Evidence map›Paper›PMID 25678801›Full record

ArticleOncoTargets and therapy2015

Use of transient elastography to predict de novo recurrence after radiofrequency ablation for hepatocellular carcinoma.

Sang Hoon Lee, Seung Up Kim, Jeong Won Jang, Si Hyun Bae, Sanghun Lee, Beom Kyung Kim, Jun Yong Park, Do Young Kim, Sang Hoon Ahn, Kwang-Hyub Han

Abstract read
In one paragraph

Article in OncoTargets and therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 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

10 authors.

Sang Hoon LeeDepartment of Internal Medicine, Yonsei University College of Medicine, Catholic University of Korea, Seoul, Korea.
Seung Up KimDepartment of Internal Medicine, Yonsei University College of Medicine, Catholic University of Korea, Seoul, Korea ; Institute of Gastroenterology, Yonsei University College of Medicine, Catholic University of Korea, Seoul, Korea ; Liver Cirrhosis Clinical Research Center, College of Medicine, Catholic University of Korea, Seoul, Korea.
Jeong Won JangDepartment of Internal Medicine, College of Medicine, Catholic University of Korea, Seoul, Korea.
Si Hyun BaeDepartment of Internal Medicine, College of Medicine, Catholic University of Korea, Seoul, Korea.
Sanghun LeeDepartment of Internal Medicine, Yonsei University College of Medicine, Catholic University of Korea, Seoul, Korea ; Liver Cirrhosis Clinical Research Center, College of Medicine, Catholic University of Korea, Seoul, Korea.
Beom Kyung KimDepartment of Internal Medicine, Yonsei University College of Medicine, Catholic University of Korea, Seoul, Korea ; Institute of Gastroenterology, Yonsei University College of Medicine, Catholic University of Korea, Seoul, Korea ; Liver Cirrhosis Clinical Research Center, College of Medicine, Catholic University of Korea, Seoul, Korea.
Jun Yong ParkDepartment of Internal Medicine, Yonsei University College of Medicine, Catholic University of Korea, Seoul, Korea ; Institute of Gastroenterology, Yonsei University College of Medicine, Catholic University of Korea, Seoul, Korea ; Liver Cirrhosis Clinical Research Center, College of Medicine, Catholic University of Korea, Seoul, Korea.
Do Young KimDepartment of Internal Medicine, Yonsei University College of Medicine, Catholic University of Korea, Seoul, Korea ; Institute of Gastroenterology, Yonsei University College of Medicine, Catholic University of Korea, Seoul, Korea ; Liver Cirrhosis Clinical Research Center, College of Medicine, Catholic University of Korea, Seoul, Korea.
Sang Hoon AhnDepartment of Internal Medicine, Yonsei University College of Medicine, Catholic University of Korea, Seoul, Korea ; Institute of Gastroenterology, Yonsei University College of Medicine, Catholic University of Korea, Seoul, Korea ; Liver Cirrhosis Clinical Research Center, College of Medicine, Catholic University of Korea, Seoul, Korea.
Kwang-Hyub HanDepartment of Internal Medicine, Yonsei University College of Medicine, Catholic University of Korea, Seoul, Korea ; Institute of Gastroenterology, Yonsei University College of Medicine, Catholic University of Korea, Seoul, Korea ; Liver Cirrhosis Clinical Research Center, College of Medicine, Catholic University of Korea, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background/purposeLiver stiffness (LS) measurement using transient elastography can accurately assess the degree of liver fibrosis, which is associated with the risk of the development of hepatocellular carcinoma (HCC). We investigated whether LS values could predict HCC de novo recurrence after radiofrequency ablation (RFA).

methodsThis retrospective, multicenter study analyzed 111 patients with HCC who underwent RFA and LS measurement using transient elastography between May 2005 and April 2011. All patients were followed until March 2013 to monitor for HCC recurrence.

resultsThis study included 76 men and 35 women with a mean age of 62.4 years, and the mean LS value was 21.2 kPa. During the follow-up period (median 22.4 months), 47 (42.3%) patients experienced HCC de novo recurrence, and 18 (16.2%) died. Patients with recurrence had significantly more frequent liver cirrhosis, more frequent history of previous treatment for HCC, higher total bilirubin, larger spleen size, larger total tumor size, higher tumor number, higher LS values, and lower platelet counts than those without recurrence (all P<0.05). On multivariate analysis, together with previous anti-HCC treatment history, patients with LS values >13.0 kPa were at significantly greater risk for recurrence after RFA, with a hazard ratio (HR) of 3.115 (95% confidence interval [CI], 1.238-7.842, P<0.05). Moreover, LS values independently predicted the mortality after RFA, with a HR of 9.834 (95% CI, 1.148-84.211, P<0.05), together with total bilirubin.

conclusionsOur data suggest that LS measurement is a useful predictor of HCC de novo recurrence and overall survival after RFA.

Indexed as

fibroscanhepatocellular carcinomaliver stiffnessradiofrequency ablationrecurrence

Identifiers

PMID25678801
PMCPMC4322870

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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.