Evidence map›Paper›PMID 41372578›Full record

ReviewNature reviews. Gastroenterology & hepatology2026

Cholangiocarcinoma 2026: status quo, unmet needs and priorities.

Jesus M Banales, Pedro M Rodrigues, Silvia Affò, Jesper B Andersen, Patricia Aspichueta, Luke Boulter, John Bridgewater, Diego F Calvisi, Andres Cardenas, Vincenzo Cardinale and 30 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Gastroenterology & hepatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing 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

45 citing papers in PubMed.

  1. Trial
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Existing challenges in the management of cholangiocarcinoma in Spain.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  12. Circulating tumor DNA-based detection of molecular residual disease in isocitrate dehydrogenase-mutant cholangiocarcinoma for biomarker-guided therapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

40 authors.

Jesus M Banales *Department of Liver and Gastrointestinal Diseases, Biogipuzkoa Health Research Institute - Donostia University Hospital, University of the Basque Country (UPV/EHU), San Sebastian, Spain. jesusmaria.banalesasurmendi@bio-gipuzkoa.eus.ORCID http://orcid.org/0000-0002-5224-2373
Pedro M Rodrigues *Department of Liver and Gastrointestinal Diseases, Biogipuzkoa Health Research Institute - Donostia University Hospital, University of the Basque Country (UPV/EHU), San Sebastian, Spain. pedromiguel.rodriguesvieira@bio-gipuzkoa.eus.
Silvia AffòCancer Program, Tumor Microenvironment Plasticity and Heterogeneity Research Group, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.ORCID http://orcid.org/0000-0002-9731-3913
Jesper B AndersenBiotech Research and Innovation Centre (BRIC), Department of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-1760-5244
Patricia AspichuetaNational Institute for the Study of Liver and Gastrointestinal Diseases (CIBERehd), Carlos III National Health Institute, Madrid, Spain.ORCID http://orcid.org/0000-0002-3553-1755
Luke BoulterMRC Human Genetics Unit, Institute of Genetics and Cancer, Edinburgh, UK.ORCID http://orcid.org/0000-0002-7954-6705
John BridgewaterUCL Cancer Institute, Department of Medical Oncology, London, UK.ORCID http://orcid.org/0000-0001-9186-1604
Diego F CalvisiInstitute of Pathology, University of Regensburg, Regensburg, Germany.ORCID http://orcid.org/0000-0002-6038-8567
Andres CardenasNational Institute for the Study of Liver and Gastrointestinal Diseases (CIBERehd), Carlos III National Health Institute, Madrid, Spain.
Vincenzo CardinaleDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Guido CarpinoDepartment of Anatomical, Histological, Forensic Medicine and Orthopaedic Sciences, Sapienza University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0001-8570-2519
Cédric CoulouarnInserm, Univ Rennes, OSS (Oncogenesis, Stress, Signaling) UMR_S 1242, Centre de Lutte contre le Cancer Eugène Marquis, Rennes, France.ORCID http://orcid.org/0000-0002-5692-9586
Cristina DopazoDepartment of HPB Surgery and Transplants, Vall d'Hebron Hospital Universitari, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, Universitat Autónoma de Barcelona, Barcelona, Spain.
Julien EdelineMedical Oncology Department, Centre Eugene Marquis, Rennes, France.ORCID http://orcid.org/0000-0002-8289-7741
Luca FabrisDepartment of Medicine, School of Medicine, University-Hospital of Padua, Padua, Italy.ORCID http://orcid.org/0000-0001-8538-6317
Trine FolseraasNorwegian PSC Research Center and Department of Transplantation Medicine, Division of Surgery, Inflammatory Diseases and Transplantation, Oslo University Hospital Rikshospitalet and University of Oslo, Oslo, Norway.
Alejandro FornerNational Institute for the Study of Liver and Gastrointestinal Diseases (CIBERehd), Carlos III National Health Institute, Madrid, Spain.ORCID http://orcid.org/0000-0002-9014-4950
Benjamin GoeppertInstitute of Pathology, RKH Klinikum, Ludwigsburg, Germany.ORCID http://orcid.org/0000-0002-4135-9250
Mathias HeikenwalderDivision of Chronic Inflammation and Cancer, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Timothy J KendallCentre for Inflammation Research, Institute for Regeneration and Repair, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0002-4174-2786
Shahid A KhanDepartment of Hepatology, Imperial College Healthcare NHS Trust, London, UK.ORCID http://orcid.org/0000-0003-2538-0911
Heinz-Josef KlümpenDepartment of Medical Oncology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-7290-1823
Bas Groot KoerkampErasmus MC, Department of Surgery, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0003-1917-6973
Angela LamarcaDepartment of Oncology - OncoHealth Institute - Instituto de Investigaciones Sanitarias FJD, Fundación Jiménez Díaz University Hospital, Madrid, Spain.
Stacie LindseyCholangiocarcinoma Foundation, Salt Lake City, UT, USA.
Ana LleoDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.ORCID http://orcid.org/0000-0002-0561-7902
Tom LueddeDepartment of Gastroenterology, Hepatology and Infectious Diseases, University Hospital Duesseldorf, Medical Faculty of Heinrich Heine University Duesseldorf, Duesseldorf, Germany.ORCID http://orcid.org/0000-0002-6288-8821
Rocio I R MaciasNational Institute for the Study of Liver and Gastrointestinal Diseases (CIBERehd), Carlos III National Health Institute, Madrid, Spain.ORCID http://orcid.org/0000-0002-4748-0326
Helen MorementAMMF, The Cholangiocarcinoma Charity, Essex, UK.ORCID http://orcid.org/0000-0001-6141-2816
Jean-Charles NaultLiver Unit, Avicenne Hospital, APHP, Paris Nord University, Bobigny, France.
Paula OlaizolaNational Institute for the Study of Liver and Gastrointestinal Diseases (CIBERehd), Carlos III National Health Institute, Madrid, Spain.
Maria J PerugorriaDepartment of Liver and Gastrointestinal Diseases, Biogipuzkoa Health Research Institute - Donostia University Hospital, University of the Basque Country (UPV/EHU), San Sebastian, Spain.
Chiara RaggiDepartment of Experimental and Clinical Medicine, University of Florence, Florence, Italy.ORCID http://orcid.org/0000-0003-2473-3535
Lorenza RimassaDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.ORCID http://orcid.org/0000-0001-9957-3615
Anna SaborowskiDepartment of Gastroenterology, Hepatology, Infectiology and Endocrinology, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0000-0003-4857-4276
Juan W ValleCholangiocarcinoma Foundation, Salt Lake City, UT, USA.ORCID http://orcid.org/0000-0002-1999-0863
Mathew VithayathilDepartment of Surgery and Cancer, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-1457-4385
Arndt VogelDepartment of Gastroenterology, Hepatology, Infectiology and Endocrinology, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0000-0003-0560-5538
Chiara BraconiSchool of Cancer Sciences, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0003-4835-1259
International CCA Consensus Consortium

Funding

Functions of mutant IDH in cholangiocarcinomaR01CA280085 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI NABEEL El-BARDEESY · 2023 to 2026
$2.6M
NCI NIH HHS R01 CA280085
6 · The paper itself

Abstract

Cholangiocarcinoma (CCA) is a cancer that originates within the bile ducts. Traditionally considered to be a rare neoplasm, increased awareness of CCA alongside advancements in diagnosis and the rising prevalence of certain risk factors have contributed to a global increase in incidence and mortality. CCAs are highly heterogeneous from the clinical, histomorphological and molecular perspectives but commonly share a poor prognosis. These tumours usually develop and progress silently; by the time they are detected, it is often too late for curative surgical intervention. In such cases, current therapeutic approaches offer modest survival improvements and are generally considered palliative. Although well-known risk factors predispose individuals to developing CCA, the majority of cases are considered sporadic, occurring without any identifiable underlying condition. Over the past decade, substantial collaborative efforts have been made to improve our understanding of the aetiopathogenesis of these tumours, aiming to identify novel biomarkers and therapeutic targets to develop more effective treatments. The ultimate goal is to improve patient outcomes and overall well-being. However, there are significant gaps in our understanding of the molecular mechanisms that drive cholangiocarcinogenesis. In this international Consensus Statement, which is endorsed by the European Network for the Study of Cholangiocarcinoma, we provide a critical overview of the latest advancements in the field of CCA. We highlight the key aspects of CCA aetiopathogenesis and clinical management and provide insights into promising new treatments. Finally, we provide a set of consensus recommendations and future research priorities for CCA based on a Delphi panel questionnaire involving international experts.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaHumansPrognosisRisk Factors

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.