Evidence map›Paper›PMID 31425482›Full record

ArticlePancreas2019

Management of Diarrhea in Patients With Carcinoid Syndrome.

Boris G Naraev, Magnus Halland, Daniel M Halperin, Amy J Purvis, Thomas M OʼDorisio, Thorvardur R Halfdanarson

Open access · hybridAbstract read
In one paragraph

Article in Pancreas, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. An unusual case of chronic diarrhea: a case report.Internal and emergency medicine · 2022
    Article
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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 5 institutions in 1 country.

Boris G NaraevFrom the Banner MD Anderson Cancer Center, Gilbert, AZ.
Magnus HallandDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.
Daniel M HalperinDepartment of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX.
Amy J PurvisUniversity of Arizona Cancer Center (UACC), Phoenix, AZ.
Thomas M OʼDorisioNeuroendocrine Cancer Program, University of Iowa Health Care, Iowa City, IA.
Thorvardur R HalfdanarsonDivision of Medical Oncology, Mayo Clinic, Rochester, MN.
Mayo Clinic in Arizona · USBanner MD Anderson Cancer CenterThe University of Texas MD Anderson Cancer Center · USUniversity of Arizona Cancer CenterUniversity of Iowa Health Care · US

Funding

Project 4: New Approaches to Improving the Effectiveness of Radionuclide Targeted Treatments in Neuroendocrine TumorsP50CA174521 · NCI · UNIVERSITY OF IOWA · PI ODORISIO, THOMAS · 2015 to 2021
$13.2M
NCI NIH HHS P50 CA174521
6 · The paper itself

Abstract

Neuroendocrine tumors (NETs) arise from enterochromaffin cells found in neuroendocrine tissues, with most occurring in the gastrointestinal tract. The global incidence of NETs has increased in the past 15 years, likely due to better diagnostic methods. Small-bowel NETs are frequently associated with carcinoid syndrome (CS). Carcinoid syndrome diarrhea occurs in 80% of CS patients and poses a substantial symptomatic and economic burden. Patients with CS diarrhea frequently suffer from diarrhea and flushing and report corresponding impairment in quality of life, requiring substantial changes in daily activities and lifestyle. Treatment paradigms range from surgical debulking to liver-directed therapies to treatment with somatostatin analogs, nonspecific anti-diarrheal agents, and a tryptophan hydroxylase inhibitor. Other causes of diarrhea, including steatorrhea, short bowel syndrome, and bile acid malabsorption, should be considered in NET patients with refractory diarrhea. More therapeutic options are needed for symptomatic management of patients with NETs, and better understanding of the pathophysiology can empower clinicians with improved patient care.

Indexed as

Cost-Benefit AnalysisDiagnosis, DifferentialDiarrheaHumansIntestinal NeoplasmsMalignant Carcinoid SyndromeNeuroendocrine TumorsPancreatic NeoplasmsQuality of LifeSomatostatinStomach NeoplasmsSomatostatin

Identifiers

PMID31425482
PMCPMC6867674
OpenAlexW2969839601

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.