Evidence map›Paper›PMID 29881603›Full record

ReviewUnited European gastroenterology journal2018

Results of surveillance in individuals at high-risk of pancreatic cancer: A systematic review and meta-analysis.

Marianna Signoretti, Marco J Bruno, Giulia Zerboni, Jan-Werner Poley, Gianfranco Delle Fave, Gabriele Capurso

Open access · bronzeAbstract readReview
In one paragraph

Review in United European gastroenterology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Guideline
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  3. Review
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  5. Article
  6. Article
  7. Review
  8. Article
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  11. Article
  12. Article
  13. Screening for pancreatic cancer-a compelling challenge.Hepatobiliary surgery and nutrition · 2021
    Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. COMMUNI.Frontiers in medicine · 2020
    Article
  20. Familial Pancreatic Cancer: Current Perspectives.Cancer management and research · 2020
    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

6 authors at 2 institutions in 2 countries.

Marianna SignorettiDigestive and Liver Disease Unit, S. Andrea Hospital, Rome, Italy.
Marco J BrunoDepartment of Gastroenterology and Hepatology, Erasmus Medical Center, University Medical Center, Rotterdam, The Netherlands.
Giulia ZerboniDigestive and Liver Disease Unit, S. Andrea Hospital, Rome, Italy.
Jan-Werner PoleyDepartment of Gastroenterology and Hepatology, Erasmus Medical Center, University Medical Center, Rotterdam, The Netherlands.
Gianfranco Delle FaveDigestive and Liver Disease Unit, S. Andrea Hospital, Rome, Italy.
Gabriele CapursoDigestive and Liver Disease Unit, S. Andrea Hospital, Rome, Italy.
CTO Andrea Alesini · ITErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on surveillance for pancreatic ductal adenocarcinoma (PDAC) in high-risk individuals (HRIs) with "familial pancreatic cancer" (FPC) and specific syndromes are limited and heterogeneous.

objectiveWe conducted a systematic review and meta-analysis of PDAC surveillance studies in HRIs.

methodsPrevalence of solid/cystic pancreatic lesions and of lesions considered a successful target of surveillance (proven resectable PDAC and high-grade precursors) was pooled across studies. The rate of lesions diagnosed by endoscopic ultrasonography (EUS)/magnetic resonance imaging (MRI) and across different HRI groups was calculated.

resultsSixteen studies incorporating 1588 HRIs were included. The pooled prevalence of pancreatic solid and cystic lesions was 5.8% and 20.2%, respectively. The pooled prevalence of patients with lesions considered a successful target of surveillance was 3.3%, being similar to EUS or MRI and varying across subgroups, being 3% in FPC, 4% in hereditary pancreatitis, 5% in familial melanoma, 6.3% in hereditary breast/ovarian cancer, and 12.2% in Peutz-Jeghers syndrome. The pooled estimated rate of lesions considered a successful target of surveillance during follow-up was 5/1000 person-years.

conclusionSurveillance programs identify successful target lesions in 3.3% of HRIs with a similar yield of EUS and MRI and an annual risk of 0.5%. A higher rate of target lesions was reported in HRIs with specific DNA mutations.

Indexed as

family historymeta-analysisPancreatic cancerscreening

Identifiers

PMID29881603
PMCPMC5987280
OpenAlexW2782715670

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.