Evidence map›Paper›PMID 27701389›Full record

ArticleBritish journal of cancer2016

Intermediate-stage hepatocellular carcinoma treated with hepatic resection: the NSP score as an aid to decision-making.

Yong-Fa Zhang, Jie Zhou, Wei Wei, Ru-Hai Zou, Min-Shan Chen, Wan Yee Lau, Ming Shi, Rong-Ping Guo

Abstract read
In one paragraph

Article in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

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  14. Preoperative Carbohydrate Antigen 19-9: Its Neglected Role in Alpha-Fetoprotein-Negative Hepatocellular Carcinoma Patients.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017
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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

8 authors.

Yong-Fa ZhangThe Department of Hepatobiliary Oncology of Sun Yat-sen University Cancer Center, Guangzhou 510060, China.
Jie ZhouDepartment of Hepatobiliary Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
Wei WeiThe Department of Hepatobiliary Oncology of Sun Yat-sen University Cancer Center, Guangzhou 510060, China.
Ru-Hai ZouState Key Laboratory of Oncology in South China, Guangzhou 510060, China.
Min-Shan ChenThe Department of Hepatobiliary Oncology of Sun Yat-sen University Cancer Center, Guangzhou 510060, China.
Wan Yee LauThe Department of Hepatobiliary Oncology of Sun Yat-sen University Cancer Center, Guangzhou 510060, China.
Ming ShiThe Department of Hepatobiliary Oncology of Sun Yat-sen University Cancer Center, Guangzhou 510060, China.
Rong-Ping GuoThe Department of Hepatobiliary Oncology of Sun Yat-sen University Cancer Center, Guangzhou 510060, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe subgroups of patients with intermediate-stage (BCLC-B) hepatocellular carcinoma (HCC) who would truly benefit from hepatic resection (HR) are unknown. An objective point score was established to guide the selection of these patients for HR.

methodsIn all, 255 consecutive patients with intermediate-stage HCC treated with HR were evaluated retrospectively and included in this study (the training cohort). The variables on overall survival (OS, log-rank test) were investigated and a point score (the NSP score) was developed by using a Cox-regression model and validated in an independent external cohort from another institution (n=169).

resultsThe NSP score differentiated two groups of patients (⩽1, >1 point) with distinct prognoses (median OS, 61.3 vs 19.3 months; P<0.001). A high NSP score was associated with increased major adverse events after HR (5.6 vs 13.8%, P=0.027). Its predictive accuracy as determined by the area under the receiver operating characteristic curve (AUC) at 1, 3, and 5 years (AUCs 0.688, 0.739, and 0.732) was greater than the other six staging systems for HCC (0.513-0.677). The findings were supported by the validation cohort.

conclusionsThe NSP scoring system is more accurate in selecting patients with intermediate-stage HCC for HR.

Indexed as

Decision MakingPatient SelectionAdultCarcinoma, HepatocellularFemaleHepatectomyHumansLiver NeoplasmsMaleMiddle AgedNeoplasm StagingPrognosisReproducibility of ResultsResearch DesignRetrospective StudiesSurvival Analysis

Identifiers

PMID27701389
PMCPMC5117793

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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.