Evidence map›Paper›PMID 31825664›Full record

ArticleThe British journal of radiology2020

Is there an oligometastatic state in pancreatic cancer? Practical clinical considerations raise the question.

Marta Scorsetti, Tiziana Comito, Davide Franceschini, Ciro Franzese, Maria Giuseppina Prete, Antonio D'Alessio, Silvia Bozzarelli, Lorenza Rimassa, Armando Santoro

Open access · bronzeAbstract readEvaluation Study
In one paragraph

Article in The British journal of radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 26% 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, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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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 at 1 institution in 1 country.

Marta ScorsettiRadiotherapy and Radiosurgery Department, Humanitas Clinical and Research Center, Rozzano-Milano, Italy.
Tiziana ComitoRadiotherapy and Radiosurgery Department, Humanitas Clinical and Research Center, Rozzano-Milano, Italy.
Davide FranceschiniRadiotherapy and Radiosurgery Department, Humanitas Clinical and Research Center, Rozzano-Milano, Italy.ORCID http://orcid.org/0000-0003-1142-2439
Ciro FranzeseRadiotherapy and Radiosurgery Department, Humanitas Clinical and Research Center, Rozzano-Milano, Italy.
Maria Giuseppina PreteMedical Oncology and Hematology Unit, Humanitas Cancer Center, Humanitas Clinical and Research Center - IRCCS, Rozzano-Milano, Italy.
Antonio D'AlessioMedical Oncology and Hematology Unit, Humanitas Cancer Center, Humanitas Clinical and Research Center - IRCCS, Rozzano-Milano, Italy.
Silvia BozzarelliMedical Oncology and Hematology Unit, Humanitas Cancer Center, Humanitas Clinical and Research Center - IRCCS, Rozzano-Milano, Italy.
Lorenza RimassaMedical Oncology and Hematology Unit, Humanitas Cancer Center, Humanitas Clinical and Research Center - IRCCS, Rozzano-Milano, Italy.
Armando SantoroDepartment of Biomedical Sciences, Humanitas University, Rozzano-Milano, Italy.
Humanitas University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the role of stereotactic body radiotherapy (SBRT) as a local ablative treatment (LAT) in oligometastatic pancreatic cancer.

methodsPatients affected by histologically confirmed stage IV pancreatic adenocarcinoma were included in this analysis. Endpoints are local control (LC), progression-free survival (PFS), and overall survival (OS).

resultsFrom 2013 to 2017, a total of 41 patients were treated with SBRT on 64 metastases. Most common sites of disease were lung (29.3%) and liver (56.1%). LC at 1 and 2 years were 88.9% (95% CI 73.2-98.6) and 73.9% (95% CI 50-87.5), respectively. Median LC was 39.9 months (95% CI 23.3-not reached).PFS rates at 1 and 2 years were 21.9% (95% CI 10.8-35.4) and 10.9% (95% CI 3.4-23.4), respectively. Median PFS was 5.4 months (95%CI 3.1-11.3).OS rates at 1 and 2 years were 79.9% (95% CI 63.7-89.4) and 46.7% (95% CI 29.6-62.2). Median OS was 23 months (95%CI 14.1-31.8).

conclusionsOur results, although based on a retrospective analysis of a small number of patients, show that patients with oligometastatic pancreatic cancer may benefit from local treatment with SBRT. Larger studies are warranted to confirm these results. ADVANCES IN KNOWLEDGE: Selected patients affected by oligometastatic pancreatic adenocarcinoma can benefit from local ablative approaches, like SBRT.

Indexed as

AdenocarcinomaAgedAged, 80 and overDisease-Free SurvivalDisease ProgressionFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNeoplasm MetastasisPancreatic NeoplasmsPositron-Emission TomographyRadiosurgeryRetrospective Studies

Identifiers

PMID31825664
PMCPMC7055447
OpenAlexW2995120462

What OpenQuestion holds

Textmetadata
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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.