Evidence map›Paper›PMID 24976693›Full record

ReviewWorld journal of gastroenterology2014

Hepatocellular carcinoma: surgical perspectives beyond the barcelona clinic liver cancer recommendations.

Alfredo Guglielmi, Andrea Ruzzenente, Simone Conci, Alessandro Valdegamberi, Marco Vitali, Francesca Bertuzzo, Michela De Angelis, Guido Mantovani, Calogero Iacono

Open access · hybridAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 5 pooled it
3.7field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 5 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  5. Pooled it
  6. Review
  7. Study on the expression and prognostic relationship ofWorld journal of clinical oncology · 2024
    Article
  8. Article
  9. Article
  10. Review
  11. Saudi Association for the Study of Liver diseases and Transplantation practice guidelines on the diagnosis and management of hepatocellular carcinoma.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2020
    Article
  12. Article
  13. Review
  14. Article
  15. Article
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  18. Observational
  19. Validation of the Hong Kong Liver Cancer Staging System in Determining Prognosis of the North American Patients Following Intra-arterial Therapy.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2017
    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

9 authors at 1 institution in 1 country.

Alfredo GuglielmiAlfredo Guglielmi, Andrea Ruzzenente, Simone Conci, Alessandro Valdegamberi, Marco Vitali, Francesca Bertuzzo, Michela De Angelis, Guido Mantovani, Calogero Iacono, Department of Surgery, Division of General Surgery A, Unit of Hepato-Pancreatico-Biliary surgery, University of Verona Medical School, 37134 Verona, Italy.
Andrea RuzzenenteAlfredo Guglielmi, Andrea Ruzzenente, Simone Conci, Alessandro Valdegamberi, Marco Vitali, Francesca Bertuzzo, Michela De Angelis, Guido Mantovani, Calogero Iacono, Department of Surgery, Division of General Surgery A, Unit of Hepato-Pancreatico-Biliary surgery, University of Verona Medical School, 37134 Verona, Italy.
Simone ConciAlfredo Guglielmi, Andrea Ruzzenente, Simone Conci, Alessandro Valdegamberi, Marco Vitali, Francesca Bertuzzo, Michela De Angelis, Guido Mantovani, Calogero Iacono, Department of Surgery, Division of General Surgery A, Unit of Hepato-Pancreatico-Biliary surgery, University of Verona Medical School, 37134 Verona, Italy.
Alessandro ValdegamberiAlfredo Guglielmi, Andrea Ruzzenente, Simone Conci, Alessandro Valdegamberi, Marco Vitali, Francesca Bertuzzo, Michela De Angelis, Guido Mantovani, Calogero Iacono, Department of Surgery, Division of General Surgery A, Unit of Hepato-Pancreatico-Biliary surgery, University of Verona Medical School, 37134 Verona, Italy.
Marco VitaliAlfredo Guglielmi, Andrea Ruzzenente, Simone Conci, Alessandro Valdegamberi, Marco Vitali, Francesca Bertuzzo, Michela De Angelis, Guido Mantovani, Calogero Iacono, Department of Surgery, Division of General Surgery A, Unit of Hepato-Pancreatico-Biliary surgery, University of Verona Medical School, 37134 Verona, Italy.
Francesca BertuzzoAlfredo Guglielmi, Andrea Ruzzenente, Simone Conci, Alessandro Valdegamberi, Marco Vitali, Francesca Bertuzzo, Michela De Angelis, Guido Mantovani, Calogero Iacono, Department of Surgery, Division of General Surgery A, Unit of Hepato-Pancreatico-Biliary surgery, University of Verona Medical School, 37134 Verona, Italy.
Michela De AngelisAlfredo Guglielmi, Andrea Ruzzenente, Simone Conci, Alessandro Valdegamberi, Marco Vitali, Francesca Bertuzzo, Michela De Angelis, Guido Mantovani, Calogero Iacono, Department of Surgery, Division of General Surgery A, Unit of Hepato-Pancreatico-Biliary surgery, University of Verona Medical School, 37134 Verona, Italy.
Guido MantovaniAlfredo Guglielmi, Andrea Ruzzenente, Simone Conci, Alessandro Valdegamberi, Marco Vitali, Francesca Bertuzzo, Michela De Angelis, Guido Mantovani, Calogero Iacono, Department of Surgery, Division of General Surgery A, Unit of Hepato-Pancreatico-Biliary surgery, University of Verona Medical School, 37134 Verona, Italy.
Calogero IaconoAlfredo Guglielmi, Andrea Ruzzenente, Simone Conci, Alessandro Valdegamberi, Marco Vitali, Francesca Bertuzzo, Michela De Angelis, Guido Mantovani, Calogero Iacono, Department of Surgery, Division of General Surgery A, Unit of Hepato-Pancreatico-Biliary surgery, University of Verona Medical School, 37134 Verona, Italy.
University of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The barcelona clinic liver cancer (BCLC) staging system has been approved as guidance for hepatocellular carcinoma (HCC) treatment guidelines by the main Western clinical liver associations. According to the BCLC classification, only patients with a small single HCC nodule without signs of portal hypertension or hyperbilirubinemia should undergo liver resection. In contrast, patients with intermediate-advanced HCC should be scheduled for palliative therapies, even if the lesion is resectable. Recent studies report good short-term and long-term outcomes in patients with intermediate-advanced HCC treated by liver resection. Therefore, this classification has been criticised because it excludes many patients who could benefit from curative resection. The aim of this review was to evaluate the role of surgery beyond the BCLC recommendations. Safe liver resection can be performed in patients with portal hypertension and well-compensated liver function with a 5-year survival rate of 50%. Surgery also offers good long-term result in selected patients with multiple or large HCCs with a reported 5-year survival rate of over 50% and 40%, respectively. Although macrovascular invasion is associated with a poor prognosis, liver resection provides better long-term results than palliative therapies or best supportive care. Recently, researchers have identified several genes whose altered expression influences the prognosis of patients with HCC. These genes may be useful for classifying the biological behaviour of different tumours. A revision of the BCLC classification should be introduced to provide the best treatment strategy and to ensure the best prognosis in patients with HCC.

Indexed as

Decision Support TechniquesHepatectomyLiver TransplantationCarcinoma, HepatocellularHumansHypertension, PortalLiver NeoplasmsNeoplasm StagingPalliative CarePatient SelectionPredictive Value of TestsRisk AssessmentRisk FactorsTreatment OutcomeTumor BurdenBarcelona clinic liver cancerHepatectomyHepatocellular carcinomaLiver resectionSurgical therapy

Identifiers

PMID24976693
PMCPMC4069284
OpenAlexW2145818841

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.