Evidence map›Paper›PMID 21494078›Full record

Trial reportThe Korean journal of hepatology2011

Optimal technique and response of doxorubicin beads in hepatocellular cancer: bead size and dose.

Robert Martin, Javier Irurzun, Jordi Munchart, Igor Trofimov, Alexander Scupchenko, Cliff Tatum, Govindarajan Narayanan

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in The Korean journal of hepatology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Interventional therapies for hepatocellular carcinoma.Cancer imaging : the official publication of the International Cancer Imaging Society · 2012
    Review
  13. Transarterial therapy: an evolving treatment modality of hepatocellular carcinoma.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    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

7 authors.

Robert MartinDivision of Surgical Oncology, Department of Surgery, University of Louisville College of Medicine, Louisville, KY 40202, USA. Robert.Martin@louisville.edu
Javier Irurzun
Jordi Munchart
Igor Trofimov
Alexander Scupchenko
Cliff Tatum
Govindarajan Narayanan

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsIt has been shown that the drug-eluting beads loaded with doxorubicin (DEBDOX) are effective for the treatment of hepatocellular carcinoma (HCC). However, the optimal safety and efficacy still remain to be established by using various bead sizes, doxorubicin doses, and the degree of stasis.The aim of this study was to determine the optimal safety and efficacy of DEBDOX in the treatment of HCC.

methodsAnalysis of a 503-patient prospective, multicenter, multinational Bead Registry Database from 2007 to 2010 identified 206 patients who had been treated for HCC with DEBDOX. Primary endpoints were to compare safety, tolerance, response rates, and overall survival based on bead size (100-300, 300-500, 500-700, and 700-900 μm), number of vials, doxorubicin dose, and degree of stasis.

resultsIn total, 206 patients underwent 343 treatments. The use of all four bead sizes was similar based on Child-Pugh class and Okuda stage, with a significantly higher use (50%) of beads of size 100-300 μm in patients with portal vein thrombosis (P=0.05). Significant differences were seen for the number of median treatments, median doxorubicin dose, lobar infusion), and degree of complete stasis. The rate of adverse events was higher for larger beads than for smaller beads (28% vs. 16%; P=0.02).

conclusionsBead size and dose may vary according to disease distribution. Smaller beads offer the opportunity for repeated treatments, a larger cumulative dose delivery, a lesser degree of complete stasis, and fewer adverse events.

Indexed as

AdultAgedAged, 80 and overAntibiotics, AntineoplasticCarcinoma, HepatocellularDose-Response Relationship, DrugDoxorubicinDrug CarriersFemaleHumansLiver NeoplasmsMaleMiddle AgedParticle SizeProspective StudiesSeverity of Illness IndexAntibiotics, AntineoplasticDoxorubicinDrug Carriers

Identifiers

PMID21494078
PMCPMC3304625

What OpenQuestion holds

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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.