Evidence map›Paper›PMID 31927720›Full record

SynthesisClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2020

Adjuvant therapy for true ampullary cancer: a systematic review.

M Bonet, A Rodrigo, S Vázquez, V Carrizo, F Vilardell, M Mira

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 14% 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, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. [Treatment of Ampullary Adenocarcinoma].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2023
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Treatment Approach to Adenocarcinoma of the Ampulla of Vater.Current treatment options in oncology · 2021
    Review
  12. Article
  13. 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

6 authors at 1 institution in 1 country.

M BonetDepartment of Radiation Oncology, Hospital Univesitari Arnau de Vilanova (HUAV), Av. Alcalde Rovira Roure, 80, 25198, Lleida, Spain. mabonet.lleida.ics@gencat.cat.ORCID http://orcid.org/0000-0002-6417-0514
A RodrigoDepartment of Medical Oncology, Hospital Univesitari Arnau de Vilanova (HUAV), Lleida, Spain.
S VázquezDepartment of Radiation Oncology, Hospital Univesitari Arnau de Vilanova (HUAV), Av. Alcalde Rovira Roure, 80, 25198, Lleida, Spain.
V CarrizoDepartment of Radiation Oncology, Hospital Univesitari Arnau de Vilanova (HUAV), Av. Alcalde Rovira Roure, 80, 25198, Lleida, Spain.
F VilardellDepartment of Surgical Pathology, Hospital Universitari Arnau de Vilanova (HUAV), Lleida, Spain.
M MiraDepartment of Radiation Oncology, Hospital Univesitari Arnau de Vilanova (HUAV), Av. Alcalde Rovira Roure, 80, 25198, Lleida, Spain.
Hospital Universitari Arnau de Vilanova · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven the lack of evidence on the best adjuvant approach, this review closely examines optimal adjuvant management for resected true ampullary cancer and its histological subtypes. MATERIALS AND

methodsA comprehensive literature search of PubMed was performed to identify studies on resected true ampullary cancers, published between January 2010 and December 2018. Data including the use of radiation, chemotherapy or chemoradiation and the outcomes were extracted.

resultsA total of 116 records were identified, of which 65 screened were selected. Finally, nine studies were included. Only two of the studies reported separately the outcomes of pancreatobiliary and intestinal subtypes. Patients in the selected studies were treated with a pancreaticoduodenectomy with negative margins. Patients treated with adjuvant therapy were more likely to be pT3-4 and have positive nodes; median survival ranged from 30 to 47 months. A significant benefit for adjuvant treatment was observed in four of the studies, restricted to patients at stage IIB or higher. Likewise, patients with positive nodes may have a longer median survival with adjuvant chemoradiation compared to observation.

conclusionsThe present review suggests a benefit for adjuvant treatment for patients with locally advanced tumors. Randomized trials are needed to ascertain the topic, as well as studies reporting toxicity and quality of life of resected true ampullary cancer patients.

Indexed as

Ampulla of VaterAdenocarcinomaCarcinomaCarcinoma, Pancreatic DuctalChemoradiotherapy, AdjuvantChemotherapy, AdjuvantCommon Bile Duct NeoplasmsDuodenal NeoplasmsHumansPancreaticoduodenectomyRadiotherapy, AdjuvantRetrospective StudiesTreatment OutcomeAdjuvant treatmentAmpullary cancerChemoradiationRadiation therapy

Identifiers

PMID31927720
OpenAlexW2999586332

What OpenQuestion holds

Textmetadata
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.