Evidence map›Paper›PMID 28890819›Full record

ArticleJournal of gastrointestinal oncology2017

The role of induction chemotherapy + chemoradiotherapy in localised pancreatic cancer: initial experience in Scotland.

Derek Grose, David McIntosh, Nigel Jamieson, Ross Carter, Euan Dickson, David Chang, Husam Marashi, Christina Wilson, Mohammed Alfayez, Ashleigh Kerr and 5 more

Abstract read
In one paragraph

Article in Journal of gastrointestinal oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Neoadjuvant Treatment in Pancreatic Cancer.Frontiers in oncology · 2020
    Review
  6. Review
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

15 authors.

Derek GroseBeatson West of Scotland Cancer Centre, Glasgow, UK.
David McIntoshBeatson West of Scotland Cancer Centre, Glasgow, UK.
Nigel JamiesonBeatson West of Scotland Cancer Centre, Glasgow, UK.
Ross CarterBeatson West of Scotland Cancer Centre, Glasgow, UK.
Euan DicksonBeatson West of Scotland Cancer Centre, Glasgow, UK.
David ChangBeatson West of Scotland Cancer Centre, Glasgow, UK.
Husam MarashiBeatson West of Scotland Cancer Centre, Glasgow, UK.
Christina WilsonBeatson West of Scotland Cancer Centre, Glasgow, UK.
Mohammed AlfayezBeatson West of Scotland Cancer Centre, Glasgow, UK.
Ashleigh KerrBeatson West of Scotland Cancer Centre, Glasgow, UK.
Roisin O'DonoghueBeatson West of Scotland Cancer Centre, Glasgow, UK.
Lea HaskinsBeatson West of Scotland Cancer Centre, Glasgow, UK.
Fraser DuthieBeatson West of Scotland Cancer Centre, Glasgow, UK.
Colin J McKayBeatson West of Scotland Cancer Centre, Glasgow, UK.
Janet GrahamBeatson West of Scotland Cancer Centre, Glasgow, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite being relatively rare pancreatic cancer is one of the highest causes of death. Even within the potentially resectable group outcomes are poor. We present our initial experiences utilising a neoadjuvant approach to localised pancreatic cancer, evaluating survival, response rates and tolerability.

methodsThis was a retrospective analysis of a prospectively maintained database. Patients from 2012 to 2015 referred to a busy regional Hepato-Pancreatic Biliary (HPB) MDT were included. Patients were classified according to respectability criteria (utilising NCCN guidelines) and a treatment plan agreed. Systemic therapy with either FOLFIRINOX or Gem/Cap was delivered followed by chemoradiotherapy if disease remained localised. Toxicity, response, pathological outcomes and survival were all recorded.

resultsA total of 85 patients were included in the study: 45 had initially resectable disease; 19 required a response for resection and 21 had locally advanced inoperable disease; 34 patients underwent resection. The median survival for the potentially resectable group was 22.2 months while for those undergoing resection it was 37 months.

conclusionsWe have demonstrated that a neoadjuvant approach is deliverable and tolerable. In addition we have demonstrated impressive survival results in patients undergoing resection with no detriment in outcome for those not proceeding to surgery.

Indexed as

chemoradiotherapychemotherapyneoadjuvantPancreatic cancer

Identifiers

PMID28890819
PMCPMC5582039

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.