Evidence map›Paper›PMID 31149288›Full record

ArticleActa endocrinologica (Bucharest, Romania : 2005)

PROGNOSTIC FACTORS IN PATIENTS WITH SURGICAL RESECTION OF PANCREATIC NEUROENDOCRINE TUMOURS.

S O Dima, T Dumitrascu, C Pechianu, R T Grigorie, V Brasoveanu, A Sorop, I Lupescu, R Purnichescu-Purtan, A Croitoru, N Bacalbasa and 4 more

Abstract readCase Reports
In one paragraph

Article in Acta endocrinologica (Bucharest, Romania : 2005). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. A tool to predict survival in stage IV entero-pancreatic NEN.Journal of endocrinological investigation · 2021
    Observational
  5. Review
  6. PancreatoduodenectomyIn vivo (Athens, Greece)
    Article
  7. Review
  8. Article
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.

S O DimaFundeni Clinical Institute - Center of Digestive Diseases and Liver Transplantation - Bucharest, Romania.
T DumitrascuFundeni Clinical Institute - Center of Digestive Diseases and Liver Transplantation - Bucharest, Romania.
C PechianuFundeni Clinical Institute - Center of Excellence in Translational Medicine - Bucharest, Romania.
R T GrigorieFundeni Clinical Institute - Center of Digestive Diseases and Liver Transplantation - Bucharest, Romania.
V BrasoveanuFundeni Clinical Institute - Center of Digestive Diseases and Liver Transplantation - Bucharest, Romania.
A SoropFundeni Clinical Institute - Center of Excellence in Translational Medicine - Bucharest, Romania.
I LupescuFundeni Clinical Institute - Department of Radiology and Medical Imaging - Bucharest, Romania.
R Purnichescu-PurtanFundeni Clinical Institute - University Politehnica of Bucharest, Departament of Mathematical Methods and Models, Bucharest, Romania.
A CroitoruFundeni Clinical Institute - Center of Digestive Diseases and Liver Transplantation - Bucharest, Romania.
N BacalbasaFundeni Clinical Institute - Center of Digestive Diseases and Liver Transplantation - Bucharest, Romania.
A TanaseFundeni Clinical Institute - "Titu Maiorescu" University - "Acad. Nicolae Cajal" Institute of Medical Scientific Research, Bucharest, Romania.
D R TomescuFundeni Clinical Institute - Center of Digestive Diseases and Liver Transplantation - Bucharest, Romania.
V HerleaFundeni Clinical Institute - Department of Pathology - Bucharest, Romania.
I PopescuFundeni Clinical Institute - Center of Digestive Diseases and Liver Transplantation - Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextPancreatic neuroendocrine tumours (PanNETs) are rare pancreatic neoplasms. PanNETs can be treated by multimodal approach including surgery, locoregional and systemic therapy.

objectiveThe aim of the present study is to evaluate predictive factors of overall survival in patients with PanNETs surgically treated at a single center. SUBJECTS AND

methodsThe study group consisted of 120 patients with PanNETs who had undergone surgery at the Center of Digestive Diseases and Liver Transplantation of Fundeni Clinical Institute, Bucharest, Romania. Surgical resection of the primary tumor was performed in 110 patients.

resultsTumor size > 2 cm (p=0.048) (90% CI) lymph node involvement (p=0.048), ENET grade (p<0.001), distant metastases (p<0.001), Ki 67 index (<2%, 2-5%, 5-10%, 10-20%, >20%) (p<0.001) were identified as significant prognostic factors for OS on univariate analysis. Using multivariate Cox proportional regression model we found that distant metastases and Ki 67 index were independent risk factors for the survival outcome.

conclusionsSurgery with curative intent should be considered in all cases if clinically appropriate and technically feasible. High grade (Ki67 index ≥10%) tumours were associated with a 2- fold increase in risk of death as compared to those with a Ki67 <10%.

Indexed as

neuroendocrinepancreaticprognostic factorssurgery

Identifiers

PMID31149288
PMCPMC6525773

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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.