Evidence map›Paper›PMID 29284072›Full record

ArticleJournal of surgical oncology2018

Adjuvant therapy is associated with improved survival after curative resection for hilar cholangiocarcinoma: A multi-institution analysis from the U.S. extrahepatic biliary malignancy consortium.

Bradley A Krasnick, Linda X Jin, Jesse T Davidson, Dominic E Sanford, Cecilia G Ethun, Timothy M Pawlik, George A Poultsides, Thuy Tran, Kamran Idrees, William G Hawkins and 15 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of surgical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

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

  1. Postoperative adjuvant chemotherapy for resectable cholangiocarcinoma.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Article
  3. Changing concepts in perihilar cholangiocarcinoma resections and surgery.International journal of surgery (London, England) · 2026
    Article
  4. Role of Radiation Therapy for Biliary Tract Cancers.Current oncology (Toronto, Ont.) · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Neoadjuvant and Adjuvant Therapy in Intrahepatic Cholangiocarcinoma.Journal of clinical and translational hepatology · 2022
    Review
  14. Article
  15. Review
  16. External validation study of the 8Journal of gastrointestinal oncology · 2021
    Article
  17. Observational
  18. Extended Lymphadenectomy Versus Regional Lymphadenectomy in Resectable Hilar Cholangiocarcinoma.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
    Article
  19. Article
  20. 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

25 authors.

Bradley A KrasnickDepartment of Surgery, Washington University School of Medicine, St Louis, Missouri.ORCID http://orcid.org/0000-0003-2685-7259
Linda X JinDepartment of Surgery, Washington University School of Medicine, St Louis, Missouri.
Jesse T DavidsonDepartment of Surgery, Washington University School of Medicine, St Louis, Missouri.
Dominic E SanfordDepartment of Surgery, Washington University School of Medicine, St Louis, Missouri.
Cecilia G EthunWinship Cancer Institute, Emory University, Atlanta, Georgia.
Timothy M PawlikThe Ohio State University Comprehensive Cancer Center, Columbus, Ohio.ORCID http://orcid.org/0000-0002-4828-8096
George A PoultsidesStanford University Medical Center, Palo Alto, California.
Thuy TranStanford University Medical Center, Palo Alto, California.
Kamran IdreesVanderbilt University Medical Center, Nashville, Tennessee.
William G HawkinsDepartment of Surgery, Washington University School of Medicine, St Louis, Missouri.
William C ChapmanDepartment of Surgery, Washington University School of Medicine, St Louis, Missouri.
Maria B M DoyleDepartment of Surgery, Washington University School of Medicine, St Louis, Missouri.
Sharon M WeberUniversity of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Steven M StrasbergDepartment of Surgery, Washington University School of Medicine, St Louis, Missouri.
Ahmed SalemUniversity of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Robert C G MartinUniversity of Louisville, Louisville, Kentucky.
Chelsea A IsomVanderbilt University Medical Center, Nashville, Tennessee.
Charles ScogginsUniversity of Louisville, Louisville, Kentucky.
Carl R SchmidtThe Ohio State University Comprehensive Cancer Center, Columbus, Ohio.
Perry ShenWake Forest University, Winston-Salem, North Carolina.
Eliza BealThe Ohio State University Comprehensive Cancer Center, Columbus, Ohio.
Ioannis HatzarasNew York University, New York, New York.
Rivfka ShenoyNew York University, New York, New York.
Shishir K MaithelWinship Cancer Institute, Emory University, Atlanta, Georgia.
Ryan C FieldsDepartment of Surgery, Washington University School of Medicine, St Louis, Missouri.

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
Vanderbilt Clinical Oncology Research Career Development ProgramK12CA090625 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Debra L. Friedman, Paula Jill Hurley · 2001 to 2026
$16.9M
SURGICAL ONCOLOGY TRAINING GRANTT32CA009621 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN, William E. Gillanders · 1988 to 2026
$12.9M
Surgical Oncology Training GrantT32CA106183 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI James Richard Goldenring · 2004 to 2026
$6.0M
NCI NIH HHS K12 CA090625NCI NIH HHS P30 CA016058NCI NIH HHS T32 CA009621NCI NIH HHS T32 CA106183
6 · The paper itself

Abstract

backgroundCurative-intent treatment for localized hilar cholangiocarcinoma (HC) requires surgical resection. However, the effect of adjuvant therapy (AT) on survival is unclear. We analyzed the impact of AT on overall (OS) and recurrence free survival (RFS) in patients undergoing curative resection.

methodsWe reviewed patients with resected HC between 2000 and 2015 from the ten institutions participating in the U.S. Extrahepatic Biliary Malignancy Consortium. We analyzed the impact of AT on RFS and OS. The probability of RFS and OS were calculated in the method of Kaplan and Meier and analyzed using multivariate Cox regression analysis.

resultsA total of 249 patients underwent curative resection for HC. Patients who received AT and those who did not had similar demographic and preoperative features. In a multivariate Cox regression analysis, AT conferred a significant protective effect on OS (HR 0.58, P = 0.013), and this was maintained in a propensity matched analysis (HR 0.66, P = 0.033). The protective effect of AT remained significant when node negative patients were excluded (HR 0.28, P = 0.001), while it disappeared (HR 0.76, P = 0.260) when node positive patients were excluded.

conclusionsAT should be strongly considered after curative-intent resection for HC, particularly in patients with node positive disease.

Indexed as

AgedBile Duct NeoplasmsChemoradiotherapy, AdjuvantChemotherapy, AdjuvantCholangiocarcinomaDisease-Free SurvivalFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicRetrospective StudiesSurvival Rateadjuvant therapybiliary cancerchemotherapyhilar cholangiocarcinomasurvival

Identifiers

PMID29284072
PMCPMC5924689

What OpenQuestion holds

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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.