Evidence map›Paper›PMID 39610018›Full record

SynthesisJournal of surgical oncology2025

Definition of Palliative Surgery in Cancer Care: A Systematic Review.

Jolene Si Min Wong, Xinyi Casuarine Low, Orly N Farber, Jennifer W Mack, Zara Cooper, Elizabeth J Lilley

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

6 authors.

Jolene Si Min WongCenter for Surgery and Public Health, Department of Surgery, Brigham and Woman's Hospital, Boston, Massachusetts, USA.ORCID http://orcid.org/0000-0002-9750-5755
Xinyi Casuarine LowDepartment of Sarcoma, Peritoneal & Rare Tumors, Division of Surgery and Surgical Oncology, National Cancer Center Singapore & Singapore General Hospital, Singapore City, Singapore.
Orly N FarberCenter for Surgery and Public Health, Department of Surgery, Brigham and Woman's Hospital, Boston, Massachusetts, USA.
Jennifer W MackDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Zara CooperCenter for Surgery and Public Health, Department of Surgery, Brigham and Woman's Hospital, Boston, Massachusetts, USA.
Elizabeth J LilleyCenter for Surgery and Public Health, Department of Surgery, Brigham and Woman's Hospital, Boston, Massachusetts, USA.

Funding

RESEARCH TRAINING IN ALIMENTARY TRACT SURGERYT32DK007754 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI HODIN, RICHARD A. · 1997 to 2025
$6.5M
NIDDK NIH HHS T32 DK007754
6 · The paper itself

Abstract

Palliative surgery is commonly performed in cancer centers worldwide. Yet, there is little agreement on the definition of palliative surgery or its relevant outcomes. This systematic review sought to characterize the definitions of palliative surgery and outcomes for patients with cancer undergoing thoraco-abdominal procedures. Following PRISMA guidelines, we conducted a search using PubMed, EMBASE and CINAHL databases to identify English-language publications between August 1, 2005, and December 31, 2023 reporting palliative thoraco-abdominal procedures for patients with cancer. Definitions of palliative surgery were coded and analyzed using an inductive approach. Outcomes were classified according to an outcome measures hierarchy. Among 92 articles met inclusion criteria and four themes emerged in how palliative surgery was defined throughout the literature: prognosis (incurable cancer diagnosis), purpose (intent to treat symptoms or improve quality of life), procedure type (specific operative interventions), or persistent disease following surgery (incomplete cytoreduction). Survival (90%) and perioperative complications/morbidity (72%) were the most commonly reported outcomes, whereas symptom relief, quality of life, and sustainability of success were infrequently reported. Definitions of palliative surgery vary across studies of patients with cancer undergoing thoracic or abdominal procedures and measured outcomes often do not align with the intent of surgery.

Indexed as

NeoplasmsPalliative CareHumansQuality of Lifeadvanced cancermalignant obstructionpalliative surgerysurgical palliative care

Identifiers

PMID39610018
PMCPMC12116853

What OpenQuestion holds

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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.