Evidence map›Paper›PMID 39514130›Full record

ArticleLangenbeck's archives of surgery2024

The impact of preoperative renal insufficiency on the outcomes of patients with pancreatic cancer undergoing pancreaticoduodenectomy.

Shunsuke Tamura, Hideyuki Kanemoto, Akitsugu Fujita, Satoshi Tokuda, Akihiko Takagi, Eiji Nakatani, Keisei Taku, Noriyuki Oba

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Article in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Shunsuke TamuraDivision of Hepato-Biliary-Pancreatic Surgery, Shizuoka General Hospital, Shizuoka, Japan. tamura4213@gmail.com.
Hideyuki KanemotoDivision of Hepato-Biliary-Pancreatic Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Akitsugu FujitaDivision of Hepato-Biliary-Pancreatic Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Satoshi TokudaDivision of Hepato-Biliary-Pancreatic Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Akihiko TakagiDivision of Hepato-Biliary-Pancreatic Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Eiji NakataniGraduate School of Public Health (Medical Statistics), Shizuoka Graduate University of Public Health, Shizuoka, Japan.
Keisei TakuDivision of Oncology, Shizuoka General Hospital, Shizuoka, Japan.
Noriyuki ObaDivision of Hepato-Biliary-Pancreatic Surgery, Shizuoka General Hospital, Shizuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study evaluated the impact of renal function impairment on long-term survival outcomes and adjuvant therapy in patients with pancreatic cancer undergoing pancreaticoduodenectomy (PD).

methodsIn this study, 264 patients who underwent PD for pancreatic head cancer between 2011 and 2021 were retrospectively analyzed. The patients were subsequently categorized into three groups according to the estimated glomerular filtration rate: normal group (> 90 mL/min/1.73 m

resultsThe total proportion of patients with complications was significantly higher in the severe group (p = 0.008). The proportion of patients with severe complications (Clavien-Dindo classification ≥ IIIa) did not significantly differ between the chronic kidney disease (CKD) groups (p = 0.730). The proportion of patients in whom adjuvant therapy was completed was notably lower in the severe group (p = 0.011). Multiple logistic regression analysis revealed that CKD groups and hemoglobin levels ≤ 11.5 g/dL were independent predictors of adjuvant therapy completion failure (p = 0.016 and p = 0.016). There was no significant difference in the OS and RFS rates between the CKD groups (p = 0.499, p = 0.688).

conclusionsIn patients with pancreatic cancer and CKD, performing PD safely may be feasible; however, adjuvant therapy completion is challenging.

Indexed as

Pancreatic NeoplasmsPancreaticoduodenectomyPostoperative ComplicationsAgedFemaleGlomerular Filtration RateHumansMaleMiddle AgedRenal InsufficiencyRetrospective StudiesSurvival RateTreatment OutcomeAdjuvant therapyChronic kidney diseasePancreatic cancerPancreaticoduodenectomy

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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.