Evidence map›Paper›PMID 34859257›Full record

ReviewInternational journal of oncology2021

Treatment optimization of locally advanced and metastatic pancreatic cancer (Review).

Anabela G Barros, Catarina F Pulido, Manuela Machado, Maria José Brito, Nuno Couto, Olga Sousa, Sónia A Melo, Hélder Mansinho

Open access · hybridAbstract readReview
In one paragraph

Review in International journal of oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 17 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

8 authors at 6 institutions in 1 country.

Anabela G BarrosDepartment of Medical Oncology, University Hospital of Coimbra, 3004‑561 Coimbra, Portugal.
Catarina F PulidoDepartment of Medical Oncology, Luz Lisbon Hospital, 1500‑650 Lisbon, Portugal.
Manuela MachadoDepartment of Medical Oncology, Entre o Douro e Vouga Hospital Center (CHEDV), 4520‑211 Santa Maria da Feira, Portugal.
Maria José BritoPathologic Anatomy Department, Garcia de Orta Hospital, 2805‑267 Almada, Portugal.
Nuno CoutoDigestive Unit, Champalimaud Clinical Centre, 1400‑038 Lisbon, Portugal.
Olga SousaRadiotherapy Department, Portuguese Institute of Oncology, 4200‑072 Porto, Portugal.
Sónia A Meloi3S‑Institute for Research and Innovation in Health of University of Porto, 4200‑135 Porto, Portugal.
Hélder MansinhoHemato‑Oncology Department, Garcia de Orta Hospital, 2805‑267 Almada, Portugal.
Hospital Garcia de Orta · PTCentro Hospitalar de Entre o Douro e Vouga E.P.E. · PTChampalimaud Foundation · PTHospital da Luz · PTi3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto · PTInstituto Português de Oncologia Francisco Gentil · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal malignant tumor types, being the sixth leading cause of mortality worldwide and the fourth in Europe. Globally, it has a mortality/incidence ratio of 98%, and the 5‑year survival rate in Europe is only 3%. Although risk factors, such as obesity, diabetes mellitus, smoking, alcohol consumption and genetic factors, have been identified, the causes of PDAC remain elusive. Additionally, the only curative treatment for PDAC is surgery with negative margins. However, upon diagnosis, ~30% of the patients already present with locally advanced disease. In these cases, a multidisciplinary approach is required to improve disease‑related symptoms and prolong patient survival. In the present article, a comprehensive review of PDAC epidemiology, physiology and treatment is provided. Moreover, guidelines on patient treatment are suggested. Among the different available therapeutic options for the treatment of advanced PDAC, results are modest, most likely due to the complexity of the disease, and so the prognostic remains poor. Molecular approaches based on multi‑omics research are promising and will contribute to groundbreaking personalized medicine. Thus, economic investment that promotes research of pancreatic cancer will be critical to the development of more efficient diagnostic and treatment strategies.

Indexed as

Carcinoma, Pancreatic DuctalCombined Modality TherapyHumansPancreatic NeoplasmsPrecision MedicineRisk Factorsclinical trialsepidemiologypalliativepancreatic cancerrisk factorstreatment guidelines

Identifiers

PMID34859257
PMCPMC8651228
OpenAlexW3216747254

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.