Evidence map›Paper›PMID 36163558›Full record

ArticleJournal of cancer research and clinical oncology2023

Characteristics and outcome of patients with small bowel adenocarcinoma (SBA).

Andreas Teufel, Nadja M Meindl-Beinker, Pauline Hösel, Michael Gerken, Ana Roig, Matthias P Ebert, Wolfgang Herr, Alexander Scheiter, Armin Pauer, Hans J Schlitt and 1 more

Abstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2023. 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
–field-weighted citation impact
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.

  1. Review
  2. Article
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  5. Article
  6. Article
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  8. Article
  9. Primary adenocarcinoma of the upper jejunum.Journal of general and family medicine · 2024
    Article
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  12. Article
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

11 authors.

Andreas Teufel *Division of Hepatology, Division of Clinical Bioinformatics, Department of Medicine II, Medical Faculty Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany. andreas.teufel@medma.uni-heidelberg.de.
Nadja M Meindl-Beinker *Department of Medicine II, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Pauline HöselDKFZ-Hector Cancer Institute at the University Medical Center, Mannheim, Germany.
Michael GerkenBavarian Cancer Registry, Regional Center Regensburg, Bavarian Health and Food Safety Authority, Regensburg, Germany.
Ana RoigDivision of Hepatology, Division of Clinical Bioinformatics, Department of Medicine II, Medical Faculty Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
Matthias P EbertClinical Cooperation Unit Healthy Metabolism, Center for Preventive Medicine and Digital Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Wolfgang HerrDepartment of Internal Medicine III, University Medical Center Regensburg, Regensburg, Germany.
Alexander ScheiterDepartment of Pathology, University of Regensburg, Regensburg, Germany.
Armin PauerRegensburg Tumor Center, Institute for Quality Assurance and Health Services Research at the University of Regensburg, Regensburg, Germany.
Hans J SchlittDepartment of Surgery, University Medical Center Regensburg, Regensburg, Germany.
Monika Klinkhammer-SchalkeBavarian Cancer Registry, Regional Center Regensburg, Bavarian Health and Food Safety Authority, Regensburg, Germany.

Funding

PROVIDE RABBITS, RATS MICE, HAMSTERS GERBILS, GUINEA PIGS27307C0012 · NIEHS · PI BOLEN, WAYNE · 2007 to 2007
$1.0M
NIEHS NIH HHS 27307C0012
6 · The paper itself

Abstract

backgroundSmall bowel adenocarcinoma (SBA) remains a rare malignancy accounting for less than 5% of all the gastrointestinal tract cancers. However, only limited data and expert guidelines are available for this entity. As a result, treatment concepts are predominantly derived from colorectal cancer.

methodsTo substantiate data on the course of disease, diagnosis and treatment of SBA, we performed a population-based analysis from a Bavarian population of 2.2 million people.

resultsWe identified 223 patients with SBA. Mean age at diagnosis was 67.8 years and patients were diagnosed rather late (34.5% UICC stage IV). Largest proportion of these patients were diagnosed with adenocarcinoma of the duodenum (132 patients, 59.2%) and most patients were diagnosed with late stage cancer, stage IV (70 patients, 31.4%). With respect to treatment, most patients underwent primary surgery (187 patients, 84.6%). Systemic therapy seemed to have an impact in UICC stage IV patients but not in UICC stage IIB or III. The 5-year survival rate was 29.0%. This was significantly less compared to colon cancer in the same cohort, which was 50.0%. Furthermore, median survival of patients with small bowel cancer was only 2.0 years (95% CI 1.4-2.5) compared to 4.9 years (95% CI 4.8-5.1) of patients with colon cancer.

conclusionSBA showed a distinct epidemiology compared to colon cancer. Thus, data acquisition particularly on systemic treatment are paramount, with the objective to complement the available guidelines.

Indexed as

AdenocarcinomaColonic NeoplasmsDuodenal NeoplasmsIleal NeoplasmsIntestinal NeoplasmsJejunal NeoplasmsHumansIntestine, SmallAdenocarcinomaChemothherapyRegisterSmall bowelSurvivalTumo center

Identifiers

PMID36163558
PMCPMC10349691

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Registered trials

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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.