Evidence map›Paper›PMID 32943182›Full record

ArticleAmerican journal of surgery2021

Pancreatic insufficiency following pancreatectomy: Does underlying tumor syndrome confer a greater risk?

James D McDonald, Shreya Gupta, Mackenzie L Shindorf, Amy Copeland, Meghan L Good, Samira M Sadowski, Naris Nilubol

Open access · greenAbstract readComparative Study
In one paragraph

Article in American journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 54% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Guideline
  2. 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

7 authors at 1 institution in 1 country.

James D McDonaldSurgical Oncology Program, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Shreya GuptaSurgical Oncology Program, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Mackenzie L ShindorfSurgical Oncology Program, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Amy CopelandSurgical Oncology Program, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Meghan L GoodSurgical Oncology Program, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Samira M SadowskiSurgical Oncology Program, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Naris NilubolSurgical Oncology Program, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA. Electronic address: naris.nilubol@nih.gov.
National Institutes of Health · US

Funding

Therapeutic targets and novel anticancer agents for endocrine cancersZIABC011286 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI NILUBOL, NARIS · 2010 to 2025
$16.6M
Targeted Therapy in Neuroendocrine CancerZIABC011899 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI SADOWSKI, SAMIRA · 2019 to 2025
$10.0M
Intramural NIH HHS ZIA BC011286Intramural NIH HHS ZIA BC011899
6 · The paper itself

Abstract

backgroundThe risk of postoperative pancreatic exocrine insufficiency (PPEI) is unknown in patients with multiple endocrine neoplasia type I (MEN1) and von Hippel-Lindau (VHL) who require resection of pancreatic neuroendocrine tumors (PNETs).

methodsA retrospective review of patients who underwent resection of PNETs at the National Institutes of Health from 2007 to 2019 was performed.

resultsOur cohort included 82 patients (VHL n = 25, MEN1 n = 20, sporadic n = 37), 6 of whom developed PPEI. While VHL compared to all non-VHL patients (p = 0.046), non-functional PNETs (p = 0.050), and pancreaticoduodenectomy (PD) (p=<0.001) were associated with higher rates of PPEI on univariate analysis, only PD was found to be an independent predictor of PPEI on multivariate analysis (OR 14.43, 95% CI 1.43-145.8, p = 0.024).

conclusionsThe rate of PPEI in patients with hereditary tumor syndromes was similar to that of sporadic PNETs. PD was independently associated with PPEI, and this increased risk should be included in preoperative counseling.

Indexed as

AdultExocrine Pancreatic InsufficiencyFemaleHumansMaleMiddle AgedMultiple Endocrine Neoplasia Type 1Neuroendocrine TumorsPancreatectomyPancreatic NeoplasmsPancreaticoduodenectomyPostoperative ComplicationsProspective StudiesRetrospective Studiesvon Hippel-Lindau DiseaseMEN-1PancreatectomyPancreatic insufficiencyVHL

Identifiers

PMID32943182
PMCPMC9168799
OpenAlexW3083533404

What OpenQuestion holds

Textmetadata
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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.