Evidence map›Paper›PMID 35406447›Full record

ArticleCancers2022

Management and Outcomes of Pancreatic Cancer in French Real-World Clinical Practice.

Valérie Jooste, Leila Bengrine-Lefevre, Sylvain Manfredi, Valérie Quipourt, Pascale Grosclaude, Olivier Facy, Côme Lepage, François Ghiringhelli, Anne-Marie Bouvier

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

9 authors at 3 institutions in 1 country.

Valérie JoosteDigestive Cancer Registry of Burgundy, Dijon University Hospital, INSERM UMR 1231 EPICAD, Medical School, University of Burgundy-Franche Comté, 21000 Dijon, France.ORCID 0000-0002-9902-0700
Leila Bengrine-LefevreDepartment of Medical Oncology, Georges-Francois Leclerc Cancer Center, Geriatric Oncology Coordination Unit in Burgundy, University Hospital, 21000 Dijon, France.
Sylvain ManfrediUniversity Hospital of Dijon, CRCDC BFC (Centre Régional de Coordination de Dépistage des Cancers Bourgogne Franche Comté), UMR INSERM 2131 EPICAD, Medical School, University of Burgundy-Franche Comté, 21000 Dijon, France.
Valérie QuipourtDepartment of Geriatrics and Internal Medicine, Hospital of Champmaillot, Geriatric Oncology Coordination Unit in Burgundy, University Hospital, 21000 Dijon, France.
Pascale GrosclaudeInstitut Claudius Regaud, IUCT-O, Registre des Cancers du Tarn, University of Toulouse Paul Sabatier, INSERM 1027, 31059 Toulouse, France.ORCID 0000-0002-6755-5970
Olivier FacyDepartment of Digestive Surgery, Dijon University Hospital, INSERM UMR 1231, Medical School, University of Burgundy-Franche Comté, 21000 Dijon, France.
Côme LepageDepartment of Hepatogastroenterology and Digestive Oncology, University Hospital of Dijon, INSERM UMR 1231 EPICAD, Medical School, University of Burgundy-Franche Comté, 21000 Dijon, France.
François GhiringhelliDepartment of Medical Oncology, Georges François Leclerc Cancer Center-UNICANCER, UMR INSERM 1231, Medical School, University of Burgundy-Franche Comté, 21000 Dijon, France.ORCID 0000-0002-5465-8305
Anne-Marie BouvierDigestive Cancer Registry of Burgundy, Dijon University Hospital, INSERM UMR 1231 EPICAD, Medical School, University of Burgundy-Franche Comté, 21000 Dijon, France.ORCID 0000-0001-9070-1027
Inserm · FRCentre Georges François Leclerc · FRUniversité Toulouse III - Paul Sabatier · FR

Funding

European Union. Fonds Européen de Développement Regional FEDER grant number BG0028239French National Cancer Institute 2019-2023
6 · The paper itself

Abstract

Background: Our objective was to describe real-world patterns of care and outcomes in pancreatic cancer. Methods: 912 patients diagnosed with pancreatic cancer from 2014 to 2017 were registered by the population-based cancer registry of Burgundy (France). Progression-free and net survival were estimated. Results: at diagnosis, 52% of tumors were associated with metastases. Among the 20% of patients fulfilling resectability criteria, half of those aged 75−84 years and none of those ≥85 years actually underwent resection. Age was not associated with 3-year observed survival in patients who underwent resection. Overall, 77% of patients aged <75 years, 55% of those aged 75−84 years and 8% of those ≥85 years received chemotherapy. Among patients who were offered chemotherapy, 73% of those aged ≥85 years refused. Chemotherapy toxicity was higher with Gemcitabine_Oxaliplatin/Gemcitabine_Abraxane and FOLFIRINOX than with Gemcitabine alone. Patients resected after induction FOLFIRINOX and those treated with adjuvant Gemcitabine presented the lowest risk of progression. Three-year net survival was 35% in patients with non-metastatic resectable tumors and under 10% for other patients. Conclusions: Only half of patients aged 75−84 years with a resectable tumor actually underwent resection. Two thirds of patients aged ≥85 years refused chemotherapy, thus underlining the need to expand geriatric assessments.

Indexed as

cancer registrieschemotherapyepidemiologypancreatic cancerprimary care

Identifiers

PMID35406447
PMCPMC8996902
OpenAlexW4220868638

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.