Evidence map›Paper›PMID 36916531›Full record

ArticleCancer medicine2023

Do patients with metastatic pancreatic adenocarcinoma to the lung have improved survival?

Aren Ebrahimi, Jason Cham, Leah Puglisi, Melanie De Shadarevian, David J Hermel, Samantha R Spierling Bagsic, Darren Sigal

Abstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Mesothelin CAR T Cells Secreting Anti-FAP/Anti-CD3 Molecules Efficiently Target Pancreatic Adenocarcinoma and its Stroma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  9. Article
  10. 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

7 authors.

Aren EbrahimiDepartment of Internal Medicine, Scripps Clinic and Scripps Green Hospital, La Jolla, California, USA.ORCID 0000-0001-7304-2621
Jason ChamDepartment of Internal Medicine, Scripps Clinic and Scripps Green Hospital, La Jolla, California, USA.
Leah PuglisiScripps Whittier Diabetes Institute, Scripps Health, San Diego, California, USA.
Melanie De ShadarevianDepartment of Internal Medicine, Scripps Mercy Hospital, San Diego, California, USA.
David J HermelDepartment of Hematology and Oncology, Scripps Clinic and Scripps MD Anderson Cancer Center, La Jolla, California, USA.
Samantha R Spierling BagsicScripps Whittier Diabetes Institute, Scripps Health, San Diego, California, USA.
Darren SigalDepartment of Hematology and Oncology, Scripps Clinic and Scripps MD Anderson Cancer Center, La Jolla, California, USA.

Funding

Scripps Translational Science InstituteUL1TR002550 · NCATS · SCRIPPS RESEARCH INSTITUTE, THE · PI TOPOL, ERIC JEFFREY · 2018 to 2022
$28.9M
Institutional Career Development CoreKL2TR002552 · NCATS · SCRIPPS RESEARCH INSTITUTE, THE · PI NICHOLSON, LAURA · 2018 to 2022
$5.2M
NCATS NIH HHS KL2 TR002552NCATS NIH HHS UL1 TR002550
6 · The paper itself

Abstract

introductionPancreatic ductal adenocarcinoma (PDAC) is a genetically heterogeneous disease often diagnosed with synchronous metastatic disease involving the liver. Tumors with extra-abdominal spread that bypass the liver are thought to represent a unique molecular subgroup and those with isolated pulmonary metastatic disease are thought to have a more favorable clinical phenotype.

methodWe conducted a retrospective review of patients with pathologically confirmed PDAC treated between the years 2007 and 2020 at a Scripps Health hospital. The final study sample (N = 205) included patients with isolated pulmonary metastasis (IL), isolated liver metastasis or synchronous liver and lung metastasis (LL), or metastasis to any site other than the liver or lung (NLL). Primary endpoint was overall survival (OS). Progression-free survival (PFS) and recurrence-free survival (RFS) were analyzed as secondary endpoints. Each survival outcome was analyzed using Cox proportional hazards tests.

resultsNo statistically significant differences were seen between the three groups in OS, PFS, or RFS. Median OS for the IL group was 561 days, 341 days for the LL group, and 441 days for the NLL group. Median RFS was 748 days for the IL group, 574 days for the LL group, and 545 days for the NLL group. Median PFS was 307 for the IL group, 236 for the LL group, and 265 for the NLL group. When comparing only the IL and LL groups, a statistically significant difference in OS was seen favoring the IL group (HR1.59 LL vs IL [ref], CI 1.04-2.41, p = 0.031)

conclusionThough statistically significant differences in survival outcomes were not seen in our population, there was a trend toward improved survival for patients with isolated lung metastases. When comparing only the IL to LL group, statistically significant overall survival favoring the IL group was seen. These findings highlight a potential prognostic indicator of metastatic PDAC.

Indexed as

AdenocarcinomaCarcinoma, Pancreatic DuctalLung NeoplasmsPancreatic NeoplasmsHumansLungPrognosisRetrospective Studieslung metastasispancreatic adenocarcinomasurvival

Identifiers

PMID36916531
PMCPMC10225201

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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.