Evidence map›Paper›PMID 23922893›Full record

ArticlePloS one2013

Survival of patients with hepatocellular carcinoma (HCC) treated by percutaneous radio-frequency ablation (RFA) is affected by complete radiological response.

Giuseppe Cabibbo, Marcello Maida, Chiara Genco, Nicola Alessi, Marco Peralta, Giuseppe Butera, Massimo Galia, Giuseppe Brancatelli, Claudio Genova, Maurizio Raineri and 7 more

Abstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

17 authors.

Giuseppe CabibboDipartimento Biomedico di Medicina Interna e Specialistica, Sezione di Gastroenterologia, Università di Palermo, Palermo, Italia. g.cab@libero.it
Marcello Maida
Chiara Genco
Nicola Alessi
Marco Peralta
Giuseppe Butera
Massimo Galia
Giuseppe Brancatelli
Claudio Genova
Maurizio Raineri
Emanuele Orlando
Simona Attardo
Antonino Giarratano
Massimo Midiri
Vito Di Marco
Antonio Craxì
Calogero Cammà

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRadio-frequency ablation (RFA) has been employed in the treatment of Barcelona Clinic Liver Cancer (BCLC) early stage hepatocellular carcinoma (HCC) as curative treatments.

aimTo assess the effectiveness and the safety of RFA in patients with early HCC and compensated cirrhosis.

methodsA cohort of 151 consecutive patients with early stage HCC (122 Child-Pugh class A and 29 class B patients) treated with RFA were enrolled. Clinical, laboratory and radiological follow-up data were collected from the time of first RFA. A single lesion was observed in 113/151 (74.8%), two lesions in 32/151 (21.2%), and three lesions in 6/151 (4%) of patients.

resultsThe overall survival rates were 94%, 80%, 64%, 49%, and 41% at 12, 24, 36, 48 and 60 months, respectively. Complete response (CR) at 1 month (p<0.0001) and serum albumin levels (p = 0.0004) were the only variables indipendently linked to survival by multivariate Cox model. By multivariate analysis, tumor size (p = 0.01) is the only variable associated with an increased likehood of CR. The proportion of major complications after treatment was 4%.

conclusionsRFA is safe and effective for managing HCC with cirrhosis, especially for patients with HCC ≤3 cm and higher baseline albumin levels. Complete response after RFA significantly increases survival.

Indexed as

AgedCarcinoma, HepatocellularCatheter AblationFemaleFibrosisHumansLiver NeoplasmsMaleMiddle AgedTreatment Outcome

Identifiers

PMID23922893
PMCPMC3726477

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Registered trials

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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.