Evidence map›Paper›PMID 36636088›Full record

ArticleJournal of gastrointestinal oncology2022

Chemotherapy is associated with improved survival in a national cohort of stage IV pancreatic adenosquamous carcinoma.

Ellery Altshuler, Andrea N Riner, Kelly M Herremans, Thomas J George, Sherise C Rogers, Alessandro Paniccia, Steven J Hughes, Jesus C Fabregas, Ibrahim Nassour

Open access · diamondAbstract read
In one paragraph

Article in Journal of gastrointestinal oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Futility in adenosquamous pancreatic cancer.World journal of surgical oncology · 2026
    Article
  2. Article
  3. Article
  4. 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 2 institutions in 1 country.

Ellery Altshuler *Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
Andrea N Riner *Division of Surgical Oncology, Department of Surgery, University of Florida, Gainesville, FL, USA.
Kelly M HerremansDivision of Surgical Oncology, Department of Surgery, University of Florida, Gainesville, FL, USA.
Thomas J GeorgeDivision of Hematology & Oncology, Department of Medicine, University of Florida, Gainesville, FL, USA.
Sherise C RogersDivision of Hematology & Oncology, Department of Medicine, University of Florida, Gainesville, FL, USA.
Alessandro PanicciaDivision of Surgical Oncology, Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Steven J HughesDivision of Surgical Oncology, Department of Surgery, University of Florida, Gainesville, FL, USA.
Jesus C FabregasDepartment of Internal Medicine, University of Florida, Gainesville, FL, USA.
Ibrahim NassourDivision of Surgical Oncology, Department of Surgery, University of Florida, Gainesville, FL, USA.
University of Florida · USUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pancreatic adenosquamous carcinoma (PASC) is a rare cancer that often presents with advanced disease and carries a grim prognosis. PASC is defined by the presence of at least 30% malignant squamous cells in the presence of malignant ductal adenocarcinoma. The utility of chemotherapy in the setting of metastatic disease is unknown. Methods: In this cross-sectional analysis, patients with stage IV PASC diagnosed between 2006 and 2016 were abstracted from the National Cancer Data Base. Patients were then categorized according to whether they received chemotherapy. Multivariable logistic regression analysis was done to determine the odds of receiving palliative chemotherapy. Overall survival analysis was performed using Kaplan-Meier analysis. A Cox proportional hazard multivariable model was generated to account for potential confounders. Results: There were 698 patients with metastatic PASC available for analysis, including 400 patients (57.3%) who received chemotherapy and 298 patients (42.3%) who did not receive chemotherapy. Median overall survival was significantly longer for patients who received chemotherapy (5.2 Conclusions: This is the largest study on PASC conducted to date and the first to evaluate whether chemotherapy is associated with improved survival for patients with metastatic disease. We found that palliative chemotherapy was associated with significant prolongation of life. However, overall prognosis remained dismal despite chemotherapy and novel treatment approaches are needed to improve long-term survival.

Indexed as

adenosquamous carcinomachemotherapyoutcomesPancreatic cancer

Identifiers

PMID36636088
PMCPMC9830350
OpenAlexW4313377215

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.