Evidence map›Paper›PMID 32181423›Full record

ReviewAnnals of hepato-biliary-pancreatic surgery2020

The role of down staging treatment in the management of locally advanced intrahepatic cholangiocarcinoma: Review of literature and pooled analysis.

Sivesh Kamarajah, Francesco Giovinazzo, Keith J Roberts, Pankaj Punia, Robert P Sutcliffe, Ravi Marudanayagam, Nikolaos Chatzizacharias, John Isaac, Darius F Mirza, Paolo Muiesan and 1 more

Open access · diamondAbstract readReview
In one paragraph

Review in Annals of hepato-biliary-pancreatic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Evolving role of radiation therapy in advanced/metastatic intrahepatic cholangiocarcinoma.World journal of gastrointestinal pharmacology and therapeutics · 2025
    Review
  5. Impact of perioperative chemotherapy on survival in patients with cholangiocarcinoma undergoing curative resection.European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2023
    Article
  6. Article
  7. Review
  8. Review
  9. Systemic Treatment for Cholangiocarcinoma.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2023
    Article
  10. Review
  11. Article
  12. Review
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

11 authors at 1 institution in 1 country.

Sivesh KamarajahDepartment of Hepatobiliary and Pancreatic Surgery, Queen Elizabeth Hospital, Birmingham, UK.ORCID https://orcid.org/0000-0002-2748-0011
Francesco GiovinazzoDepartment of Hepatobiliary and Pancreatic Surgery, Queen Elizabeth Hospital, Birmingham, UK.ORCID https://orcid.org/0000-0002-3392-9292
Keith J RobertsDepartment of Hepatobiliary and Pancreatic Surgery, Queen Elizabeth Hospital, Birmingham, UK.ORCID https://orcid.org/0000-0003-1799-9829
Pankaj PuniaDepartment of Oncology, Queen Elizabeth Hospital, Birmingham, UK.ORCID https://orcid.org/0000-0002-4578-6428
Robert P SutcliffeDepartment of Hepatobiliary and Pancreatic Surgery, Queen Elizabeth Hospital, Birmingham, UK.ORCID https://orcid.org/0000-0002-1881-7655
Ravi MarudanayagamDepartment of Hepatobiliary and Pancreatic Surgery, Queen Elizabeth Hospital, Birmingham, UK.ORCID https://orcid.org/0000-0002-0640-3535
Nikolaos ChatzizachariasDepartment of Hepatobiliary and Pancreatic Surgery, Queen Elizabeth Hospital, Birmingham, UK.ORCID https://orcid.org/0000-0002-4864-189X
John IsaacDepartment of Hepatobiliary and Pancreatic Surgery, Queen Elizabeth Hospital, Birmingham, UK.ORCID https://orcid.org/0000-0002-7946-1277
Darius F MirzaDepartment of Hepatobiliary and Pancreatic Surgery, Queen Elizabeth Hospital, Birmingham, UK.ORCID https://orcid.org/0000-0002-7531-9089
Paolo MuiesanDepartment of Hepatobiliary and Pancreatic Surgery, Queen Elizabeth Hospital, Birmingham, UK.ORCID https://orcid.org/0000-0002-7389-6691
Bobby Vm DasariDepartment of Hepatobiliary and Pancreatic Surgery, Queen Elizabeth Hospital, Birmingham, UK.ORCID https://orcid.org/0000-0003-2375-1141
Queen Elizabeth Hospital Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUNDS/

aimsApproximately 60-80% of patients with intrahepatic cholangiocarcinoma (iCCA) are not suitable for surgical resection due to advanced disease at presentation. This review assesses the role of surgical resection followed by down staging treatment in the management of patients with locally advanced iCCA.

methodsA systematic review and pooled analysis were performed of the relevant published studies published between January 2000-December 2018. The primary outcome measure was overall survival. Secondary outcome measures were rates of clinical benefit, margin-negative (R0) resections, overall and surgery-specific complications, and post-operative mortality.

resultsEighteen cohort studies with 1880 patients were included in the review. The median overall survival in all patients was 14 months (range, 7-18 months). Patients undergoing resection following down staging had significantly longer survival than those who did not (median: 29 vs. 12 months,

conclusionsAlthough the evidence to support the benefits of NAT for iCCA is limited, the review supports the use of down staging treatment and also surgical resection in the cohort with response to NAT in order to improve long-term survival in patients with locally advanced iCCA.

Indexed as

CholangiocarcinomaDown stagingIntrahepaticLocally advancedSurgery

Identifiers

PMID32181423
PMCPMC7061034
OpenAlexW3010532021

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.