Evidence map›Paper›PMID 32566727›Full record

ArticlePleura and peritoneum2020

Pressurized IntraPeritoneal Aerosol Chemotherapy (PIPAC)-directed treatment of peritoneal metastasis in end-stage colo-rectal cancer patients.

Signe Bremholm Ellebæk, Martin Graversen, Sönke Detlefsen, Lars Lundell, Claus W Fristrup, Per Pfeiffer, Michael B Mortensen

Open access · diamondAbstract read
In one paragraph

Article in Pleura and peritoneum, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  11. PIPAC for Gastrointestinal Malignancies.Journal of clinical medicine · 2023
    Review
  12. Article
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  14. Article
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  19. Treatment Response After Pressurized IntraPeritoneal Aerosol Chemotherapy (PIPAC) for Peritoneal Metastases of Colorectal Originf.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022
    Article
  20. Advances in the management of peritoneal malignancies.Nature reviews. Clinical oncology · 2022
    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

7 authors at 2 institutions in 2 countries.

Signe Bremholm EllebækSurgical department, Odense Universitetshospital, Odense Denmark.ORCID https://orcid.org/0000-0003-0290-5471
Martin GraversenSurgical department, Odense Universitetshospital, Odense Denmark.
Sönke DetlefsenDepartment of Pathology, Odense Universitetshospital, Odense, Denmark.
Lars LundellDivision of Surgery, CLINTEC, Karolinska Institutet, Stockholm, Sweden.
Claus W FristrupSurgical department, Odense Universitetshospital, Odense Denmark.
Per PfeifferDepartment of Oncology, Odense Universitetshospital, Odense, Denmark.
Michael B MortensenUpper GI and HPB Section, Department of Surgery, Odense Universitetshospital, Odense, Denmark.
Odense University Hospital · DKKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPressurized IntraPeritoneal Aerosol Chemotherapy (PIPAC) represents a novel approach to intraperitoneal chemotherapy. Hereby results, obtained with PIPAC in patients with advanced peritoneal metastasis (PM) from colorectal cancer (CRC), are presented.

methodsData from CRC patients (

resultsRetrospective analysis of 74 PIPAC procedures carried out in 24 consecutive patients with PM from CRC included from October 2015 to February 2019. Five patients had still the primary tumor in situ, and 22 patients had received palliative systemic chemotherapy. Nineteen patients completed more than two PIPAC procedures, and objective tumor response according to the histological Peritoneal Regression Grading Score (PRGS) was observed in 67% of the patients, while 21% had stable disease. Four patients (21%) had complete response (mean PRGS = 1 and negative cytology). We recorded a median survival of 37.6 (range 7.3-48.9) months from the time of PM diagnosis, whereas it was 20.5 (range 0.13-34.7) months following the first PIPAC session. Minor postoperative complications were noted, and few were considered causally related to the PIPAC treatment. However, two cases of severe postoperative complications were recorded (urosepsis and iatrogenic bowel perforation).

conclusionsPIPAC with low-dose oxaliplatin can induce objective tumor regression in selected patients with advanced PM from colorectal cancer.

Indexed as

colon cancercomplicationsintraperitoneal chemotherapyperitoneal metastasisPressurized IntraPeritoneal Aerosol Chemotherapy (PIPAC)rectum cancer

Identifiers

PMID32566727
PMCPMC7292236
OpenAlexW3032127684

What OpenQuestion holds

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LicenceCC BY
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.