Evidence map›Paper›PMID 29665327›Full record

ArticleCancer medicine2018

Adjuvant radiotherapy and chemotherapy improve survival in patients with pancreatic adenocarcinoma receiving surgery: adjuvant chemotherapy alone is insufficient in the era of intensity modulation radiation therapy.

Mao-Chih Hsieh, Wei-Wen Chang, Hsin-Hsien Yu, Chang-Yun Lu, Chia-Lun Chang, Jyh-Ming Chow, Shee-Uan Chen, Yunfeng Cheng, Szu-Yuan Wu

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  5. Survival and prognostic factors among hospitalized pancreatic cancer patients in northwestern Iran.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2023
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  15. Optimal treatments for cervical adenocarcinoma.American journal of cancer research · 2019
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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

9 authors at 4 institutions in 2 countries.

Mao-Chih HsiehDepartment of General Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Wei-Wen ChangDepartment of General Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Hsin-Hsien YuDepartment of General Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Chang-Yun LuDepartment of General Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Chia-Lun ChangDepartment of Hemato-Oncology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Jyh-Ming ChowDepartment of Hemato-Oncology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Shee-Uan ChenDepartment of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei, Taiwan.
Yunfeng ChengDepartment of Hematology, Zhongshan Hospital Fudan University, Shanghai, China.
Szu-Yuan WuDepartment of Radiation Oncology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Wan Fang Hospital · TWTaipei Medical University · TWFudan University · CNNational Taiwan University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the era of intensity modulation radiation therapy (IMRT), no prospective randomized trial has evaluated the efficacy of adjuvant therapies such as adjuvant concurrent chemoradiotherapy (CCRT), adjuvant sequential chemotherapy and radiotherapy (CT-RT), and adjuvant CT alone in resectable pancreatic adenocarcinoma (PA). Through propensity score matching, we designed a nationwide, population-based, head-to-head cohort study to determine the effects of dissimilar adjuvant treatments on resectable PA. We minimized the confounding of various adjuvant treatment outcomes among the following resectable PA groups of patients from the Taiwan Cancer Registry database: group 1, adjuvant CCRT; group 2, adjuvant sequential CT-RT; and group 3, adjuvant CT alone. All the studied techniques are IMRTs. The matching process yielded a final cohort of 588 patients (196, 196, and 196 patients in groups 1, 2, and 3, respectively). In both univariate and multivariate Cox regression analyses, adjusted hazard ratios (aHRs; 95% confidence interval [CI]) of death derived for the adjuvant CCRT and adjuvant sequential CT-RT cohorts compared with the adjuvant CT alone cohort were 0.398 (0.314-0.504) and 0.307 (0.235-0.402), respectively. A combination of adjuvant IMRT and CT for resectable PA treatment improves survival to a greater extent than does adjuvant CT alone.

Indexed as

AdenocarcinomaAgedChemoradiotherapy, AdjuvantFemaleHumansMaleMiddle AgedPancreatic NeoplasmsRadiotherapy, Intensity-ModulatedSurvival AnalysisAdjuvant chemotherapy aloneconcurrent chemoradiotherapypancreatic adenocarcinomasequential chemoradiotherapysurvival

Identifiers

PMID29665327
PMCPMC6010773
OpenAlexW2802491617

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.