Evidence map›Paper›PMID 33939335›Full record

ArticleCancer reports (Hoboken, N.J.)2021

Resected pancreatic adenocarcinoma: An Asian institution's experience.

Kennedy Yao Yi Ng, Edwin Wei Xiang Chow, Bochao Jiang, Cindy Lim, Brian Kim Poh Goh, Ser Yee Lee, Jin Yao Teo, Damien Meng Yew Tan, Peng Chung Cheow, London Lucien Peng Jin Ooi and 10 more

Open access · goldAbstract read
In one paragraph

Article in Cancer reports (Hoboken, N.J.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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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

20 authors at 3 institutions in 1 country.

Kennedy Yao Yi NgDivision of Medical Oncology, National Cancer Centre Singapore, Singapore.ORCID 0000-0001-6630-3803
Edwin Wei Xiang ChowDivision of Medical Oncology, National Cancer Centre Singapore, Singapore.ORCID 0000-0001-6033-5724
Bochao JiangDivision of Medical Oncology, National Cancer Centre Singapore, Singapore.ORCID 0000-0002-2978-9725
Cindy LimDivision of Clinical Trials and Epidemiological Sciences, National Cancer Centre Singapore, Singapore.ORCID 0000-0002-8036-4554
Brian Kim Poh GohDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital, Singapore.ORCID 0000-0001-8218-4576
Ser Yee LeeSurgical Associates, National Cancer Centre Singapore, Singapore.
Jin Yao TeoDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital, Singapore.ORCID 0000-0002-0777-8128
Damien Meng Yew TanDuke-NUS Graduate Medical School, Singapore.ORCID 0000-0002-7282-0900
Peng Chung CheowDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital, Singapore.ORCID 0000-0002-8102-1203
London Lucien Peng Jin OoiDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital, Singapore.ORCID 0000-0001-6777-8464
Pierce Kah Hoe ChowDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital, Singapore.ORCID 0000-0003-0584-2584
Joycelyn Jie Xin LeeDivision of Medical Oncology, National Cancer Centre Singapore, Singapore.ORCID 0000-0002-1070-6125
Juinn Huar KamDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital, Singapore.ORCID 0000-0002-2478-9689
Ye Xin KohDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital, Singapore.ORCID 0000-0001-5006-4174
Prema Raj JeyarajDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital, Singapore.ORCID 0000-0003-3200-6450
Ek Khoon TanDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital, Singapore.ORCID 0000-0002-5949-4741
Su Pin ChooDivision of Medical Oncology, National Cancer Centre Singapore, Singapore.ORCID 0000-0002-8925-3922
Chung Yip ChanDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital, Singapore.ORCID 0000-0002-9397-0908
Alexander Yaw Fui ChungDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital, Singapore.ORCID 0000-0002-4598-6139
David TaiDivision of Medical Oncology, National Cancer Centre Singapore, Singapore.ORCID 0000-0002-2612-0065
Singapore General Hospital · SGNational Cancer Centre Singapore · SGDuke-NUS Medical School · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic adenocarcinoma (PDAC) is highly lethal. Surgery offers the only chance of cure, but 5-year overall survival (OS) after surgical resection and adjuvant therapy remains dismal. Adjuvant trials were mostly conducted in the West enrolling fit patients. Applicability to a general population, especially Asia has not been described adequately.

aimWe aimed to evaluate the clinical outcomes, prognostic factors of survival, pattern, and timing of recurrence after curative resection in an Asian institution. METHODS AND

resultsThe clinicopathologic and survival outcomes of 165 PDAC patients who underwent curative resection between 1998 and 2013 were reviewed retrospectively. Median age at surgery was 62.0 years. 55.2% were male, and 73.3% had tumors involving the head of pancreas. The median OS of the entire cohort was 19.7 months. Median OS of patients who received adjuvant chemotherapy was 23.8 months. Negative predictors of survival include lymph node ratio (LNR) of >0.3 (HR = 3.36, P = .001), tumor site involving the body or tail of pancreas (HR = 1.59, P = .046), presence of perineural invasion (PNI) (HR = 2.36, P = .018) and poorly differentiated/undifferentiated tumor grade (HR = 1.86, P = .058). The median time to recurrence was 8.87 months, with 66.1% and 81.2% of patients developing recurrence at 12 months and 24 months respectively. The most common site of recurrence was the liver.

conclusionThe survival of Asian patients with resected PDAC who received adjuvant chemotherapy is comparable to reported randomized trials. Clinical characteristics seem similar to Western patients. Hence, geographical locations may not be a necessary stratification factor in RCTs. Conversely, lymph node ratio and status of PNI ought to be incorporated.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Pancreatic DuctalChemotherapy, AdjuvantCombined Modality TherapyFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasm Recurrence, LocalPancreatectomyPancreatic NeoplasmsPrognosispancreatic adenocarcinomaprognostic factorsresected

Identifiers

PMID33939335
PMCPMC8551988
OpenAlexW3157028996

What OpenQuestion holds

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LicenceCC BY
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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.