Evidence map›Paper›PMID 38155512›Full record

ArticleBJS open2023

Resection rates and intention-to-treat outcomes in borderline and locally advanced pancreatic cancer: real-world data from a population-based, prospective cohort study (NORPACT-2).

Ingvild Farnes, Dyre Kleive, Caroline S Verbeke, Lars Aabakken, Aart Issa-Epe, Milada Cvancarova Småstuen, Bjarte V Fosby, Svein Dueland, Pål-Dag Line, Knut J Labori

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BJS open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
7.1field-weighted citation impact, top 2% 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.

NCT04423731 active not recruitingnot on this map

Neoadjuvant Chemotherapy in Borderline Resectable and Locally Advanced Pancreatic Cancer - A Norwegian Population Based Observational Study (NORPACT-2)

TypeobservationalSponsorOslo University HospitalRan2018 to 2025Enrolled251ConditionsLocally Advanced Pancreatic Adenocarcinoma, Chemotherapy Effect, Borderline Resectable Pancreatic Adenocarcinoma, PancreatectomyArmsFolfirinox
NCT06944587 recruitingnot on this mapstarted 2024, after this paper: background citation

A New Clinical Pathway for Personalized Management of Borderline Resectable and Locally Advanced Pancreatic Cancer - Norwegian Pancreatic Cancer Trial-3 (NORPACT 3)

TypeobservationalSponsorOslo University HospitalRan2024 to 2028Enrolled400ConditionsLocally Advanced Pancreatic Cancer, Borderline Resectable Pancreatic Cancer, Pancreatectomy, Chemotherapy EffectArmsChemotherapy, Radiology, Pancreatectomy, Endoscopy
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Observational
  12. Reconsidering the terminology of "early" and "advanced" gastric cancer: toward a harmonized global lexicon.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Observational
  18. Intraoperative Radiation for Pancreatic Cancer.Seminars in radiation oncology · 2025
    Review
  19. Article
  20. [Advances in Surgical Treatment Following Conversion Therapy for Pancreatic Cancer].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025
    Review
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

10 authors at 2 institutions in 1 country.

Ingvild FarnesDepartment of Hepato-Pancreato-Biliary Surgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway.ORCID 0009-0002-7738-7787
Dyre KleiveDepartment of Hepato-Pancreato-Biliary Surgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Caroline S VerbekeInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Lars AabakkenInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Aart Issa-EpeDepartment of Radiology, Oslo University Hospital, Oslo, Norway.ORCID 0009-0000-4532-1535
Milada Cvancarova SmåstuenDepartment of Health Science and Biostatistics, Oslo Metropolitan University, Oslo, Norway.
Bjarte V FosbyDepartment of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
Svein DuelandDepartment of Oncology, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-6125-6689
Pål-Dag LineInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Knut J LaboriDepartment of Hepato-Pancreato-Biliary Surgery, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Oslo University Hospital · NOOsloMet – Oslo Metropolitan University · NO

Funding

Norwegian Cancer Society 198039-2018South-Eastern Norway Regional Health Authority 2018088
6 · The paper itself

Abstract

backgroundSystemic chemotherapy is the initial treatment strategy for borderline resectable and locally advanced pancreatic cancer to facilitate curative resection. The aim of this study was to investigate the resection rates and overall survival in patients with borderline resectable pancreatic cancer and locally advanced pancreatic cancer.

methodsConsecutive patients with borderline resectable pancreatic cancer/locally advanced pancreatic cancer discussed by Oslo University Hospital multidisciplinary team between 2018 and 2020, serving a population of 3.1 million within a geographically defined area in south-eastern Norway, were included in this prospective Norwegian Pancreatic Cancer Trial-2 study, according to intention-to-treat principles. The total number of patients with pancreatic cancer was sought from the Cancer Registry of Norway.

resultsA total of 1178 patients were diagnosed with pancreatic cancer, of whom 618 were referred to Oslo University Hospital. After multidisciplinary team evaluation, 230 patients were considered to have borderline resectable pancreatic cancer/locally advanced pancreatic cancer. The final study group consisted of 188 patients (borderline resectable pancreatic cancer n = 96, locally advanced pancreatic cancer n = 92) who were fit to receive primary chemotherapy. Resection rates were 46.9% (45 of 96) for borderline resectable pancreatic cancer and 13% (12 of 92) for locally advanced pancreatic cancer (P <0.001). Median overall survival was 14.6 months (borderline resectable pancreatic cancer 16.4 months; locally advanced pancreatic cancer 13.7 months, (P = 0.2)). Adjusted for immortal time bias, median overall survival for patients undergoing resection versus only chemotherapy was 24.4 months versus 10.1 months (P <0.001) for borderline resectable pancreatic cancer and 28.4 months versus 12.6 months for locally advanced pancreatic cancer (P = 0.001).

conclusionResection rates and survival in patients with borderline resectable pancreatic cancer and locally advanced pancreatic cancer treated at a high-volume centre in a universal healthcare system compare well with those treated at international expert centres.Registration number: NCT04423731 (http://www.clinicaltrials.gov).

Indexed as

Neoadjuvant TherapyPancreatic NeoplasmsHumansIntention to Treat AnalysisPancreatectomyProspective Studies

Identifiers

PMID38155512
PMCPMC10755199
OpenAlexW4390415800

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.