Evidence map›Paper›PMID 34515889›Full record

ArticleAnnals of surgical oncology2022

Management of Duodenal Neuroendocrine Tumors: Surgical versus Endoscopic Mucosal Resection.

Catherine G Tran, Scott K Sherman, Mohammed O Suraju, Apoorve Nayyar, Henning Gerke, Rami G El Abiad, Chandrikha Chandrasekharan, Po Hien Ear, Thomas M O'Dorisio, Joseph S Dillon and 2 more

Open access · greenAbstract read
In one paragraph

Article in Annals of surgical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Long-Term Outcomes in Patients With Non-Ampullary Duodenal Neuroendocrine Tumors.The Korean journal of helicobacter and upper gastrointestinal research · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Surgical and Endoscopic Resection of Duodenal Neuroendocrine Tumors Have Similar Disease-Specific Survival Outcome.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
    Article
  9. Article
  10. Current status of the role of endoscopy in evaluation and management of gastrointestinal and pancreatic neuroendocrine tumors.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2023
    Review
  11. Article
  12. 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

12 authors at 1 institution in 1 country.

Catherine G TranDepartment of Surgery, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA, USA.
Scott K ShermanDepartment of Surgery, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA, USA.
Mohammed O SurajuDepartment of Surgery, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA, USA.
Apoorve NayyarDepartment of Surgery, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA, USA.
Henning GerkeDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Rami G El AbiadDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Chandrikha ChandrasekharanDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Po Hien EarDepartment of Surgery, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA, USA.
Thomas M O'DorisioDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Joseph S DillonDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Andrew M BellizziDepartment of Pathology, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
James R HoweDepartment of Surgery, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA, USA. james-howe@uiowa.edu.
University of Iowa · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Christopher K Laubenthal · 2000 to 2026
$70.0M
Project 4: New Approaches to Improving the Effectiveness of Radionuclide Targeted Treatments in Neuroendocrine TumorsP50CA174521 · NCI · UNIVERSITY OF IOWA · PI ODORISIO, THOMAS · 2015 to 2021
$13.2M
TRAINING PROGRAM IN FREE RADICAL AND RADIATION BIOLOGYT32CA078586 · NCI · UNIVERSITY OF IOWA · PI SPITZ, DOUGLAS ROBERT · 1999 to 2024
$5.7M
University of Iowa Surgical Oncology Training GrantT32CA148062 · NCI · UNIVERSITY OF IOWA · PI WEIGEL, RONALD J · 2010 to 2020
$3.8M
NCI NIH HHS P50 CA174521NCI NIH HHS P50CA174521NCI NIH HHS T32 CA078586NCI NIH HHS T32CA078586NCI NIH HHS T32 CA148062NCI NIH HHS T32CA148062
6 · The paper itself

Abstract

backgroundManagement of duodenal neuroendocrine tumors (DNETs) is not standardized, with smaller lesions (< 1-2 cm) generally treated by endoscopic mucosal resection (EMR) and larger DNETs by surgical resection (SR). This study reviewed how patients were selected for treatment and compared outcomes. PATIENTS AND

methodsPatients with DNETs undergoing resection were identified through institutional databases, and clinicopathologic data recorded. χ

resultsAmong 104 patients, 64 underwent EMR and 40 had SR. Patients selected for SR had larger tumor size, younger age, and higher T, N, and M stage. There was no difference in progression-free (PFS) or overall survival (OS) between SR and EMR. In 1-2 cm DNETs, there was no difference in PFS between SR and EMR [median not reached (NR), P = 0.1]; however, longer OS was seen in SR (median NR versus 112 months, P = 0.03). In 1-2 cm DNETs, SR patients were more likely to be node-positive and younger. After adjustment for age, resection method did not correlate with survival. Comparison of surgically resected DNETs versus jejunoileal NETs revealed longer PFS (median NR versus 73 months, P < 0.001) and OS (median NR versus 119 months, P = 0.004) DISCUSSION: In 1-2 cm DNETs, there was no difference in survival between EMR and SR after adjustment for age. Recurrences could be salvaged, suggesting that EMR is a reasonable strategy. Compared with jejunoileal NETs, DNETs treated by SR had improved PFS and OS.

Indexed as

Endoscopic Mucosal ResectionNeuroendocrine TumorsHumansDuodenal neuroendocrine tumorsDuodenumEndoscopic mucosal resectionEndoscopyNeuroendocrineSurgery

Identifiers

PMID34515889
PMCPMC8688294
OpenAlexW3201167018

What OpenQuestion holds

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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.