Evidence map›Paper›PMID 24409045›Full record

ReviewWorld journal of gastroenterology2013

Liver transplantation for hepatocellular carcinoma: role of inflammatory and immunological state on recurrence and prognosis.

Matteo Cescon, Valentina Rosa Bertuzzo, Giorgio Ercolani, Matteo Ravaioli, Federica Odaldi, Antonio Daniele Pinna

Open access · hybridAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
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  8. Review
  9. Type of Necrosis Influences Prognosis in Hepatocellular Carcinoma After the First Transarterial Chemoembolization.Medical science monitor : international medical journal of experimental and clinical research · 2021
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  20. Observational
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

6 authors at 1 institution in 1 country.

Matteo CesconMatteo Cescon, Valentina Rosa Bertuzzo, Giorgio Ercolani, Matteo Ravaioli, Federica Odaldi, Antonio Daniele Pinna, General Surgery and Transplant Unit, Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40138 Bologna, Italy.
Valentina Rosa BertuzzoMatteo Cescon, Valentina Rosa Bertuzzo, Giorgio Ercolani, Matteo Ravaioli, Federica Odaldi, Antonio Daniele Pinna, General Surgery and Transplant Unit, Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40138 Bologna, Italy.
Giorgio ErcolaniMatteo Cescon, Valentina Rosa Bertuzzo, Giorgio Ercolani, Matteo Ravaioli, Federica Odaldi, Antonio Daniele Pinna, General Surgery and Transplant Unit, Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40138 Bologna, Italy.
Matteo RavaioliMatteo Cescon, Valentina Rosa Bertuzzo, Giorgio Ercolani, Matteo Ravaioli, Federica Odaldi, Antonio Daniele Pinna, General Surgery and Transplant Unit, Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40138 Bologna, Italy.
Federica OdaldiMatteo Cescon, Valentina Rosa Bertuzzo, Giorgio Ercolani, Matteo Ravaioli, Federica Odaldi, Antonio Daniele Pinna, General Surgery and Transplant Unit, Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40138 Bologna, Italy.
Antonio Daniele PinnaMatteo Cescon, Valentina Rosa Bertuzzo, Giorgio Ercolani, Matteo Ravaioli, Federica Odaldi, Antonio Daniele Pinna, General Surgery and Transplant Unit, Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, 40138 Bologna, Italy.
University of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Criteria for liver transplantation (LT) for hepatocellular carcinoma (HCC) and post-LT indicators of prognosis are historically based on the measurement of the tumor mass. Recently, high throughput technologies have increased the prediction of recurrence, but these tools are not yet routinely available. The interaction between HCC and the immune system has revealed an imbalance of lymphocyte phenotypes in the peritumoral tissue, and the increase of regulatory T cells with respect to cytotoxic lymphocytes has been linked to a higher rate of post-LT HCC recurrence. Moreover, some inflammatory markers have shown good reliability in predicting cancer reappearance after surgery, as a result of either a systemic inflammatory response or a decreased capacity of the organism to control the tumor growth. Among these markers, the neutrophil-to-lymphocyte ratio appears to be the most promising and easily available serum parameter able to predict HCC recurrence after LT and following other types of treatment, although the exact mechanisms determining its elevation have not been clarified. Post-LT immunosuppression may impact on cancer control, and the exposure to high levels of calcineurin inhibitors or other immunosuppressants has recently emerged as a negative prognostic factor for HCC recurrence and patient survival. Despite the absence of prospective randomized trials, inhibitors of the mammalian target of rapamycin have been shown to be associated with lower rates of tumor recurrence compared to other immunosuppressors, suggesting their use especially in patients with HCC exceeding the conventional indication criteria for LT.

Indexed as

Liver TransplantationBiomarkers, TumorCarcinoma, HepatocellularHumansImmunosuppressive AgentsInflammationInflammation MediatorsLiver NeoplasmsLymphocytes, Tumor-InfiltratingNeoplasm Recurrence, LocalNeutrophilsRisk FactorsTreatment OutcomeBiomarkers, TumorImmunosuppressive AgentsInflammation MediatorsHepatocellular carcinomaImmunosuppressionInflammationLiver transplantationRecurrence

Identifiers

PMID24409045
PMCPMC3882391
OpenAlexW2118677076

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.