Evidence map›Paper›PMID 30215043›Full record

ArticleAnnals of hepato-biliary-pancreatic surgery2018

A retrospective review of correlative radiological assessment and surgical exploration for hilar cholangiocarcinoma.

Darren Chua, Albert Low, Yexin Koh, Brian Goh, Peng Chung Cheow, Juinn Har Kam, Jin Yao Teo, Ek Khoon Tan, Alexander Chung, London Lucien Ooi and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of hepato-biliary-pancreatic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Ferroptosis gene signature in cholangiocarcinoma.Molecular therapy oncolytics · 2022
    Article
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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

12 authors at 2 institutions in 1 country.

Darren ChuaDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Albert LowDepartment of Diagnostic Radiology, Singapore General Hospital, Singapore.
Yexin KohDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Brian GohDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Peng Chung CheowDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Juinn Har KamDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Jin Yao TeoDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Ek Khoon TanDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Alexander ChungDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
London Lucien OoiDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Chung Yip ChanDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Ser Yee LeeDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Singapore General Hospital · SGNational University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUNDS/

aimsHilar cholangiocarcinomas (HCCAs) are tumors that involve the biliary confluence; at present, radical surgery offers the only chance of long-term survival, but this can be challenging given the complexity of the hilar anatomy. Blumgart and Jarnagin described a preoperative staging system that incorporates the effect of local tumor extent and its impact on adjacent structures and that has been demonstrated to correlate better with actual surgical resectability. The primary aim of this study is to describe the correlation between preoperative Blumgart-Jarnagin staging and its correlation with surgical resectability.

methodsPatients who underwent surgical resection for hilar cholangiocarcinoma at Singapore General Hospital between January 1, 2002, and January 1, 2013, were identified from a prospectively maintained institutional database. All patients were staged based on the criteria described by Blumgart and Jarnagin. Correlation with surgical resectability was then determined.

resultsA total of 19 patients were identified. Overall resectability was 57.8% (n=11). Patients with Blumgart-Jarnagin stage T1 had the highest rates of resectability at 80%; patients with stage T2 and T3 disease had resectability rates of 25% and 40% respectively. Median overall survival was 13.6 months.

conclusionsThe Blumgart-Jarnagin staging system is useful for predicting tumor resectability in HCCA.

Indexed as

Blumgart-janarginHilar cholangiocarcinomaKlatskinPre-operativeResectability

Identifiers

PMID30215043
PMCPMC6125271
OpenAlexW2888788220

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Registered trials

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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.