Evidence map›Paper›PMID 31374916›Full record

ReviewCancers2019

Surgery or Locoregional Approaches for Hepatic Oligometastatic Pancreatic Cancer: Myth, Hope, or Reality?

Michele Ghidini, Angelica Petrillo, Massimiliano Salati, Shelize Khakoo, Antonio Varricchio, Gianluca Tomasello, Francesco Grossi, Fausto Petrelli

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Targeting ProgrammedCancers · 2019
    Review
  13. Current Role of Surgery in Pancreatic Cancer With Synchronous Liver Metastasis.Cancer control : journal of the Moffitt Cancer Center
    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

8 authors at 6 institutions in 2 countries.

Michele GhidiniMedical Oncology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy. michele.ghidini@policlinico.mi.it.
Angelica PetrilloDivision of Medical Oncology, Department of Precision Medicine, School of Medicine, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.ORCID 0000-0001-5489-5733
Massimiliano SalatiDepartment of Oncology, University Hospital of Modena and Reggio Emilia, 41125 Modena, Italy.
Shelize KhakooDepartment of Medicine, Royal Marsden Hospital, London and Surrey, Sutton SM2 5PT, UK.ORCID 0000-0003-1142-8152
Antonio VarricchioSurgical Oncology Unit, Surgery Department, ASST Bergamo Ovest, 24047 Treviglio (BG), Italy.
Gianluca TomaselloNiguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy.
Francesco GrossiMedical Oncology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Fausto PetrelliOncology Unit, Oncology Department, ASST Bergamo Ovest, 24047 Treviglio (BG), Italy. faupe@libero.it.
Azienda Ospedaliera Treviglio · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITRoyal Marsden NHS Foundation Trust · GBUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite extensive research, pancreatic ductal adenocarcinoma (PDAC) remains a difficult-to-treat cancer associated with poor survival. Due to the known aggressive disease biology, palliative chemotherapy is the only routinely recommended treatment in the metastatic setting in patients with adequate performance status. However, in a subset of patients with oligometastatic disease, multimodality treatment with surgery and/or locoregional approaches may provide long-term disease control and prolong survival. In fact, in highly selected cases, median overall survival has been reported to extend to 56 months in patients treated with surgery. In particular, liver and extraregional nodal resections may provide long-term tumor control with acceptable morbidity. Current guidelines do not recommend surgery for patients with metastatic PDAC and, in the case of PDAC with oligometastases, there are no published randomized controlled trials regarding locoregional or surgical approaches. Here we review the literature on surgical and locoregional approaches including radiofrequency ablation, irreversible electroporation, and stereotactic body radiation, and focus on patients with hepatic oligometastatic pancreatic cancer. We provide a summary regarding survival outcomes, morbidity and mortality and discuss selection criteria that may be useful to predict the best outcomes for such strategies.

Indexed as

chemotherapyirreversible electroporationliver metastasectomyliver metastasesliver resectionoligometastatic diseasepancreatic cancerpancreatic surgeryradiofrequency ablationstereotactic body radiation therapy

Identifiers

PMID31374916
PMCPMC6721290
OpenAlexW2966098485

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.