Evidence map›Paper›PMID 36692614›Full record

ArticleAnnals of surgical oncology2023

Reappraisal of Tumor Deposit as a Prognostic Factor in Pancreatic Cancer.

Jie Hua, Jin Xu, Chen Liang, Qingcai Meng, Bo Zhang, Xianjun Yu, Wei Wang, Si Shi

Abstract read
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In one paragraph

Article in Annals of surgical oncology, 2023. 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
1.4field-weighted citation impact, top 17% 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, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Jie Hua *Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Jin Xu *Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Chen LiangDepartment of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Qingcai MengDepartment of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Bo ZhangDepartment of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Xianjun YuDepartment of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Wei WangDepartment of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China. wangwei@fudanpci.org.
Si ShiDepartment of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China. shisi@fudanpci.org.
Fudan University Shanghai Cancer Center · CNShanghai Medical College of Fudan University · CNShanghai Cancer Institute · CN

Funding

Clinical Research Plan of Shanghai Hospital Development Center SHDC2020CR1006ANational Natural Science Foundation of China 82072698National Natural Science Foundation of China 82103551National Natural Science Foundation of China U21A20374Scientific Innovation Project of Shanghai Education Committee 2019-01-07-00-07-E00057Shanghai Municipal Science and Technology Major Project 21JC1401500Shanghai Rising-Star Program 20QA1402100Xuhui District Artificial Intelligence Medical Hospital Cooperation Project 2021-011
6 · The paper itself

Abstract

purposeTumor deposits (TDs) are discrete tumor nodules within the lymphatic drainage area of the primary tumor without histological evidence of lymph node tissue or identifiable vascular or neural structure. This study aims to analyze the prognostic impact of TDs in patients with pancreatic ductal adenocarcinoma (PDAC) and explore their potential role in staging system.

methodsThe prospectively maintained database from the Fudan University Shanghai Cancer Center was queried for patients undergoing resection for PDAC. Patients with TDs were matched by propensity score with those without TDs. The cumulative prevalence of recurrence was estimated using the cumulative incidence function. Overall survival was estimated using Kaplan-Meier curves.

resultsA total of 123 patients (9.7%) had TDs, of whom 108 were matched at a 1:3 ratio with 324 patients without TDs. The cumulative incidence of recurrence was significantly higher for TD-positive patients than TD-negative patients (P = 0.04). The median overall survival was significantly shorter for patients with TDs than for those without TDs (15.9 versus 21.8 months, P < 0.001). The presence of TDs attenuated the effect of lymph node metastasis on survival, with no significance between node-negative and node-positive subpopulations (P = 0.165). Patients with TDs had comparable survival to N2 patients without TDs (15.9 versus 17.1 months, P = 0.383).

conclusionsTD is an important prognostic factor for recurrence and survival in patients undergoing resection for PDAC. We suggest that patients presenting TDs be classified into the stage III category in the next edition of the staging system.

Indexed as

Extranodal ExtensionPancreatic NeoplasmsChinaHumansLymph NodesNeoplasm StagingPrognosisRetrospective Studies

Identifiers

PMID36692614
OpenAlexW4317868763

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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.