Evidence map›Paper›PMID 30719874›Full record

ArticleJournal of cachexia, sarcopenia and muscle2019

The IMPACT study: early loss of skeletal muscle mass in advanced pancreatic cancer patients.

Debora Basile, Annamaria Parnofiello, Maria Grazia Vitale, Francesco Cortiula, Lorenzo Gerratana, Valentina Fanotto, Camilla Lisanti, Giacomo Pelizzari, Elena Ongaro, Michele Bartoletti and 12 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

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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

22 authors at 3 institutions in 1 country.

Debora BasileDepartment of Medicine (DAME), University of Udine, Udine, UD, Italy.
Annamaria ParnofielloDepartment of Medicine (DAME), University of Udine, Udine, UD, Italy.
Maria Grazia VitaleDepartment of Medicine (DAME), University of Udine, Udine, UD, Italy.
Francesco CortiulaDepartment of Medicine (DAME), University of Udine, Udine, UD, Italy.
Lorenzo GerratanaDepartment of Medicine (DAME), University of Udine, Udine, UD, Italy.
Valentina FanottoDepartment of Medicine (DAME), University of Udine, Udine, UD, Italy.
Camilla LisantiDepartment of Medicine (DAME), University of Udine, Udine, UD, Italy.
Giacomo PelizzariDepartment of Medicine (DAME), University of Udine, Udine, UD, Italy.
Elena OngaroDepartment of Medicine (DAME), University of Udine, Udine, UD, Italy.
Michele BartolettiDepartment of Medicine (DAME), University of Udine, Udine, UD, Italy.
Silvio Ken GarattiniDepartment of Medicine (DAME), University of Udine, Udine, UD, Italy.
Victoria Josephine AndreottiDepartment of Medicine (DAME), University of Udine, Udine, UD, Italy.
Anna BaccoDepartment of Endocrinology, University Hospital of Udine, Udine, UD, Italy.
Donatella IaconoDepartment of Oncology, ASUIUD University Hospital of Udine, Udine, UD, Italy.
Marta BonottoDepartment of Oncology, ASUIUD University Hospital of Udine, Udine, UD, Italy.
Mariaelena CasagrandeDepartment of Oncology, ASUIUD University Hospital of Udine, Udine, UD, Italy.
Paola ErmacoraDepartment of Oncology, ASUIUD University Hospital of Udine, Udine, UD, Italy.
Fabio PuglisiDepartment of Medicine (DAME), University of Udine, Udine, UD, Italy.
Nicoletta PellaDepartment of Oncology, ASUIUD University Hospital of Udine, Udine, UD, Italy.
Gianpiero FasolaDepartment of Oncology, ASUIUD University Hospital of Udine, Udine, UD, Italy.
Giuseppe AprileDepartment of Oncology, San Bortolo General Hospital, ULSS8 Berica, East District, Vicenza, VI, Italy.
Giovanni G CardellinoDepartment of Oncology, ASUIUD University Hospital of Udine, Udine, UD, Italy.
Ospedale Santa Maria della Misericordia di Udine · ITUniversity of Udine · ITOspedale San Bortolo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic cancer (PC) patients have multiple risk factors for sarcopenia and loss of skeletal muscle mass (LSMM), which may cause greater treatment toxicities, reduced response to cancer therapy, prolonged hospitalization, impaired quality of life, and worse prognosis.

methodsThis is a retrospective study on advanced PC patients treated at the Department of Oncology of Udine, Italy, from January 2012 to November 2017. Among 162 patients who received chemotherapy, 94 consecutive patients with an available computed tomography (CT) scan were retrospectively analyzed. The primary objective of our study was to explore if an early LSMM ≥ 10% (measured at first radiological evaluation and compared with baseline) and/or baseline sarcopenia may impact prognosis. Baseline sarcopenia was defined according to Prado's criteria. Skeletal muscle area was measured as cross-sectional areas (cm

resultsIn the whole cohort, 48% of patients were ≤70 years old, and 50% had metastatic disease. At baseline, 73% of patients had sarcopenia, and 16% presented a visceral fat area ≥ 44 cm

conclusionsEarly LSMM ≥ 10% has a negative prognostic role in advanced PC patients. Further prospective investigations are needed to confirm these preliminary data.

Indexed as

AgedAged, 80 and overBiomarkersBody Mass IndexCombined Modality TherapyComorbidityFemaleHospitalizationHumansMaleMiddle AgedMuscle, SkeletalMuscular AtrophyNeoplasm MetastasisNeoplasm StagingPancreatic NeoplasmsBiomarkersMuscle depletionMuscle lossPancreatic cancerSarcopenia

Identifiers

PMID30719874
PMCPMC6463465
OpenAlexW2912535286

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.