Evidence map›Paper›PMID 30114330›Full record

ArticleJournal of surgical oncology2018

Impact of neoadjuvant therapy on postoperative outcomes after pancreaticoduodenectomy.

Katherine S Cools, Hanna K Sanoff, Hong Jin Kim, Jen Jen Yeh, Karyn B Stitzenberg

Abstract read
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 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.1field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 44 citations in OpenAlex.

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  10. A Novel Pancreatic Fistula Risk Score Including Preoperative Radiation Therapy in Pancreatic Cancer Patients.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
    Article
  11. Article
  12. Hepatic Steatosis After Neoadjuvant Chemotherapy for Pancreatic Cancer: Incidence and Implications for Outcomes After Pancreatoduodenectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
    Article
  13. Review
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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

5 authors at 1 institution in 1 country.

Katherine S CoolsDepartment of Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina.ORCID http://orcid.org/0000-0003-3737-9328
Hanna K SanoffDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Hong Jin KimDepartment of Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Jen Jen YehDepartment of Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Karyn B StitzenbergDepartment of Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
University of North Carolina at Chapel Hill · US

Funding

Cancer Training GrantR25CA116339 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BASCH, ETHAN M., REEVE, BRYCE B · 2008 to 2017
$4.0M
National Institutes of Health R25CA116339NCI NIH HHS R25 CA116339
6 · The paper itself

Abstract

backgroundSurgical resection provides the only potentially curative treatment of pancreatic cancer. Neoadjuvant chemotherapy and/or radiation (NAT) is used to downstage patients with borderline resectable tumors. The objective of this study was to examine the postoperative morbidity and mortality of NAT after pancreaticoduodenectomy (PD) for pancreatic ductal adenocarcinoma (PDA).

methodsUsing the American College of Surgeons-National Surgical Quality Improvement Project Targeted Pancreatectomy data, we identified patients who underwent a PD for PDA from 2014 to 2015. Patients were grouped by receipt of NAT 90 days before PD. Bivariable and multivariable analyses was used to compare postoperative outcomes.

resultsA total of 3748 patients with PDA underwent PD; 926 (24.7%) received NAT. Those in the NAT group had more major vein resections, and longer operating times (all P < 0.001). On pathologic staging, those in the NAT group had smaller tumors (T1, 10.9% vs 5.1%; P < 0.001) and fewer nodes positive (N0, 49% vs 28%; P < 0.001). There were no differences in 30-day postoperative mortality or overall complications. On multivariable analysis, patients who received NAT had a lower likelihood of pancreatic fistula (OR, 0.67; P < 0.001).

conclusionNAT does not increase the overall postoperative morbidity or mortality of PD for PDA. There is a decreased likelihood of pancreatic fistulas in patients that receive neoadjuvant therapy.

Indexed as

Postoperative ComplicationsAdenocarcinomaAgedCarcinoma, Pancreatic DuctalCombined Modality TherapyFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoadjuvant TherapyPancreatic NeoplasmsPancreaticoduodenectomyPrognosisRetrospective StudiesSurvival Rateneoadjuvant therapypancreatic cancerpancreaticoduodenectomy outcomespostoperative pancreatic fistulaWhipple postoperative complications

Identifiers

PMID30114330
PMCPMC6653597
OpenAlexW2886620938

What OpenQuestion holds

Textmetadata
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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.