Evidence map›Paper›PMID 31744269›Full record

ArticleClinical endoscopy2019

Predictive Value of Localized Stenosis of the Main Pancreatic Duct for Early Detection of Pancreatic Cancer.

Yoshihide Kanno, Shinsuke Koshita, Takahisa Ogawa, Hiroaki Kusunose, Kaori Masu, Toshitaka Sakai, Keisuke Yonamine, Yujiro Kawakami, Yuki Fujii, Kazuaki Miyamoto and 7 more

Open access · goldAbstract read
In one paragraph

Article in Clinical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 20 citations in OpenAlex.

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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

17 authors at 1 institution in 1 country.

Yoshihide KannoDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Shinsuke KoshitaDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Takahisa OgawaDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Hiroaki KusunoseDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Kaori MasuDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Toshitaka SakaiDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Keisuke YonamineDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Yujiro KawakamiDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Yuki FujiiDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Kazuaki MiyamotoDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Toji MurabayashiDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Fumisato KozakaiDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Jun HoraguchiDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Yutaka NodaDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Masaya OikawaDepartment of Gastroenterological Surgery, Sendai City Medical Center, Sendai, Japan.
Takaho OkadaDepartment of Gastroenterological Surgery, Sendai City Medical Center, Sendai, Japan.
Kei ItoDepartment of Gastroenterology, Sendai City Medical Center, Sendai, Japan.
Sendai Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsIn this study, we aimed to evaluate the predictive value of localized stenosis of the main pancreatic duct (MPD) for early detection of pancreatic cancer.

methodsAmong 689 patients who underwent endoscopic retrograde pancreatography from January 2008 to September 2018, 19 patients with MPD findings were enrolled. These patients showed findings for indicating suspicious pancreatic cancer at an early stage (FiCE); FiCE was defined as a single, localized stenosis in the MPD without a detectable mass (using any other imaging methods) and without other pancreatic diseases, such as definite chronic pancreatitis, intraductal papillary mucinous neoplasm, and autoimmune pancreatitis. Final diagnoses were established by examining resected specimens or through follow-up examinations after an interval of >5 years.

resultsAmong 19 patients with FiCE, 11 underwent surgical resection and 8 were evaluated after a >5-year observation period. The final diagnosis of the MPD stenosis was judged to be pancreatic cancer in 9 patients (47%), including 3 with intraepithelial cancer, and to be a non-neoplastic change in 10. The sensitivity, specificity, and accuracy of preoperative pancreatic juice cytology were 75%, 100%, and 88%, respectively.

conclusionThe predictive value of FiCE for pancreatic cancer prevalence was 47%. Histological confirmation with pancreatic juice cytology is necessary before surgical resection.

Indexed as

Early pancreatic cancerEndoscopic retrograde cholangiopancreatographyIntraductal papillary mucinous neoplasmIntraepithelial cancerPancreatic juice cytology

Identifiers

PMID31744269
PMCPMC6900300
OpenAlexW2991140622

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.