Evidence map›Paper›PMID 36647007›Full record

Observational studyBMC gastroenterology2023

Health-related quality of life and anxiety levels among patients under surveillance for intraductal papillary mucinous neoplasm.

Heini Nieminen, Risto Roine, Ari Ristimäki, Eila Lantto, Norma Välimaa, Erika Kirveskari, Harri Sintonen, Caj Haglund, Hanna Seppänen

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMC gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03131076 (Intraduktaalisen Papillaarisen Musinoosisen Neoplasian Vuoksi Seurannassa Olevien Potilaiden elämänlaatu), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT03131076 unknown statusnot on this map

Intraduktaalisen Papillaarisen Musinoosisen Neoplasian Vuoksi Seurannassa Olevien Potilaiden elämänlaatu

Typeobservational_patient_registrySponsorHelsinki University Central HospitalRan2017 to 2019Enrolled300ConditionsIPMN, Quality of LifeArmsIPMN follow up
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

9 authors.

Heini NieminenDepartment of Surgery, Helsinki University Hospital, University of Helsinki, Haartmaninkatu 4, PL340, Helsinki, Finland. heini.nieminen@hus.fi.
Risto RoineDepartment of Health and Social Management, University of Eastern Finland, Kuopio, Finland.
Ari RistimäkiDepartment of Pathology, Faculty of Medicine, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Eila LanttoHelsinki University Hospital, University of Helsinki, Helsinki, Finland.
Norma VälimaaFaculty of Medicine, University of Helsinki, Helsinki, Finland.
Erika KirveskariHUS Diagnostic Center, Clinical Neurophysiology, Clinical Neurosciences, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Harri SintonenDepartment of Public Health, University of Helsinki, Helsinki, Finland.
Caj Haglund *Department of Surgery, Helsinki University Hospital, University of Helsinki, Haartmaninkatu 4, PL340, Helsinki, Finland.
Hanna Seppänen *Department of Surgery, Helsinki University Hospital, University of Helsinki, Haartmaninkatu 4, PL340, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBecause of the premalignant nature of intraductal papillary mucinous neoplasms (IPMNs), patients should undergo surveillance as long as they remain fit for surgery. This surveillance, with imaging and laboratory tests every 6 to 12 months, is expensive and may psychologically burden patients. This study aimed to determine the effects of IPMN surveillance on patients´ health-related quality of life (HRQoL) and anxiety levels.

methodsWe included a random subgroup of all IPMN patients undergoing a follow-up check-up at Helsinki University Hospital (HUH) between August 2017 and November 2018. Patients were asked to complete the 15D HRQoL and state-trait anxiety inventory (STAI) questionnaires just before and three months after an IPMN control.

resultsAmong 899 patients in IPMN follow-up, 232 participated. The 15D HRQoL results showed differences in some IPMN patients' 15 analyzed dimensions compared to a sex- and age-standardized general population cohort, but the clinical relevance of these differences appear doubtful. We detected no significant difference in the anxiety levels determined using the STAI questionnaires before or three months after the IPMN control.

conclusionSurveillance should be less harmful than the risk of disease. Among our patients, the recommended IPMN follow-up carried minimal negative impact on patients' HRQoL or anxiety levels. This result is important, because the number of patients under IPMN surveillance is rapidly increasing and the cancer risk among the majority of these patients remains small.

trial registrationThe Surgical Ethics Committee of Helsinki University Hospital approved this study (Dnro HUS 475/2017) and it was registered at ClinicalTrials.gov (NCT03131076) before patient enrollment began.

Indexed as

Adenocarcinoma, MucinousPancreatic Intraductal NeoplasmsAnxietyHumansQuality of LifeAnxiety levelsIPMNIPMN surveillancePremalignantQuality of life

Identifiers

PMID36647007
PMCPMC9841613

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Registered trials

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.