Evidence map›Paper›PMID 21484107›Full record

ArticleHepatology international2011

Evolution and management of de novo neoplasm post-liver transplantation: a 20-year experience from a single European centre.

Gonzalo Sapisochin, Itxarone Bilbao, Cristina Dopazo, Luis Castells, Jose Luis Lázaro, Roberto Rodríguez, Mireia Caralt, Laia Blanco, Joaquin Balsells, Ramón Charco

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Article in Hepatology international, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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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

6 citing papers in PubMed.

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4 · The record

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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

10 authors.

Gonzalo SapisochinDepartment of Hepatobiliopancreatic Surgery and Transplantation, Hospital Universitario Vall D'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain, sapisochin@me.com.
Itxarone Bilbao
Cristina Dopazo
Luis Castells
Jose Luis Lázaro
Roberto Rodríguez
Mireia Caralt
Laia Blanco
Joaquin Balsells
Ramón Charco

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSurvival post-liver transplantation (LT) has improved; however, patients are considered at the, risk of malignancy due to prolonged immunosuppression. The long-term outcome of patients developing de novo neoplasm (DN) at our centre was evaluated.

methodsBetween October 1988 and December 2007, 800 LT were performed in 742 patients. Patients were divided into two study periods according to the time of LT; first: October 1988-December 1995; second: January 1996-December 2007.

resultsAfter a mean follow-up of 5 ± 4.6 years, 71 DN (9.5%) were detected in 742 patients. The cumulative risk of DN development increased with the time from LT although no differences at 3, 5, and 10 years were found when first and second periods were compared (3, 7, 16% vs. 2, 4, 11%, respectively; p = 0.4). DN incidence was higher in the first compared with the second period (10.7 vs. 7.8%; p < 0.04); no significant differences were observed in mortality rate (50 vs. 27%; p = 0.052). Actuarial patient survival post-DN at 1, 3, and 5 years: 67, 48, 45% versus 82, 71, 65%, in the first versus second period, respectively, p < 0.04.

conclusionsDN incidence has decreased in recent years; however, as survival post-LT increases, so does the incidence of DN. Surveillance programmes are necessary to diagnose DN at early stages.

Identifiers

PMID21484107
PMCPMC3090551

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