Evidence map›Paper›PMID 40672068›Full record

ArticleJournal of gastrointestinal oncology2025

Evolving survival patterns in pancreatic adenocarcinoma: a 23-year retrospective observational analysis.

Tiago Cordeiro Felismino, Diego Rodrigues, Angelo Brito, Virgilio Silva, Lais Durant, Heber Ribeiro, Alessandro Diniz, Igor Farias, André Godoy, Silvio Torres and 2 more

Abstract read
In one paragraph

Article in Journal of gastrointestinal oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Tiago Cordeiro FelisminoDepartment of Clinical Oncology, A.C. Camargo Cancer Center, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-1055-8118
Diego RodriguesHospital-Based Cancer Registry, A.C. Camargo Cancer Center, São Paulo, Brazil.
Angelo BritoDepartment of Clinical Oncology, A.C. Camargo Cancer Center, São Paulo, Brazil.
Virgilio SilvaDepartment of Clinical Oncology, A.C. Camargo Cancer Center, São Paulo, Brazil.
Lais DurantDepartment of Clinical Oncology, A.C. Camargo Cancer Center, São Paulo, Brazil.
Heber RibeiroDepartment of Surgical Oncology, A.C. Camargo Cancer Center, São Paulo, Brazil.
Alessandro DinizDepartment of Surgical Oncology, A.C. Camargo Cancer Center, São Paulo, Brazil.
Igor FariasDepartment of Surgical Oncology, A.C. Camargo Cancer Center, São Paulo, Brazil.
André GodoyDepartment of Surgical Oncology, A.C. Camargo Cancer Center, São Paulo, Brazil.
Silvio TorresDepartment of Surgical Oncology, A.C. Camargo Cancer Center, São Paulo, Brazil.
Maria Paula CuradoHospital-Based Cancer Registry, A.C. Camargo Cancer Center, São Paulo, Brazil.
Felipe CoimbraDepartment of Surgical Oncology, A.C. Camargo Cancer Center, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pancreatic adenocarcinoma (PA) remains one of the most lethal malignancies. However, treatment options have expanded. Since 2011, FOLFIRINOX (fluorouracil, leucovorin, oxaliplatin, and irinotecan) and nab-paclitaxel plus gemcitabine have demonstrated superior outcomes over gemcitabine for advanced disease and have become standard chemotherapy regimens. This study aimed to analyze 23-year survival trends in PA at a Brazilian cancer center, focusing on comparisons between the pre- and post-FOLFIRINOX eras. Methods: This retrospective study analyzed patients diagnosed and treated at a large cancer center from 2000 to 2023, examining survival trends and changes in clinicopathological features and treatment across two 12-year periods: Period 1 (2000-2011), before FOLFIRINOX, and Period 2 (2012-2023), after FOLFIRINOX incorporation. The primary objective was to compare overall survival rates between the two time periods. The secondary objective was to evaluate changes in clinicopathological characteristics and treatment modalities. Results: A total of 1,078 patients were included in this analysis, with 274 patients in Period 1 and 804 patients in Period 2. The proportion of female patients increased in Period 2 (43.8% in Period 1 Conclusions: This 23-year analysis highlights the evolving treatment landscape and improved outcomes in PA with the introduction of more effective therapies.

Indexed as

adenocarcinomaPancreatic cancerprognosissurvival

Identifiers

PMID40672068
PMCPMC12260940

What OpenQuestion holds

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Registered trials

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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.