Evidence map›Paper›PMID 22493552›Full record

ArticleWorld journal of gastroenterology2012

Branched-chain amino acid treatment before transcatheter arterial chemoembolization for hepatocellular carcinoma.

Hiroki Nishikawa, Yukio Osaki, Tadashi Inuzuka, Haruhiko Takeda, Jun Nakajima, Fumihiro Matsuda, Shinichiro Henmi, Azusa Sakamoto, Tetsuro Ishikawa, Sumio Saito and 2 more

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastroenterology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Nutritional therapy for hepatocellular carcinoma.World journal of gastrointestinal oncology · 2021
    Review
  7. Article
  8. Article
  9. [Clinical guidelines on nutrition in end-stage liver disease].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2019
    Article
  10. Article
  11. Article
  12. Preoperative optimization for major hepatic resection.Langenbeck's archives of surgery · 2018
    Review
  13. Branched-chain amino acids in liver diseases.Translational gastroenterology and hepatology · 2018
    Review
  14. Chemotherapy for Hepatocellular Carcinoma: Current Evidence and Future Perspectives.Journal of clinical and translational hepatology · 2017
    Review
  15. Review
  16. Nutrition and Hepatocellular Cancer.Gastrointestinal tumors · 2016
    Review
  17. Article
  18. Branched-chain amino acids in liver diseases.World journal of gastroenterology · 2013
    Review
  19. Article
  20. Article
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 at 1 institution in 1 country.

Hiroki NishikawaDepartment of Gastroenterology and Hepatology, Osaka Red Cross Hospital, Osaka 543-0027, Japan. h-nishikawa@osaka-med.jrc.or.jp
Yukio Osaki
Tadashi Inuzuka
Haruhiko Takeda
Jun Nakajima
Fumihiro Matsuda
Shinichiro Henmi
Azusa Sakamoto
Tetsuro Ishikawa
Sumio Saito
Ryuichi Kita
Toru Kimura
Osaka Red Cross Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo examine the significance of branched-chain amino acid (BCAA) treatment before transcatheter arterial chemoembolization (TACE) for hepatocellular carcinoma (HCC).

methodsThis study included 99 patients who underwent TACE therapy for HCC at our hospital and were followed up without treatment for at least 6 mo between January 2004 and January 2010. They were divided into 2 groups: those receiving BCAA granules (n = 40) or regular diet (n = 59, control). Data obtained were retrospectively analyzed (prior to TACE, and 1 wk, 1, 3, and 6 mo after TACE) in terms of nutritional condition and clinical laboratory parameters (serum albumin level and Child-Pugh score), both of which are determinants of hepatic functional reserve.

resultsThe BCAA group comprised 27 males and 13 females with a mean age of 69.9 ± 8.8 years. The patients of the BCAA group were classified as follows: Child-Pugh A/B/C in 22/15/3 patients, and Stage II/III/IVA HCC in 12/23/5 patients, respectively. The control group comprised 32 males and 27 females with a mean age of 73.2 ± 10.1 years. In the control group, 9 patients had chronic hepatitis, Child-Pugh A/B/C in 39/10/1 patients, and StageI/II/III/IVA HCC in 1/11/35/12 patients, respectively. Overall, both serum albumin level and Child-Pugh score improved significantly in the BCAA group as compared with the control 3 and 6 mo after TACE (P < 0.05). Further analysis was performed by the following categorization: (1) child-Pugh classification; (2) liver cirrhosis subgroup with a serum albumin level > 3.5 g/dL; and (3) epirubicin dose. A similar trend indicating a significant improvement of all variables in the BCAA group was noted (P < 0.05).

conclusionTreatment with BCAA granules in patients who have undergone TACE for HCC is considered useful to maintain their hepatic functional reserve.

Indexed as

AgedAged, 80 and overAmino Acids, Branched-ChainAntibiotics, AntineoplasticCarcinoma, HepatocellularChemoembolization, TherapeuticEpirubicinFemaleHumansLiver NeoplasmsMaleMiddle AgedRetrospective StudiesTreatment OutcomeAmino Acids, Branched-ChainAntibiotics, AntineoplasticEpirubicinBranched-chain amino acid granulesCirrhosisHepatocellular carcinomaImprovementLiver functionProtein-energy malnutritionTranscatheter arterial chemoembolization

Identifiers

PMID22493552
PMCPMC3319965
OpenAlexW2141896878

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.