Evidence map›Paper›PMID 33066168›Full record

ArticleJournal of clinical medicine2020

A Plea for Surgery in Pancreatic Metastases from Renal Cell Carcinoma: Indications and Outcome from a Multicenter Surgical Experience.

Anna Caterina Milanetto, Luca Morelli, Gregorio Di Franco, Alina David, Donata Campra, Paolo De Paolis, Claudio Pasquali

Registry-linked trialAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05882747 (The Results of Surgery for Renal Cell Carcinoma Metastases in the Pancreas), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05882747 completednot on this map

The Results of Surgery for Renal Cell Carcinoma Metastases in the Pancreas

TypeobservationalSponsorRigshospitalet, DenmarkRan2011 to 2022Enrolled25ConditionsSurgery
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  6. Review
  7. Article
  8. Review
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  11. Recent Advances in Pancreatic Neoplasms.Journal of clinical medicine · 2021
    Article
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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.

Anna Caterina MilanettoClinica Chirurgica 1 - Pancreatic and Endocrine Digestive Surgical Unit. Department of Surgery, Oncology and Gastroenterology - University of Padua, via Giustiniani, 2 - 35128 Padova, Italy.ORCID 0000-0002-3042-4360
Luca MorelliGeneral Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, via Paradisa, 2 - 56125 Pisa, Italy.ORCID 0000-0002-7742-9556
Gregorio Di FrancoGeneral Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, via Paradisa, 2 - 56125 Pisa, Italy.ORCID 0000-0003-2156-369X
Alina DavidClinica Chirurgica 1 - Pancreatic and Endocrine Digestive Surgical Unit. Department of Surgery, Oncology and Gastroenterology - University of Padua, via Giustiniani, 2 - 35128 Padova, Italy.
Donata CampraChirurgia Generale e d'Urgenza 3, AOU Città della Salute e della Scienza di Torino, Corso Bramante, 88 - 10126 Torino, Italy.
Paolo De PaolisChirurgia Generale e d'Urgenza 3, AOU Città della Salute e della Scienza di Torino, Corso Bramante, 88 - 10126 Torino, Italy.
Claudio PasqualiClinica Chirurgica 1 - Pancreatic and Endocrine Digestive Surgical Unit. Department of Surgery, Oncology and Gastroenterology - University of Padua, via Giustiniani, 2 - 35128 Padova, Italy.ORCID 0000-0002-0365-5286

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic metastases from renal-cell carcinoma (RCC-PMs) are rare. Surgery may play a role in improving overall (OS) and disease-free survival (DFS).

methodsClinical-pathological features, surgery and follow-up data of patients with RCC-PMs operated on in three pancreatic surgical centers (2000-2019) were retrospectively evaluated.

resultsThirty-nine patients (21 male/18 female, averaging 65 years) were enrolled. RCC-PMs were metachronous in 36 patients (mean 94 months, up to 24 years after nephrectomy), multiple in 21 patients, and with a median size of 2.5 (range, 0.7-7.5) cm. All the patients underwent pancreatic surgery (33 standard resections, 6 limited resections). Fifteen patients had post-operative complications (morbidity 38.5%). The median DFS was 63 months, and 19 out of 36 patients showed a disease recurrence. The median OS was 134 months, and 13 out of 36 patients were alive with no evidence of disease. At univariate analysis, lymph node positivity (HR 5.1, 95% CI 1.5-18), multi-visceral resection (HR 3.4, 95% CI 1.1-10) and synchronous RCC-PMs (HR 13, 95% CI 3-55) were significantly associated with a short OS.

conclusionSurgery may allow a DFS up to 17 years in more than one third of patients, even after limited resections. Splenectomy and lymph node dissection are not mandatory.

Indexed as

pancreatectomypancreatic neoplasmsPET-CT scanrenal cell carcinoma

Identifiers

PMID33066168
PMCPMC7601970

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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.