Evidence map›Paper›PMID 31197692›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2020

Resection Versus Observation of Small Asymptomatic Nonfunctioning Pancreatic Neuroendocrine Tumors.

Alex Barenboim, Guy Lahat, Ido Nachmany, Richard Nakache, Yaakov Goykhman, Ravit Geva, Ester Osher, Erez Scapa, Ido Wolf, Lior Orbach and 4 more

Abstract read
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In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 36 citations in OpenAlex.

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  19. Few Comments on "Resection Versus Observation of Small Asymptomatic Nonfunctioning Pancreatic Neuroendocrine Tumors".Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Alex BarenboimUnit of Liver Surgery Department of Surgery, Tel-Aviv Medical Center, Tel Aviv, Israel.
Guy LahatUnit of Liver Surgery Department of Surgery, Tel-Aviv Medical Center, Tel Aviv, Israel.
Ido NachmanyUnit of Liver Surgery Department of Surgery, Tel-Aviv Medical Center, Tel Aviv, Israel.
Richard NakacheUnit of Liver Surgery Department of Surgery, Tel-Aviv Medical Center, Tel Aviv, Israel.
Yaakov GoykhmanUnit of Liver Surgery Department of Surgery, Tel-Aviv Medical Center, Tel Aviv, Israel.
Ravit GevaInstitute of Oncology, Tel-Aviv Medical Center, Tel Aviv, Israel.
Ester OsherDepartment of Endocrinology, Tel-Aviv Medical Center, Tel Aviv, Israel.
Erez ScapaInstitute of Gastroenterology, Tel-Aviv Medical Center, Tel Aviv, Israel.
Ido WolfInstitute of Oncology, Tel-Aviv Medical Center, Tel Aviv, Israel.
Lior OrbachUnit of Liver Surgery Department of Surgery, Tel-Aviv Medical Center, Tel Aviv, Israel.
Eli BrazowskiInstitute of Pathology, Tel-Aviv Medical Center, Tel Aviv, Israel.
Ofer IsakovDepartment of Internal Medicine "T", Tel-Aviv Medical Center, (affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.), Tel Aviv, Israel.
Joseph M KlausnerUnit of Liver Surgery Department of Surgery, Tel-Aviv Medical Center, Tel Aviv, Israel.
Nir LubezkyUnit of Liver Surgery Department of Surgery, Tel-Aviv Medical Center, Tel Aviv, Israel. nirl@tlvmc.gov.il.
Tel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundManagement of asymptomatic, nonfunctioning small pancreatic neuroendocrine tumors (PNETs) is controversial because of their overall good prognosis, and the morbidity and mortality associated with pancreatic surgery. Our aim was to compare the outcomes of resection with expectant management of patients with small asymptomatic PNETs.

methodsRetrospective review of patients with nonfunctioning asymptomatic PNETs < 2 cm that underwent resection or expectant management at the Tel-Aviv Medical Center between 2001 and 2018.

resultsForty-four patients with small asymptomatic, biopsy-proven low-grade PNETs with a KI67 proliferative index < 3% were observed for a mean of 52.48 months. Gallium

conclusionsNo patients with asymptomatic low-grade small PNETs treated by expectant management were diagnosed with regional or systemic metastases after a 52.8-month follow-up. Local tumor progression rate was 2.1%. Surgery has excellent long-term outcomes, but it harbors significant morbidity and mortality. Observation can be considered for selected patients with asymptomatic, small, low grade PNETs.

Indexed as

Neuroendocrine TumorsPancreatic NeoplasmsHumansNeoplasm Recurrence, LocalPancreatectomyRetrospective StudiesNeuronedocrine tumorsObervationPancreatic resection

Identifiers

PMID31197692
OpenAlexW2950800339

What OpenQuestion holds

Textmetadata
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.