Evidence map›Paper›PMID 31286902›Full record

ArticleBMC surgery2019

Risk of pancreatic cancer in patients undergoing surgery for chronic pancreatitis.

Zhenjiang Zheng, Yonghua Chen, Chunlu Tan, Nengwen Ke, Binqing Du, Xubao Liu

Open access · goldAbstract read
In one paragraph

Article in BMC surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

17 citing papers in PubMed, 31 citations in OpenAlex.

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  15. Mass-forming pancreatitis versus pancreatic ductal adenocarcinoma: CT and MR imaging for differentiation.Cancer imaging : the official publication of the International Cancer Imaging Society · 2020
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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

6 authors at 2 institutions in 1 country.

Zhenjiang ZhengDepartment of Pancreatic Surgery, West China Hospital, Sichuan University, GuoXue Lane No.37, Chengdu, 610041, Sichuan Province, China.
Yonghua ChenDepartment of Pancreatic Surgery, West China Hospital, Sichuan University, GuoXue Lane No.37, Chengdu, 610041, Sichuan Province, China.
Chunlu TanDepartment of Pancreatic Surgery, West China Hospital, Sichuan University, GuoXue Lane No.37, Chengdu, 610041, Sichuan Province, China.
Nengwen KeDepartment of Pancreatic Surgery, West China Hospital, Sichuan University, GuoXue Lane No.37, Chengdu, 610041, Sichuan Province, China.
Binqing DuDepartment of Pancreatic Surgery, West China Hospital, Sichuan University, GuoXue Lane No.37, Chengdu, 610041, Sichuan Province, China.
Xubao LiuDepartment of Pancreatic Surgery, West China Hospital, Sichuan University, GuoXue Lane No.37, Chengdu, 610041, Sichuan Province, China. xbliu@medmail.com.cn.
Sichuan University · CNWest China Hospital of Sichuan University · CN

Funding

National Natural Science Foundation of China 81602133Scientific and Technological Support Program of Sichuan Province 2016FZ0115
6 · The paper itself

Abstract

backgroundChronic pancreatitis (CP) is considered to be a risk factor for pancreatic cancer. A retrospective study was conducted to evaluate the incidence of pancreatic cancer after surgery for CP and to determine the risk factors.

methodsThe patients who underwent surgery for histologically documented CP between January 2009 and December 2017 were reviewed. The baseline characteristics, operative data, postoperative complications, and follow-up information were analysed. We calculated standardized incidence ratio on the base of the incidence of pancreatic cancer in the standard population in China. The risk factor for pancreatic cancer was assessed using Cox regression.

resultsAmong 650 patients, pancreatic cancer was detected in 12 patients (1.8%) after a median follow-up of 4.4 years. The standardized incidence ratio of pancreatic cancer was 68.12 (95% CI, 35.20-118.99). Two independent risk factors for the development of pancreatic cancer in patients with chronic pancreatitis after surgery were identified: time interval to surgery [HR 1.005, 95% CI (1.002-1.008), P = 0.002] and de novo endocrine insufficiency [HR 10.672, 95% CI (2.567-44.372), P = 0.001].

conclusionsPatients who require surgery for CP are at a very high risk of developing pancreatic cancer. Early surgical intervention plays a protective role in the development of pancreatic cancer from CP. A high index of suspicion for pancreatic cancer should be maintained in CP patients with de novo postoperative diabetes after surgery.

Indexed as

AdultChinaExocrine Pancreatic InsufficiencyFemaleHumansIncidenceMaleMiddle AgedPancreatectomyPancreatic NeoplasmsPancreaticojejunostomyPancreatitis, ChronicRegistriesRetrospective StudiesRisk FactorsTime FactorsChronic pancreatitisPancreatic cancerRisk factorSurgery

Identifiers

PMID31286902
PMCPMC6615265
OpenAlexW2958316157

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.