Evidence map›Paper›PMID 37168490›Full record

ReviewFunction (Oxford, England)2023

Refining the Treatment of Pancreatic Cancer From Big Data to Improved Individual Survival.

Peter Bailey, Xu Zhou, Jingyu An, Teresa Peccerella, Kai Hu, Christoph Springfeld, Markus Büchler, John P Neoptolemos

Open access · goldAbstract readReview
In one paragraph

Review in Function (Oxford, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. UnlockingCurrent oncology (Toronto, Ont.) · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Therapeutic developments in pancreatic cancer.Nature reviews. Gastroenterology & hepatology · 2024
    Review
  12. Review
  13. Article
  14. 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

8 authors at 1 institution in 2 countries.

Peter BaileyDepartment of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg 69120, Germany.ORCID 0000-0002-0857-2041
Xu ZhouDepartment of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg 69120, Germany.ORCID 0000-0003-4558-4137
Jingyu AnDepartment of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg 69120, Germany.ORCID 0000-0003-4794-5530
Teresa PeccerellaDepartment of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg 69120, Germany.ORCID 0000-0001-5520-0243
Kai HuDepartment of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg 69120, Germany.ORCID 0000-0002-3325-5101
Christoph SpringfeldDepartment of Medical Oncology, National Center for Tumor Disease (NCT), Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-3843-101X
Markus BüchlerDepartment of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg 69120, Germany.ORCID 0000-0002-3666-5675
John P NeoptolemosDepartment of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Heidelberg 69120, Germany.ORCID 0000-0002-6201-7399
Heidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pancreatic cancer is one of the most lethal cancers worldwide, most notably in Europe and North America. Great strides have been made in combining the most effective conventional therapies to improve survival at least in the short and medium term. The start of treatment can only be made once a diagnosis is made, which at this point, the tumor volume is already very high in the primary cancer and systemically. If caught at the earliest opportunity (in circa 20% patients) surgical resection of the primary followed by combination chemotherapy can achieve 5-year overall survival rates of 30%-50%. A delay in detection of even a few months after symptom onset will result in the tumor having only borderline resectabilty (in 20%-30% of patients), in which case the best survival is achieved by using short-course chemotherapy before tumor resection as well as adjuvant chemotherapy. Once metastases become visible (in 40%-60% of patients), cure is not possible, palliative cytotoxics only being able to prolong life by few months. Even in apparently successful therapy in resected and borderline resectable patients, the recurrence rate is very high. Considerable efforts to understand the nature of pancreatic cancer through large-scale genomics, transcriptomics, and digital profiling, combined with functional preclinical models, using genetically engineered mouse models and patient derived organoids, have identified the critical role of the tumor microenvironment in determining the nature of chemo- and immuno-resistance. This functional understanding has powered fresh and exciting approaches for the treatment of this cancer.

Indexed as

Big DataPancreatic NeoplasmsAnimalsChemotherapy, AdjuvantMiceNeoadjuvant TherapyTumor Microenvironmentclonal evolutionCYPY3Aimmunotherapymolecular subtypespersisterplasticitytargeted therapies

Identifiers

PMID37168490
PMCPMC10165547
OpenAlexW4353082941

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.