Evidence map›Paper›PMID 32541638›Full record

ArticlePancreas2020

Radiation as a Single-Modality Treatment in Localized Pancreatic Cancer.

Walid L Shaib, Katerina Zakka, Asser A Shahin, Fares Yared, Jeffrey M Switchenko, Christina Wu, Mehmet Akce, Olatunji B Alese, Pretesh R Patel, Mark Mcdonald and 1 more

Open access · greenAbstract read
In one paragraph

Article in Pancreas, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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 4 institutions in 2 countries.

Walid L ShaibFrom the Department of Hematology and Oncology, Winship Cancer Institute.
Katerina ZakkaFrom the Department of Hematology and Oncology, Winship Cancer Institute.
Asser A ShahinDepartment of Public Health, Emory University, Atlanta, GA.
Fares YaredDepartment of Medicine, Lebanese University, Beirut, Lebanon.
Jeffrey M SwitchenkoDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University.
Christina WuFrom the Department of Hematology and Oncology, Winship Cancer Institute.
Mehmet AkceFrom the Department of Hematology and Oncology, Winship Cancer Institute.
Olatunji B AleseFrom the Department of Hematology and Oncology, Winship Cancer Institute.
Pretesh R PatelDepartment of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, GA.
Mark McdonaldDepartment of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, GA.
Bassel F El-RayesFrom the Department of Hematology and Oncology, Winship Cancer Institute.
Emory University · USPiedmont Cancer Institute · USWinship Cancer InstituteLebanese University · LB

Funding

Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Suresh S Ramalingam · 2009 to 2026
$47.5M
NCI NIH HHS P30 CA138292
6 · The paper itself

Abstract

objectivesLocally advanced pancreatic cancer (LAPC) is managed with multimodality therapy. We aim to evaluate the outcome of single-modality radiation therapy for LAPC.

methodsLocally advanced pancreatic cancer patients were identified between 2004 and 2013 using the National Cancer Database excluding patients who received chemotherapy or surgery.

resultsA total of 6590 patients were included. The mean age was 73.5 (range, 28-90) years, 83.2% were white, and 54.4% were female. Tumors of 4 cm or greater (>T3 stage) accounted for 52.7%. The median radiation dose was 39.6 Gy. Stereotactic body radiation (SBRT) delivered to 64 patients and external-beam/intensity modulated radiotherapy in 416 patients. Radiation therapy was associated with improved overall survival (OS) compared with no treatment in univariate and multivariable analyses. The medians OS for patients who received SBRT, external-beam/intensity modulated radiotherapy, or no radiation were 8.6, 6.7, and 3.4 months, respectively (P < 0.001). There is a significant difference in 12-month OS for the SBRT cohort (31.9%; 95% confidence interval [CI], 20.9%-43.5%) compared with patients who received no radiation (15.1%; 95% CI, 14.2%-16.0%), and on multivariable analysis (hazard ratio, 0.50; 95% CI, 0.38-0.65; P < 0.001).

conclusionsThe current study suggests potential benefit for radiation therapy alone in comparison with no treatment in LAPC.

Indexed as

Radiotherapy DosageAdultAgedAged, 80 and overFemaleHumansKaplan-Meier EstimateMaleMiddle AgedMultivariate AnalysisOutcome Assessment, Health CarePancreasPancreatic NeoplasmsProportional Hazards ModelsRadiotherapy, Intensity-ModulatedRetrospective Studies

Identifiers

PMID32541638
PMCPMC8011591
OpenAlexW3035131708

What OpenQuestion holds

Textmetadata
LicenceTDM
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.