Evidence map›Paper›PMID 40781987›Full record

ReviewJournal of neuroendocrinology2025

Controversies in NEN: An ENETS position statement on the treatment of patients with Grade 3 well-differentiated neuroendocrine tumours of the gastro-enteropancreatic tract.

Mairéad G McNamara, Halfdan Sorbye, Nehara Begum, Emanuel Christ, Nicola Fazio, Lynnette Fernandez-Cuesta, Rocio Garcia-Carbonero, Gregory Kaltsas, Atsuko Kasajima, Ramon Salazar and 2 more

Abstract readConsensus StatementReview
In one paragraph

Review in Journal of neuroendocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. 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

12 authors.

Mairéad G McNamaraDivision of Cancer Sciences, University of Manchester, Manchester, UK.ORCID 0000-0002-2272-3678
Halfdan SorbyeCancer Clinic, Haukeland University Hospital, Bergen, Norway.ORCID 0000-0002-7132-6214
Nehara BegumDepartment for General-, Visceral-, Thoracic- and Endocrine Surgery, ENETS-Center of Excellence, Johannes-Wesling-Klinikum Minden, University Hospital of the Ruhr-University Bochum, Minden, Germany.
Emanuel ChristDivision of Endocrinology, Diabetology and Metabolism, University Hospital of Basel, Basel, Switzerland.
Nicola FazioDivision of Gastrointestinal Medical Oncology and Neuroendocrine Tumors, IEO IRCCS, European Institute of Oncology, Milano, Italy.ORCID 0000-0001-6869-0704
Lynnette Fernandez-CuestaComputational Cancer Genomics Team, Genomic Epidemiology Branch, International Agency for Research on Cancer (IARC-WHO), Lyon, France.
Rocio Garcia-CarboneroMedical Oncology Department, Hospital Universitario 12 de Octubre, IIS Imas12, Facultad de Medicina, Universidad Complutense de Madrid (UCM), Madrid, Spain.
Gregory Kaltsas1st Propaedeutic Department of Internal Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Atsuko KasajimaDepartment of Pathology, TUM School of Medicine and Health, Technical University Munich, Munich, Germany.
Ramon SalazarMedical Oncology Department, Institut Català d'Oncologia. Oncobell Program (IDIBELL), Universitat de Barcelona (Campus Bellvitge), CIBERONC, Barcelona, Spain.
Ernst Jan M SpeelDepartment of Pathology and Clinical Bioinformatics, Erasmus Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-3016-2989
Andreas KjaerDepartment of Clinical Physiology and Nuclear Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0002-2706-5547

Funding

World Health Organization 001
6 · The paper itself

Abstract

Grade 3 neuroendocrine tumours (NET G3) represent approximately 20% of high-grade neuroendocrine neoplasms, and the recent identification of this entity has given rise to many unanswered questions relating to clinical management. The prognosis for these patients is worse than for those with Grade 1-2 well-differentiated NET, but better than for those with Grade 3 poorly differentiated neuroendocrine carcinoma. This consensus statement aims to address some uncertainties and explore unmet needs in the management of patients with NET G3. Firstly, the role of surgery in localised disease will be discussed as well as the dilemma in relation to the use of neo-adjuvant and/or adjuvant treatment in this setting. Treatment of oligometastatic digestive NET G3 will also be examined, including the positioning of surgery and ablative therapy. In the advanced setting, traditionally, chemotherapy in the form of temozolomide/capecitabine or 5-fluorouracil-based therapies, rather than platinum/etoposide, is considered a first-line treatment option, with second-line therapy dependent on what was used first-line. More recently, following the results of the NETTER-2 trial, Peptide Receptor Radionuclide Therapy with

Indexed as

Intestinal NeoplasmsNeuroendocrine TumorsPancreatic NeoplasmsStomach NeoplasmsHumansNeoplasm GradingdigestiveGrade 3NET G3neuroendocrine neoplasmwell‐differentiated NET

Identifiers

PMID40781987
PMCPMC12678015

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.