Evidence map›Paper›PMID 30972631›Full record

ArticleJournal of gastrointestinal cancer2020

Are We Choosing Surveillance Imaging in Gastric and Pancreatic Cancers Wisely? A Population-Based Study.

David L Chan, Matthew Cheung, Craig C Earle, Natalie Coburn, Nicole Mittmann, Farah Rahman, Ning Liu, Simron Singh

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Article in Journal of gastrointestinal cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. 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

8 authors.

David L ChanOdette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-7773-3144
Matthew CheungOdette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Craig C EarleOdette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Natalie CoburnOdette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Nicole MittmannInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
Farah RahmanInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
Ning LiuInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
Simron SinghOdette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Simron.singh@sunnybrook.ca.

Funding

Institute for Clinical Evaluative Sciences NA
6 · The paper itself

Abstract

BACKGROUND/

objectiveAlthough gastric and pancreatic cancers are aggressive, there is no evidence that early detection of recurrence improves overall survival. We aimed to measure the frequency of surveillance imaging in patients after curative resection for gastric and pancreatic cancers.

methodsWe performed a population-based cohort study on patients in Ontario, Canada, with a first diagnosis of gastric and pancreatic cancer in 2003-2013. Health administrative databases were linked using unique encoded identifiers to record demographics, imaging frequency, and health resource utilization.

resultsThe cohort comprised 2930 patients (2151 gastric, 779 pancreatic). The median age was 69 (38% female). The cumulative incidence of CT imaging overall was 74.3% after 1 year and 82.8% by 3 years. Imaging was more likely for pancreatic cancer compared to gastric cancer (p < 0.0001). On multivariate analysis, imaging was less likely for females and older patients and varied significantly by health district. Imaging frequency increased over the study period.

conclusionsSignificant and increasing numbers of patients received surveillance imaging after resection of gastric or pancreatic cancers despite lack of data to show its benefit. This data shows the need for the Choosing Wisely Canada recommendations (published after the study period) and serve as a baseline for future analyses.

Indexed as

AgedCohort StudiesFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalOntarioPancreatic NeoplasmsPopulation SurveillanceStomach NeoplasmsTomography, X-Ray ComputedChoosing wiselyGastric cancerPancreatic cancerSurveillance

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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.