Ampullary Cancer.

Tobias S Schiergens, Bernhard W Renz, Simone Reu, Jens Neumann, Rami Al-Sayegh, Hanno Nieß, Matthias Ilmer, Stephan Kruger, Stefan Boeck, Volker Heinemann and 2 more

Abstract read
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In one paragraph

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 41% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

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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

12 authors at 1 institution in 1 country.

Tobias S SchiergensDepartment of General, Visceral, Transplantation, Vascular and Thoracic Surgery, University of Munich, Campus Grosshadern, Munich, Germany.
Bernhard W RenzDepartment of General, Visceral, Transplantation, Vascular and Thoracic Surgery, University of Munich, Campus Grosshadern, Munich, Germany.
Simone ReuDepartment of Pathology, University of Munich, Munich, Germany.
Jens NeumannDepartment of Pathology, University of Munich, Munich, Germany.
Rami Al-SayeghDepartment of General, Visceral, Transplantation, Vascular and Thoracic Surgery, University of Munich, Campus Grosshadern, Munich, Germany.
Hanno NießDepartment of General, Visceral, Transplantation, Vascular and Thoracic Surgery, University of Munich, Campus Grosshadern, Munich, Germany.
Matthias IlmerDepartment of General, Visceral, Transplantation, Vascular and Thoracic Surgery, University of Munich, Campus Grosshadern, Munich, Germany.
Stephan KrugerDepartment of Medical Oncology, University of Munich, Campus Grosshadern, Munich, Germany.
Stefan BoeckDepartment of Medical Oncology, University of Munich, Campus Grosshadern, Munich, Germany.
Volker HeinemannDepartment of Medical Oncology, University of Munich, Campus Grosshadern, Munich, Germany.
Jens WernerDepartment of General, Visceral, Transplantation, Vascular and Thoracic Surgery, University of Munich, Campus Grosshadern, Munich, Germany.
Axel KleespiesDepartment of General, Visceral, Transplantation, Vascular and Thoracic Surgery, University of Munich, Campus Grosshadern, Munich, Germany. axel.kleespies@med.lmu.de.
Ludwig-Maximilians-Universität München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study is to investigate the prognostic value of pre-resection serum carcinoembryonic antigen (CEA) and carbohydrate antigen (CA) 19-9 after resection of ampullary cancer (AC) in consideration of intestinal (IT) and pancreatobiliary (PT) subtypes.

methodsOverall survival (OS) analysis of patients undergoing curative resection of ampullary cancer.

resultsElevated preoperative CEA (P = 0.013) and CA 19-9 levels (P = 0.030) were significant prognostic factors. Subgroup analysis, however, showed both markers having prognostic value only for the IT subgroup. Pre-resection CEA within normal range identified a subgroup of IT patients with an excellent median survival of 145 months. Compared to other AC patients, this low-risk IT

conclusionsIn AC, the histomorphologic subclassification is highly relevant regarding the prognostic value of preoperative serum CEA and CA 19-9. IT-patients with normal preoperative CEA represent a favorable subgroup with excellent long-term survival.

Indexed as

Ampulla of VaterAdultAgedAged, 80 and overCA-19-9 AntigenCarcinoembryonic AntigenCohort StudiesCommon Bile Duct NeoplasmsFemaleHumansMaleMiddle AgedMultivariate AnalysisPredictive Value of TestsPrognosisRisk FactorsCA-19-9 AntigenCarcinoembryonic AntigenAmpullary cancerCA 19-9CEAIntestinalPancreaticobiliary

Identifiers

PMID28875420
OpenAlexW2751613472

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.