Evidence map›Paper›PMID 38448752›Full record

ArticleBritish journal of cancer2024

Early onset pancreatic cancer-exploring contemporary treatment and outcomes using real-world data.

Shehara Mendis, Lara Lipton, Yat Hang To, Sumitra Ananda, Michael Michael, Sue-Anne McLachlan, Benjamin Thomson, Benjamin Loveday, Brett Knowles, Adrian Fox and 10 more

Abstract readMulticenter Study
In one paragraph

Article in British journal of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  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

20 authors.

Shehara MendisWalter & Eliza Hall Institute of Medical Research, Parkville, VIC, Australia. shehara.mendis@mh.org.au.ORCID 0000-0001-9175-6329
Lara LiptonCabrini Health, Malvern, VIC, Australia.ORCID 0000-0002-4891-5870
Yat Hang ToWalter & Eliza Hall Institute of Medical Research, Parkville, VIC, Australia.
Sumitra AnandaUniversity of Melbourne, Parkville, VIC, Australia.
Michael MichaelDepartment of Medical Oncology, Peter MacCallum Cancer Centre, Parkville, VIC, Australia.
Sue-Anne McLachlanUniversity of Melbourne, Parkville, VIC, Australia.
Benjamin ThomsonDepartment of Surgery, Royal Melbourne Hospital, Parkville, VIC, Australia.
Benjamin LovedayDepartment of Surgery, Royal Melbourne Hospital, Parkville, VIC, Australia.
Brett KnowlesDepartment of Surgery, Royal Melbourne Hospital, Parkville, VIC, Australia.
Adrian FoxDepartment of Hepatobiliary Surgery, St Vincent's Hospital, Fitzroy, VIC, Australia.
Mehrdad NikfarjamUniversity of Melbourne, Parkville, VIC, Australia.
Val UsatoffCabrini Health, Malvern, VIC, Australia.
Julia ShapiroDepartment of Medicine, Alfred Hospital, Prahran, VIC, Australia.
Kate ClarkeDepartment of Medical Oncology, Wellington Hospital, Wellington, New Zealand.
Sharon PattisonDepartment of Medicine, Dunedin School of Medicine, University of Otago, Otago, New Zealand.
Cheng Ean CheeDepartment of Hematology-Oncology, National University Cancer Institute, Singapore, Singapore.
Rob ZielinskiDepartment of Medical Oncology, Orange Hospital, Orange, NSW, Australia.
Rachel WongEpworth Healthcare, Melbourne, VIC, Australia.ORCID 0000-0002-4926-5689
Peter GibbsWalter & Eliza Hall Institute of Medical Research, Parkville, VIC, Australia.ORCID 0000-0003-1423-4484
Belinda LeeWalter & Eliza Hall Institute of Medical Research, Parkville, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic cancer incidence is increasing in younger populations. Differences between early onset pancreatic cancer (EOPC) and later onset pancreatic cancer (LOPC), and how these should inform management warrant exploration in the contemporary setting.

methodsA prospectively collected multi-site dataset on consecutive pancreatic adenocarcinoma patients was interrogated. Patient, tumour, treatment, and outcome data were extracted for EOPC (≤50 years old) vs LOPC (>50 years old).

resultsOf 1683 patients diagnosed between 2016 and 2022, 112 (6.7%) were EOPC. EOPC more frequently had the tail of pancreas tumours, earlier stage disease, surgical resection, and trended towards increased receipt of chemotherapy in the curative setting compared to LOPC. EOPC more frequently received 1st line chemotherapy, 2nd line chemotherapy, and chemoradiotherapy than LOPC in the palliative setting. Recurrence-free survival was improved for the tail of pancreas EOPC vs LOPC in the resected setting; overall survival was superior for EOPC compared to LOPC across the resected, locally advanced unresectable and metastatic settings.

conclusionsEOPC remains a small proportion of pancreatic cancer diagnoses. The more favourable outcomes in EOPC suggest these younger patients are overall deriving benefits from increased treatment in the curative setting and increased therapy in the palliative setting.

Indexed as

Age of OnsetPancreatic NeoplasmsAdenocarcinomaAdultAgedFemaleHumansMaleMiddle AgedProspective StudiesTreatment Outcome

Identifiers

PMID38448752
PMCPMC11058801

What OpenQuestion holds

Textmetadata
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.