Evidence map›Paper›PMID 30959763›Full record

ReviewCancers2019

Comparative Effectiveness of Gemcitabine plus Nab-Paclitaxel and FOLFIRINOX in the First-Line Setting of Metastatic Pancreatic Cancer: A Systematic Review and Meta-Analysis.

Sara Pusceddu, Michele Ghidini, Martina Torchio, Francesca Corti, Gianluca Tomasello, Monica Niger, Natalie Prinzi, Federico Nichetti, Andrea Coinu, Maria Di Bartolomeo and 4 more

Abstract readReview
In one paragraph

Review in Cancers, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

77 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Guideline
  4. Pooled it
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  6. Pooled it
  7. Trial
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  10. Article
  11. Ferroptosis Suppression by the MAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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17 more citing papers are in PubMed but not listed here.

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

14 authors.

Sara PuscedduMedical Oncology Department, Fondazione IRCSS Istituto Nazionale Tumori di Milano, 20133 Milan, Italy. sara.pusceddu@istitutotumori.mi.it.
Michele GhidiniMedical Oncology Department, ASST Cremona, 26100 Cremona, Italy. mghido@hotmail.it.
Martina TorchioMedical Oncology Department, Fondazione IRCSS Istituto Nazionale Tumori di Milano, 20133 Milan, Italy. martina.torchio@istitutotumori.mi.it.
Francesca CortiMedical Oncology Department, Fondazione IRCSS Istituto Nazionale Tumori di Milano, 20133 Milan, Italy. francesca.corti@istitutotumori.mi.it.
Gianluca TomaselloMedical Oncology Department, ASST Cremona, 26100 Cremona, Italy. g.tomasello@asst-cremona.it.
Monica NigerMedical Oncology Department, Fondazione IRCSS Istituto Nazionale Tumori di Milano, 20133 Milan, Italy. monica.niger@istitutotumori.mi.it.
Natalie PrinziMedical Oncology Department, Fondazione IRCSS Istituto Nazionale Tumori di Milano, 20133 Milan, Italy. natalie.prinzi@istitutotumori.mi.it.
Federico NichettiMedical Oncology Department, Fondazione IRCSS Istituto Nazionale Tumori di Milano, 20133 Milan, Italy. federico.nichetti@istitutotumori.mi.it.ORCID 0000-0001-8044-4207
Andrea CoinuMedical Oncology Department, Ospedale San Francesco, ASSL Nuoro, 08100 Nuoro, Italy. andrea.coinu@atssardegna.it.
Maria Di BartolomeoMedical Oncology Department, Fondazione IRCSS Istituto Nazionale Tumori di Milano, 20133 Milan, Italy. maria.dibartolomeo@istitutotumori.mi.it.
Mary CabidduMedical Oncology and Hemato-Oncology Department, ASST Bergamo Ovest, 24047 Bergamo, Italy. mary_cabiddu@asst-bgovest.it.
Rodolfo PassalacquaMedical Oncology Department, ASST Cremona, 26100 Cremona, Italy. r.passalacqua@asst-cremona.it.
Filippo de BraudMedical Oncology Department, Fondazione IRCSS Istituto Nazionale Tumori di Milano, 20133 Milan, Italy. filippo.debraud@istitutotumori.mi.it.
Fausto PetrelliMedical Oncology and Hemato-Oncology Department, ASST Bergamo Ovest, 24047 Bergamo, Italy. faustopetrelli@gmail.com.

Funding

Medical Oncology Unit 1, Fondazione IRCCS Istituto Tumori di Milano. .
6 · The paper itself

Abstract

Gemcitabine and nab-paclitaxel (GEM-NAB) and the combination of 5-fluorouracil, oxaliplatin, and irinotecan (FOLFIRINOX) are valid first-line options for advanced or metastatic pancreatic cancer (mPC). However, no randomized trials comparing the two schemes have been performed. This meta-analysis aims to compare GEM-NAB and FOLFIRINOX in terms of safety and effectiveness, taking into account data from real-life studies on mPC. We systematically searched PubMed, EMBASE and Cochrane library up to November 2018 to identify retrospective or cohort studies on mPC comparing GEM-NAB and FOLFIRINOX. We included 16 retrospective studies, including 3813 patients (2123 treated with GEM-NAB and 1690 treated with FOLFIRINOX). Despite a median weighted overall survival (OS) difference in favor of FOLFIRINOX (mean difference: 1.15, 95% confidence interval CI 0.08⁻2.22,

Indexed as

and nab-paclitaxelFOLFIRINOXgemcitabinepancreatic cancer

Identifiers

PMID30959763
PMCPMC6520876

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.