Evidence map›Paper›PMID 30538291›Full record

ArticleThe American journal of gastroenterology2019

Results of First-Round of Surveillance in Individuals at High-Risk of Pancreatic Cancer from the AISP (Italian Association for the Study of the Pancreas) Registry.

Salvatore Paiella, Gabriele Capurso, Giulia Martina Cavestro, Giovanni Butturini, Raffaele Pezzilli, Roberto Salvia, Marianna Signoretti, Stefano Crippa, Silvia Carrara, Isabella Frigerio and 9 more

2 registry-linked trialsAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in The American journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.0field-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.

NCT04024345 naunknown statusnot on this map

Surveillance Program in High-risk Individuals for Pancreatic Cancer: Prospective Analysis of the Emotional Impact

TypeinterventionalSponsorAzienda Ospedaliera Universitaria Integrata VeronaRan2017 to 2021Enrolled150ConditionsPancreatic Cancer, Psychological DistressArmsBarratt Simplified Measure of Social Status (BSMSS), Global Assessment of Functioning scale (GAF), General Self-Efficacy Scale (GSES), Perceived Stress Scale (PSS), Coping Orientation to Problems Experienced (Brief COPE),
NCT04095195 recruitingnot on this map

Italian Registry of Families At Risk of Pancreatic Cancer

TypeobservationalSponsorAssociazione Italiana per lo Studio del PancreasRan2019 to 2045Enrolled1,000ConditionsFamilial Pancreatic Cancer, BRCA1 Mutation, BRCA2 Mutation, Lynch SyndromeArmsMRCP, Endoultrasonography
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 49 citations in OpenAlex.

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  18. Screening for pancreatic cancer-a compelling challenge.Hepatobiliary surgery and nutrition · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 9 institutions in 1 country.

Salvatore PaiellaGeneral and Pancreatic Surgery Department, Pancreas Institute, University of Verona, Verona, Italy.
Gabriele CapursoDigestive and Liver Disease Unit, S. Andrea Hospital, University Sapienza, Rome, Italy.
Giulia Martina CavestroGastroenterology and Gastrointestinal Endoscopy Unit, IRCCS Ospedale San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
Giovanni ButturiniPancreatic Surgery Unit, Casa di Cura Pederzoli Hospital, Peschiera del Garda, Italy.
Raffaele PezzilliInternal Medicine, University of Bologna, Bologna, Italy.
Roberto SalviaGeneral and Pancreatic Surgery Department, Pancreas Institute, University of Verona, Verona, Italy.
Marianna SignorettiDigestive and Liver Disease Unit, S. Andrea Hospital, University Sapienza, Rome, Italy.
Stefano CrippaPancreatic Surgery Unit, IRCCS Ospedale San Raffaele Scientific Institute, Vita Salute San Raffaele University, Milano, Italy.
Silvia CarraraGastrointestinal Endoscopy, Istituto Clinico Humanitas, Milano, Italy.
Isabella FrigerioPancreatic Surgery Unit, Casa di Cura Pederzoli Hospital, Peschiera del Garda, Italy.
Claudio BassiGeneral and Pancreatic Surgery Department, Pancreas Institute, University of Verona, Verona, Italy.
Massimo FalconiPancreatic Surgery Unit, IRCCS Ospedale San Raffaele Scientific Institute, Vita Salute San Raffaele University, Milano, Italy.
Elsa IannicelliRadiology Unit, S. Andrea Hospital, University Sapienza, Rome, Italy.
Alessandro GiardinoPancreatic Surgery Unit, Casa di Cura Pederzoli Hospital, Peschiera del Garda, Italy.
Alessandro MannucciGastroenterology and Gastrointestinal Endoscopy Unit, IRCCS Ospedale San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.
Andrea LaghiRadiology Unit, S. Andrea Hospital, University Sapienza, Rome, Italy.
Luigi LaghiHereditary Cancer Genetics Clinic, Humanitas Clinical and Research Center, Milano, Italy.
Luca FrulloniGastroenterology B Unit, Pancreas Institute, University of Verona, Verona, Italy.
Alessandro ZerbiPancreatic Surgery Unit, Humanitas Clinical and Research Center, Milano, Italy.
University of Verona · ITCasa di Cura Villa Garda · ITIRCCS Ospedale San Raffaele · ITAzienda Ospedaliera Sant'Andrea · ITSapienza University of Rome · ITFondazione Humanitas per la Ricerca · ITHumanitas University · ITUniversity of Bologna · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurveillance programs on high-risk individuals (HRIs) can detect pre-malignant lesions or early pancreatic cancer (PC). We report the results of the first screening round of the Italian multicenter program supported by the Italian Association for the study of the Pancreas (AISP).

methodsThe multicenter surveillance program included asymptomatic HRIs with familial (FPC) or genetic frailty (GS: BRCA1/2, p16/CDKN2A, STK11/LKB1or PRSS1, mutated genes) predisposition to PC. The surveillance program included at least an annual magnetic resonance cholangio pancreatography (MRCP). Endoscopic ultrasound (EUS) was proposed to patients who refused or could not be submitted to MRCP.

resultsOne-hundreds eighty-seven HRIs underwent a first-round screening examination with MRCP (174; 93.1%) or EUS (13; 6.9%) from September 2015 to March 2018.The mean age was 51 years (range 21-80).One-hundreds sixty-five (88.2%) FPC and 22 (11.8%) GF HRIs were included. MRCP detected 28 (14.9%) presumed branch-duct intraductal papillary mucinous neoplasms (IPMN), 1 invasive carcinoma/IPMN and one low-grade mixed-type IPMN, respectively. EUS detected 4 PC (2.1%): 1 was resected, 1 was found locally advanced intraoperatively, and 2 were metastatic. Age > 50 (OR 3.3, 95%CI 1.4-8), smoking habit (OR 2.8, 95%CI 1.1-7.5), and having > 2 relatives with PC (OR 2.7, 95%CI 1.1-6.4) were independently associated with detection of pre-malignant and malignant lesions. The diagnostic yield for MRCP/EUS was 24% for cystic lesions. The overall rate of surgery was 2.6% with nil mortality. DISCUSSION: The rate of malignancies found in this cohort was high (2.6%). According to the International Cancer of the Pancreas Screening Consortium the screening goal achievement was high (1%).

Indexed as

Genetic Predisposition to DiseasePopulation SurveillanceAdultAgedAged, 80 and overCholangiopancreatography, Magnetic ResonanceEarly Detection of CancerEndosonographyFemaleHumansItalyMaleMiddle AgedPancreatic NeoplasmsRegistriesRisk Factors

Identifiers

PMID30538291
OpenAlexW2905214005

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.