Evidence map›Paper›PMID 27379205›Full record

ArticleFrontiers in oncology2016

Pretransplant Locoregional Therapy for Hepatocellular Carcinoma: Evaluation of Explant Pathology and Overall Survival.

Eliza W Beal, Kristin M Dittmar, A James Hanje, Anthony J Michaels, Lanla Conteh, Gail Davidson, Sylvester M Black, P Mark Bloomston, Mary E Dillhoff, Carl R Schmidt

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

10 citing papers in PubMed, 28 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Eliza W BealDepartment of Surgery, The Ohio State University Wexner Medical Center, James Cancer Hospital , Columbus, OH , USA.
Kristin M DittmarDepartment of Radiology, The Ohio State University Wexner Medical Center, James Cancer Hospital , Columbus, OH , USA.
A James HanjeDivision of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, The Ohio State University Wexner Medical Center , Columbus, OH , USA.
Anthony J MichaelsDivision of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, The Ohio State University Wexner Medical Center , Columbus, OH , USA.
Lanla ContehDivision of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, The Ohio State University Wexner Medical Center , Columbus, OH , USA.
Gail DavidsonDepartment of Surgery, The Ohio State University Wexner Medical Center, James Cancer Hospital , Columbus, OH , USA.
Sylvester M BlackDepartment of Surgery, The Ohio State University Wexner Medical Center, James Cancer Hospital , Columbus, OH , USA.
P Mark BloomstonDepartment of Surgery, The Ohio State University Wexner Medical Center, James Cancer Hospital , Columbus, OH , USA.
Mary E DillhoffDepartment of Surgery, The Ohio State University Wexner Medical Center, James Cancer Hospital , Columbus, OH , USA.
Carl R SchmidtDepartment of Surgery, The Ohio State University Wexner Medical Center, James Cancer Hospital , Columbus, OH , USA.
The Ohio State University Wexner Medical Center · USThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · US

Funding

Advanced Research Training in Immunology for Surgery Trainees (ARTIST)T32AI106704 · NIAID · OHIO STATE UNIVERSITY · PI GINNY L BUMGARDNER, Jon R Wisler · 2014 to 2026
$3.5M
NIAID NIH HHS T32 AI106704
6 · The paper itself

Abstract

BACKGROUND AND

objectivesLiver transplant is an important treatment option for patients with hepatocellular carcinoma (HCC) within Milan criteria. We sought to determine the rate of complete tumor necrosis after bridging therapy.

methodsThe medical records of all 178 patients undergoing liver transplantation between January 1, 2008 and July 31, 2015 were reviewed. Response to therapy by imaging was based on mRECIST criteria (1).

resultsSixty-three (35%) patients had HCC. Forty-three (68%) were treated with at least one bridging therapy and 14 (22%) were diagnosed incidentally. Eighteen (42%) underwent TACE and 25 (58%) underwent ablation. Twenty (80%) patients who underwent ablation and nine (60%) who underwent TACE had complete response based on imaging. Viable tumor was identified in explant pathology in 32 patients (74%). The presence or absence of viable tumor was not associated with overall survival.

conclusionRates of viable tumor based on pathologic analysis in the hepatic explant were high after bridging therapy, but not associated with worse outcome. We conclude that serial bridging to achieve complete pathologic tumor response is not needed prior to transplant for HCC, and presence of complete response by imaging is adequate. Further studies are needed to determine if cancer cells that appear viable are alive.

Indexed as

carcinomachemoembolizationhepatocellularliver transplantationlocoregional bridging therapymicrowave ablationradiofrequency ablationtherapeutic

Identifiers

PMID27379205
PMCPMC4904000
OpenAlexW2411561583

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.