Evidence map›Paper›PMID 34718835›Full record

SynthesisAbdominal radiology (New York)2022

A meta-analysis evaluating the role of high-intensity focused ultrasound (HIFU) as a fourth treatment modality for patients with locally advanced pancreatic cancer.

Maria P Fergadi, Dimitrios E Magouliotis, Christos Rountas, Marianna Vlychou, Thanos Athanasiou, Dimitris Symeonidis, Polyxeni A Pappa, Dimitris Zacharoulis

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Abdominal radiology (New York), 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
1.0field-weighted citation impact, top 21% 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, 21 citations in OpenAlex.

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  4. Tissue Ablation: Applications and Perspectives.Advanced materials (Deerfield Beach, Fla.) · 2024
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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

8 authors at 2 institutions in 2 countries.

Maria P FergadiDepartment of Radiology, University of Thessaly, 41110, Biopolis, Larissa, Greece.
Dimitrios E MagouliotisDepartment of Radiology, University of Thessaly, 41110, Biopolis, Larissa, Greece.
Christos RountasDepartment of Radiology, University of Thessaly, 41110, Biopolis, Larissa, Greece.
Marianna VlychouDepartment of Radiology, University of Thessaly, 41110, Biopolis, Larissa, Greece.
Thanos AthanasiouDepartment of Surgery and Cancer, Imperial College London, St Mary's Hospital, London, W2 1NY, UK.
Dimitris SymeonidisDepartment of Surgery, University of Thessaly, 41110, Biopolis, Larissa, Greece.
Polyxeni A PappaDepartment of Radiology, University of Thessaly, 41110, Biopolis, Larissa, Greece.
Dimitris ZacharoulisDepartment of Surgery, University of Thessaly, 41110, Biopolis, Larissa, Greece. zacharoulis@uth.gr.ORCID http://orcid.org/0000-0002-8972-064X
University of Thessaly · GRSt Mary's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the outcomes of high-intensity focused ultrasound (HIFU) on patients with advanced pancreatic cancer.

methodsA literature search was performed in PubMed, Scopus and Cochrane databases, in accordance with the PRISMA guidelines. The Odds Ratio, Weighted Mean Difference, and 95% Confidence Interval were evaluated by means of the Random-Effects model.

resultsNineteen articles met the inclusion criteria, incorporating 939 patients. This study reveals that patients in the HIFU group presented increased median overall survival (OS), along with higher OS at 6 and 12 months after treatment compared with the control group (p < 0.05). Furthermore, patients treated with HIFU in conjunction with chemotherapy presented reduced levels of pain (p < 0.05) compared to the traditional treatment group. In addition, HIFU contributed to significant tumor responsiveness, in terms of CA19-9 reduction (p < 0.05). Finally, HIFU was a considerably safe treatment modality with a low incidence of complications.

conclusionThese outcomes suggest that HIFU is a feasible and safe treatment modality for patients with advanced pancreatic cancer and provides enhanced outcomes regarding survival and quality of life. Given the lack of a significant number of randomized clinical trials, this meta-analysis represents the best currently available evidence. New randomized trials assessing HIFU are necessary to further evaluate their outcomes.

Indexed as

High-Intensity Focused Ultrasound AblationPancreatic NeoplasmsCA-19-9 AntigenHumansPancreasQuality of LifeTreatment OutcomeCA-19-9 AntigenHIFUHigh-intensity focused ultrasoundMeta-analysisPancreatic cancer

Identifiers

PMID34718835
OpenAlexW3208144826

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.