Evidence map›Paper›PMID 31470608›Full record

ReviewCancers2019

Skeletal Metastases of Unknown Primary: Biological Landscape and Clinical Overview.

Antonella Argentiero, Antonio Giovanni Solimando, Oronzo Brunetti, Angela Calabrese, Francesco Pantano, Michele Iuliani, Daniele Santini, Nicola Silvestris, Angelo Vacca

Abstract 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 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Article
  8. Immunotherapy in EGFR-mutant non-small cell lung cancer.Clinical and experimental medicine · 2025
    Review
  9. Review
  10. Article
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  14. Research progress of DUB enzyme in breast cancer.Clinical and experimental medicine · 2025
    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

9 authors.

Antonella ArgentieroMedical Oncology Unit, IRCCS Istituto Tumori "Giovanni Paolo II" of Bari, Viale Orazio Flacco, 65, 70124 Bari, Italy.
Antonio Giovanni SolimandoMedical Oncology Unit, IRCCS Istituto Tumori "Giovanni Paolo II" of Bari, Viale Orazio Flacco, 65, 70124 Bari, Italy.
Oronzo BrunettiMedical Oncology Unit, IRCCS Istituto Tumori "Giovanni Paolo II" of Bari, Viale Orazio Flacco, 65, 70124 Bari, Italy.ORCID 0000-0002-7014-6828
Angela CalabreseDepartment of Radiology, IRCCS Istituto Tumori "Giovanni Paolo II", Viale Orazio Flacco, 65, 70124 Bari, Italy.
Francesco PantanoMedical Oncology, Campus Bio-Medico University of Rome, Álvaro del Portillo, 21, 00128 Rome, Italy.
Michele IulianiMedical Oncology, Campus Bio-Medico University of Rome, Álvaro del Portillo, 21, 00128 Rome, Italy.ORCID 0000-0003-3536-7630
Daniele SantiniMedical Oncology, Campus Bio-Medico University of Rome, Álvaro del Portillo, 21, 00128 Rome, Italy.
Nicola SilvestrisMedical Oncology Unit, IRCCS Istituto Tumori "Giovanni Paolo II" of Bari, Viale Orazio Flacco, 65, 70124 Bari, Italy. n.silvestris@oncologico.bari.it.ORCID 0000-0001-7814-7318
Angelo VaccaDepartment of Biomedical Sciences and Human Oncology, University of Bari "Ando Moro", Piazza Giulio Cesare, 11, 70124 Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Skeletal metastases of unknown primary (SMUP) represent a clinical challenge in dealing with patients diagnosed with bone metastases. Management of these patients has improved significantly in the past few years. however, it is fraught with a lack of evidence. While some patients have achieved impressive gains, a more systematic and tailored treatment is required. Nevertheless, in real-life practice, the outlook at the beginning of treatment for SMUP is decidedly somber. An incomplete translational relevance of pathological and clinical data on the mortality and morbidity rate has had unsatisfactory consequences for SMUP patients and their physicians. We examined several approaches to confront the available evidence; three key points emerged. The characterization of the SMUP biological profile is essential to driving clinical decisions by integrating genetic and molecular profiles into a multi-step diagnostic work-up. Nonetheless, a pragmatic investigation plan and therapy of SMUP cannot follow a single template; it must be adapted to different pathophysiological dynamics and coordinated with efforts of a systematic algorithm and high-quality data derived from statistically powered clinical trials. The discussion in this review points out that greater efforts are required to face the unmet needs present in SMUP patients in oncology.

Indexed as

bisphosphonatesbone markersbone metastasesskeletal metastases of unknown primarySMUPtumor microenvironmentunknown primary tumor

Identifiers

PMID31470608
PMCPMC6770264

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.