Evidence map›Paper›PMID 31346887›Full record

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

Management of Ileal Neuroendocrine Tumors with Liver Metastases.

Andrea T Fisher, Ashley L Titan, Deshka S Foster, Patrick J Worth, George A Poultsides, Brendan C Visser, Monica M Dua, Jeffrey A Norton

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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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  5. Review
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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 at 2 institutions in 1 country.

Andrea T FisherDepartment of Surgery, Stanford University Hospital, 875 Blake Wilbur Drive, Stanford, CA, 94305, USA.
Ashley L TitanDepartment of Surgery, Stanford University Hospital, 875 Blake Wilbur Drive, Stanford, CA, 94305, USA.
Deshka S FosterDepartment of Surgery, Stanford University Hospital, 875 Blake Wilbur Drive, Stanford, CA, 94305, USA.
Patrick J WorthDepartment of Surgery, Stanford University Hospital, 875 Blake Wilbur Drive, Stanford, CA, 94305, USA.
George A PoultsidesDepartment of Surgery, Stanford University Hospital, 875 Blake Wilbur Drive, Stanford, CA, 94305, USA.
Brendan C VisserDepartment of Surgery, Stanford University Hospital, 875 Blake Wilbur Drive, Stanford, CA, 94305, USA.
Monica M DuaDepartment of Surgery, Stanford University Hospital, 875 Blake Wilbur Drive, Stanford, CA, 94305, USA.
Jeffrey A NortonDepartment of Surgery, Stanford University Hospital, 875 Blake Wilbur Drive, Stanford, CA, 94305, USA. janorton@stanford.edu.ORCID 0000-0003-4762-9466
Stanford University · USStanford Health Care · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAssessment of treating metastatic ileal neuroendocrine tumors (NETs) with complete resection of primary tumor, nodal and liver metastases, plus administration of long-acting somatostatin analogues (SSAs).

methodsA prospective database was queried for patients with ileal or pancreatic NETs with pathology-confirmed liver metastases and tumor somatostatin receptors. Patients did not have MEN-1 and had no previous treatment. The impacts of SSA treatment on the primary outcome of survival and secondary outcome of progression-free survival were assessed with Kaplan-Meier analysis. Log rank test was used to compare overall and progression-free survival among groups.

resultsSeventeen ileal NET patients and 36 pancreatic NET patients who underwent surgical resection between 2001 and 2018, who had pathology-confirmed liver metastases and confirmed tumor somatostatin receptors, did not have MEN-1, and had no previous treatment were identified. Median follow-up for patients with ileal NETs was 80 months (range 0-197 months) and 32 months (range 1-182 months) for pancreatic NETs. Five-year survival was 93% and 72% for ileal and pancreatic NET, respectively. Progression-free 5-year survival was 70% and 36% for ileal and pancreatic NET, respectively. Overall 5-year survival for pNETs was greater in those patients treated with SSA (79%) compared to those who underwent surgery alone (34%, p < 0.01). The average ECOG score was low for surviving patients with ileal (0.15) and pancreatic NET (0.73) indicating a good quality of life.

conclusionsResection of primary lymph node and liver metastatic ileal or pancreatic NETs followed with continued SSAs is associated with an excellent progression-free and overall survival and minimal side effects.

Indexed as

Liver NeoplasmsNeuroendocrine TumorsPancreatic NeoplasmsHumansQuality of LifeSomatostatinSomatostatinCarcinoidNETOctreotide

Identifiers

PMID31346887
OpenAlexW2963630781

What OpenQuestion holds

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Read underepoch 390

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.