Evidence map›Paper›PMID 40783761›Full record

ArticleBMC surgery2025

Prognostic factors affecting survival in patients with duodenal adenocarcinoma and isolated liver metastases: a retrospective study.

Jun Pan, Jie Li, Ying Chen, Yitian Chen, Xiaoyuan Chu

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Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Jun Pan *Department of Medical Oncology, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan East Road, Nanjing, 210002, Jiangsu, China.
Jie Li *Department of Oncology, 900th Hospital of the Joint Logistics Team, Fuzhou, Fujian, China.
Ying ChenDepartment of Gastroenterology, Shanghai Changhai Hospital, Naval Medical University, Shanghai, China.
Yitian ChenDepartment of Medical Oncology, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan East Road, Nanjing, 210002, Jiangsu, China. yitianchen@126.com.
Xiaoyuan ChuDepartment of Medical Oncology, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan East Road, Nanjing, 210002, Jiangsu, China. Chuxiaoyuan0@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe study aimed to identify the prognostic factors affecting survival among patients with duodenal adenocarcinoma (DAC) and isolated hepatic metastases (HM).

methodsWe conducted a retrospective analysis of clinical data from 51 patients treated for DAC and HM from January 2012 to January 2018. The Kaplan-Meier method and log-rank test were used for survival analysis. The Cox proportional hazards regression model was utilized for multivariate analysis.

resultsThirty-nine patients had synchronous HM, and 12 patients exhibited metachronous HM. Median overall survival (mOS) for patients with synchronous HM was 6.8 months, versus 45.9 months for those with metachronous HM (P < 0.001). mOS for the patients who received first-line chemotherapy was 18.9 months, compared with 4.4 months for the patients who did not undergo first-line chemotherapy (P < 0.001). Multivariate analysis identified the timing of HM detection and the receipt of first-line chemotherapy as independent prognostic factors. Subgroup analysis revealed that among patients with synchronous HM, mOS for patients who underwent primary tumor resection was 16.9 months, compared with 3.5 months for those who did not undergo resection (P < 0.001).

conclusionThe timing of detection of HM and the receipt of first-line chemotherapy are independent prognostic factors for patients with DAC and isolated HM.

Indexed as

AdenocarcinomaDuodenal NeoplasmsLiver NeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesSurvival RateDuodenal adenocarcinomaFirst-line chemotherapyMetachronous liver metastasesPrognosisResectableSynchronous liver metastases

Identifiers

PMID40783761
PMCPMC12335191

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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.