Evidence map›Paper›PMID 32593337›Full record

ReviewLancet (London, England)2020

Pancreatic cancer.

Jonathan D Mizrahi, Rishi Surana, Juan W Valle, Rachna T Shroff

6 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Lancet (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 1,558 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,558citing papers in PubMed, 6 pooled it
117.4field-weighted citation impact, top 1% 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.

NCT04984174 completednot on this mapstarted 2021, after this paper: background citation

Survival Rate and Treatment Cost in Patients With Pancreatic Cancer With the Advent of New Chemotherapeutic Agents in Korea: An Analysis Using NHIS Database and K-PaC Registry Focusing on the Newest One, Liposomal Irinotecan

TypeobservationalSponsorNational Cancer Center, KoreaRan2021 to 2024Enrolled14,760ConditionsPancreatic Cancer
NCT05340569 nacompletednot on this mapstarted 2022, after this paper: background citation

Diagnostic Value of Diffusion-weighted Magnetic Resonance Imaging for Detection of Peritoneal Metastases in High-risk Pancreatic Ductal Adenocarcinoma: a Pilot Study.

TypeinterventionalSponsorLaval UniversityRan2022 to 2024Enrolled40ConditionsPancreas Cancer, Duct Cell Adenocarcinoma, Pancreas Adenocarcinoma, Peritoneal Metastases, Peritoneal CarcinomatosisArmsWhole-body diffusion-weighted magnetic resonance imaging
NCT06069297 narecruitingnot on this mapstarted 2023, after this paper: background citation

Multimodal Prehabilitation in Localized Pancreatic Cancer Patients Undergoing Surgery: a Randomized Controlled Trial

TypeinterventionalSponsorIRCCS San RaffaeleRan2023 to 2027Enrolled238ConditionsPancreatic Cancer, Periampullary Cancer, Frailty Syndrome, MalnutritionArmsMultimodal Prehabilitation
NCT06388967 recruitingnot on this mapstarted 2023, after this paper: background citation

Early Detection of Pancreatic Cancer: Prospective Study

TypeobservationalSponsorCity of Hope Medical CenterRan2023 to 2030Enrolled2,000ConditionsPancreatic Cancer, Pancreatic Carcinoma, Pancreatic Adenocarcinoma, Pancreatic Ductal AdenocarcinomaArmsPANcreatic cancer Exosome Early detectiON (PANXEON)
NCT06638866 recruitingnot on this mapstarted 2024, after this paper: background citation

Artificial Intelligence-based Health Information Management System and Key Technology Study of Early Screening and Hierarchical Diagnosis and Treatment of Pancreatic Cancer

Typeobservational_patient_registrySponsorChanghai HospitalRan2024 to 2030Enrolled5,000ConditionsPancreatic Cancer, Pancreatic Ductal Adenocarcinoma, Pancreatic Intraepithelial Neoplasias, Intraductal Papillary Mucinous NeoplasmArmsPDAC, Pancreatic precursor lesions
NCT07117045 recruitingnot on this mapstarted 2025, after this paper: background citation

Artificial Intelligence-powered Low-Dose Computed Tomography for Screening of Pancreatic Cancer

TypeobservationalSponsorChanghai HospitalRan2025 to 2032Enrolled400,000ConditionsPancreatic Cancer, Intraductal Papillary Mucinous Neoplasm, High-grade Pancreatic Intraepithelial Neoplasia, PDAC - Pancreatic Ductal AdenocarcinomaArmsDiagnostic Evaluation for Positive AI Findings
3 · Its place in the literature

Who cites it

1,558 citing papers in PubMed, 6 syntheses or guidelines pooled it, 2,444 citations in OpenAlex.

  1. Pooled it
  2. Prognostic value of albumin-bilirubin grade in patients with pancreatic cancer: A systematic review and meta-analysis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Pooled it
  3. Necroptosis in pancreatic cancer: Molecular mechanisms and therapeutic implications.Apoptosis : an international journal on programmed cell death · 2026
    Pooled it
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1,498 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Jonathan D MizrahiDivision of Cancer Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Rishi SuranaDivision of Cancer Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Juan W ValleDivision of Cancer Sciences, University of Manchester, Department of Medical Oncology, Christie NHS Foundation Trust, Manchester, UK.
Rachna T ShroffDivision of Hematology and Oncology, Department of Medicine, University of Arizona Cancer Center, Tucson, AZ, USA. Electronic address: rshroff@arizona.edu.
The University of Texas MD Anderson Cancer Center · USUniversity of Arizona Cancer CenterUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pancreatic cancer is a highly fatal disease with a 5-year survival rate of approximately 10% in the USA, and it is becoming an increasingly common cause of cancer mortality. Risk factors for developing pancreatic cancer include family history, obesity, type 2 diabetes, and tobacco use. Patients typically present with advanced disease due to lack of or vague symptoms when the cancer is still localised. High quality computed tomography with intravenous contrast using a dual phase pancreatic protocol is typically the best method to detect a pancreatic tumour and to determine surgical resectability. Endoscopic ultrasound is an increasingly used complementary staging modality which also allows for diagnostic confirmation when combined with fine needle aspiration. Patients with pancreatic cancer are often divided into one of four categories based on extent of disease: resectable, borderline resectable, locally advanced, and metastatic; patient condition is also an important consideration. Surgical resection represents the only chance for cure, and advancements in adjuvant chemotherapy have improved long-term outcomes in these patients. Systemic chemotherapy combinations including FOLFIRINOX (5-fluorouracil, folinic acid [leucovorin], irinotecan, and oxaliplatin) and gemcitabine plus nab-paclitaxel remain the mainstay of treatment for patients with advanced disease. Data on the benefit of PARP inhibition as maintenance therapy in patients with germline BRCA1 or BRACA2 mutations might prove to be a harbinger of advancement in targeted therapy. Additional research efforts are focusing on modulating the pancreatic tumour microenvironment to enhance the efficacy of the immunotherapeutic strategies.

Indexed as

Administration, IntravenousAdultAgedAntineoplastic Combined Chemotherapy ProtocolsBRCA1 ProteinBRCA2 ProteinChemotherapy, AdjuvantContrast MediaDNA DamageEndoscopic Ultrasound-Guided Fine Needle AspirationHumansImmunotherapyMiddle AgedMutationNeoplasm StagingPancreatic NeoplasmsBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanContrast Media

Identifiers

PMID32593337
OpenAlexW4211253487

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.