Evidence map›Paper›PMID 37989957›Full record

ArticleAnnals of surgical oncology2024

Pancreatic Cancer Multidisciplinary Clinic is Associated with Improved Treatment and Elimination of Socioeconomic Disparities.

Richard S Hoehn, Mazen Zenati, Caroline J Rieser, Lauren Stitt, Sharon Winters, Alessandro Paniccia, Amer H Zureikat

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Article in Annals of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Enhancing management of pancreatic cancer: impact of a same day multidisciplinary clinic on access to guideline-directed care.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2025
    Article
  6. Review
  7. Article
  8. Review
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Richard S HoehnDivision of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Richard.Hoehn@UHhospitals.org.ORCID http://orcid.org/0000-0003-1455-6758
Mazen ZenatiDivision of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Caroline J RieserDivision of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Lauren StittDivision of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Sharon WintersCancer Registries, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Alessandro PanicciaDivision of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Amer H ZureikatDivision of Surgical Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Funding

Shadyside Hospital Foundation institutional pilot award
6 · The paper itself

Abstract

objectiveTo identify the association between multidisciplinary clinic (MDC) management and disparities in treatment for patients with pancreatic cancer.

backgroundSocioeconomic status (SES) predicts treatment and survival for pancreatic cancer. Multidisciplinary clinics (MDCs) may improve surgical management for these patients.

methodsThis is a retrospective cohort study (2010-2018) of all pancreatic cancer patients within a large, regional hospital system with a high-volume pancreatic cancer MDC. The primary outcome was receipt of treatment (surgery, chemotherapy, radiation, clinical trial participation, and palliative care); the secondary outcomes were overall survival and MDC management. Multiple logistic regressions were used for binary outcomes. Survival was analyzed using Kaplan-Meier survival analysis, Cox proportional hazards, and inverse probability of treatment weighting (IPTW).

resultsOf the 4141 patients studied, 1420 (34.3%) were managed by the MDC. MDC management was more likely for patients who were younger age, married, and privately insured, while less likely for low SES patients (all p < 0.05). MDC patients were more likely to receive all treatments, including neoadjuvant chemotherapy (OR 3.33, 95% CI 2.82-3.93), surgery (OR 1.39, 95% CI 1.15-1.68), palliative care (OR 1.21, 95% CI 1.05-1.38), and clinical trial participation (OR 3.76, 95% CI 2.86-4.93). Low SES patients were less likely to undergo surgery outside of the MDC (OR 0.47, 95% CI 0.31-0.73) but there was no difference within the MDC (OR 1.10, 95% CI 0.68-1.77). Across multiple survival analyses, low SES predicted inferior survival outside of the MDC, but there was no association among MDC patients.

conclusionMultidisciplinary team-based care increases rates of treatment and eliminates socioeconomic disparities for pancreatic cancer patients.

Indexed as

Pancreatic NeoplasmsSocioeconomic Disparities in HealthCombined Modality TherapyHumansRetrospective StudiesSurvival AnalysisCancer disparitiesPancreatic cancerSocioeconomic status

Identifiers

PMID37989957

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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.