Evidence map›Paper›PMID 31288786›Full record

ArticleBMC cancer2019

Opinions and use of neoadjuvant therapy for resectable, borderline resectable, and locally advanced pancreatic cancer: international survey and case-vignette study.

Stefan Heinrich, Marc Besselink, Markus Moehler, Jean-Luc van Laethem, Michel Ducreux, Peter Grimminger, Jens Mittler, Hauke Lang, Manfred P Lutz, Mickael Lesurtel and 1 more

Abstract read
In one paragraph

Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Pooled it
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  8. Review
  9. The value ofQuantitative imaging in medicine and surgery · 2023
    Article
  10. Article
  11. Treatment of pancreatic cancer in 2022.Cambridge prisms. Precision medicine · 2023
    Review
  12. Patient Perceptions of Decision-making and Quality-of-life Following Surgical Resection of Pancreatic Adenocarcinoma: A Mixed-methods Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022
    Article
  13. Article
  14. Review
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  17. Proclivity to Explore Locally Advanced Pancreas Cancer Is Not Associated with Surgeon Volume.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
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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

11 authors.

Stefan HeinrichDepartment of General, Visceral and Transplantation Surgery, University Hospital of Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany. stefan.heinrich@unimedizin-mainz.de.ORCID http://orcid.org/0000-0001-9961-0957
Marc BesselinkDepartment of Surgery, Amsterdam UMC, Cancer Center Amsterdam, University of Amsterdam, Amsterdam, The Netherlands.
Markus MoehlerFirst Department of Internal Medicine, University Hospital of Mainz, Mainz, Germany.
Jean-Luc van LaethemDepartment of Gastroenterology and Digestive Oncology, Erasme Hospital, 1070, Brussels, Belgium.
Michel DucreuxGastrointestinal Unit, Institute Gustave Roussy, Villejuif, France.
Peter GrimmingerDepartment of General, Visceral and Transplantation Surgery, University Hospital of Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.
Jens MittlerDepartment of General, Visceral and Transplantation Surgery, University Hospital of Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.
Hauke LangDepartment of General, Visceral and Transplantation Surgery, University Hospital of Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.
Manfred P LutzDepartment of Internal Medicine, CaritasKlinikum, Saarbrücken, Germany.
Mickael LesurtelDepartment of Surgery and Liver Transplantation, Croix-Rousse University Hospital, University of Lyon, Lyon, France.
Scientific and Research Committee of the E-AHPBA and the EORTC pancreas working group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral new treatment options have become available for pancreatic ductal adenocarcinoma (PDAC), but the support for their use for resectable, borderline resectable and locally advanced PDAC is unclear.

methodsA survey was distributed to the members of the European-African Hepato-Pancreato Biliary Association (E-AHPBA) and the pancreas group of the European Organization for Research and Treatment of Cancer (EORTC) regarding 1) definitions of local resectability, 2) indications for neoadjuvant therapy and 3) case-vignettes regarding the resectability and treatment of PDAC.

resultsIn total, 114 participants from 37 countries were registered. About 35% of respondents, each, were of the opinion that borderline resectability is defined by any venous tumor contact and venous involvement < 180° or > 180°, respectively. The majority (75.4%) of participants believed that borderline resectable PDAC has a high risk for R1 resection and that neoadjuvant therapy might increase the R0-resection rate (79.8%) and improve oncological patient selection (84.2%). Chemotherapy was regarded useful to convert locally advanced to resectable PDAC by 55.7% of respondents. In the cases with resectable, borderline resectable, and locally advanced PDAC, 10 (8.8%), 78 (68.4%), 55 (48.2%) of participants would start with chemotherapy, respectively.

conclusionsAlthough definitions for borderline resectability differ among European surgeons, there seems to be a rather strong support for preoperative chemotherapy in PDAC aiming at minimizing R1 resections while increasing resection rates.

Indexed as

ConsensusNeoadjuvant TherapyPancreatectomyCarcinoma, Pancreatic DuctalChemoradiotherapy, AdjuvantHumansPalliative CarePancreatic NeoplasmsRadiation OncologistsSurgeonsSurveys and QuestionnairesTerminology as TopicDefintionsNeoadjuvant therapyPancreatic cancerPDACResectabilitySurvey

Identifiers

PMID31288786
PMCPMC6617881

What OpenQuestion holds

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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.