Evidence map›Paper›PMID 36338582›Full record

ArticleAnnals of gastroenterological surgery2022

Levels of tumor markers CEA/CA 19-9 in serum and peritoneal lavage predict postoperative recurrence in patients with pancreatic cancer.

Tatsuo Hata, Kazuharu Chiba, Masamichi Mizuma, Kunihiro Masuda, Hideo Ohtsuka, Kei Nakagawa, Takanori Morikawa, Hiroki Hayashi, Fuyuhiko Motoi, Michiaki Unno

Open access · goldAbstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Study of serum tumor markers in the early diagnosis of pancreatic cancer.World journal of gastrointestinal oncology · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Observational
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

10 authors at 3 institutions in 1 country.

Tatsuo HataDepartment of Surgery Tohoku University Graduate School of Medicine Sendai Japan.ORCID https://orcid.org/0000-0001-5155-2508
Kazuharu ChibaDepartment of Surgery Tohoku University Graduate School of Medicine Sendai Japan.
Masamichi MizumaDepartment of Surgery Tohoku University Graduate School of Medicine Sendai Japan.ORCID https://orcid.org/0000-0002-6436-5477
Kunihiro MasudaDepartment of Surgery Tohoku University Graduate School of Medicine Sendai Japan.ORCID https://orcid.org/0000-0001-6879-5899
Hideo OhtsukaDepartment of Surgery Tohoku University Graduate School of Medicine Sendai Japan.ORCID https://orcid.org/0000-0001-5503-2163
Kei NakagawaDepartment of Surgery Tohoku University Graduate School of Medicine Sendai Japan.ORCID https://orcid.org/0000-0002-3058-5674
Takanori MorikawaDepartment of Surgery Tohoku University Graduate School of Medicine Sendai Japan.ORCID https://orcid.org/0000-0003-2014-651X
Hiroki HayashiDepartment of Surgery Sendai Medical Center Sendai Japan.
Fuyuhiko MotoiDepartment of Surgery I Yamagata University Graduate School of Medical Science Yamagata Japan.ORCID https://orcid.org/0000-0001-7601-8395
Michiaki UnnoDepartment of Surgery Tohoku University Graduate School of Medicine Sendai Japan.ORCID https://orcid.org/0000-0002-2145-6416
Tohoku University · JPSendai Medical Center · JPYamagata University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: This study aimed to clarify the usefulness of tumor markers from peritoneal lavage in selecting patients with a high risk of recurrence and predicting site-specific recurrence in patients with pancreatic cancer. Methods: The levels of serum carcinoembryonic antigen (CEA) and carbohydrate antigen (CA) 19-9 (sCEA/sCA 19-9) and paired peritoneal lavage CEA and CA 19-9 (pCEA/pCA 19-9) were measured in 90 patients with pancreatic cancer who underwent surgery. Using the cutoff values determined by maximally selected rank statistics for disease-free survival (DFS), the risk of recurrence and its patterns were evaluated in combination with different markers and different test specimens. Results: In univariate and multivariate analysis, an elevated pCA 19-9 level (>1.3 U/mL) was an independent prognostic marker for both DFS (hazard ratio [HR], 2.391; Conclusion: pCA 19-9 is a reliable marker for predicting postoperative recurrence in patients with pancreatic cancer after surgery. Further risk stratification can be achieved by using combination assays. The combination of pCA 19-9 and sCA19-9 also serves as a predictor of recurrence site-specific recurrence.

Indexed as

pancreatic cancerperitoneal lavage cytologystaging laparoscopytumor marker

Identifiers

PMID36338582
PMCPMC9628216
OpenAlexW4283779901

What OpenQuestion holds

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LicenceCC BY-NC
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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.