Evidence map›Paper›PMID 28197686›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2017

Pre-therapeutic factors for predicting survival after radioembolization: a single-center experience in 389 patients.

K J Paprottka, F Schoeppe, M Ingrisch, J Rübenthaler, N N Sommer, E De Toni, H Ilhan, M Zacherl, A Todica, P M Paprottka

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In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  9. Repeated radioembolization in advanced liver cancer.Annals of translational medicine · 2020
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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.

K J PaprottkaDepartment of Clinical Radiology, LMU - University of Munich, Marchioninistrasse. 15, 81377, Munich, Germany. karolin.paprottka@med.lmu.de.
F SchoeppeDepartment of Clinical Radiology, LMU - University of Munich, Marchioninistrasse. 15, 81377, Munich, Germany.
M IngrischDepartment of Clinical Radiology, LMU - University of Munich, Marchioninistrasse. 15, 81377, Munich, Germany.
J RübenthalerDepartment of Clinical Radiology, LMU - University of Munich, Marchioninistrasse. 15, 81377, Munich, Germany.
N N SommerDepartment of Clinical Radiology, LMU - University of Munich, Marchioninistrasse. 15, 81377, Munich, Germany.
E De ToniDepartment of Hepatology, LMU - University of Munich, Munich, Germany.
H IlhanDepartment of Nuclear Medicine, LMU - University of Munich, Munich, Germany.
M ZacherlDepartment of Nuclear Medicine, LMU - University of Munich, Munich, Germany.
A TodicaDepartment of Nuclear Medicine, LMU - University of Munich, Munich, Germany.
P M PaprottkaDepartment of Clinical Radiology, LMU - University of Munich, Marchioninistrasse. 15, 81377, Munich, Germany.
Ludwig-Maximilians-Universität München · DELMU Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine pre-therapeutic predictive factors for overall survival (OS) after yttrium (Y)-90 radioembolization (RE).

methodsWe retrospectively analyzed the pre-therapeutic characteristics (sex, age, tumor entity, hepatic tumor burden, extrahepatic disease [EHD] and liver function [with focus on bilirubin and cholinesterase level]) of 389 consecutive patients with various refractory liver-dominant tumors (hepatocellular carcinoma [HCC], cholangiocarcinoma [CCC], neuroendocrine tumor [NET], colorectal cancer [CRC] and metastatic breast cancer [MBC]), who received Y-90 radioembolization for predicting survival. Predictive factors were selected by univariate Cox regression analysis and subsequently tested by multivariate analysis for predicting patient survival.

resultsThe median OS was 356 days (95% CI 285-427 days). Stable disease was observed in 132 patients, an objective response in 71 (one of which was complete remission) and progressive disease in 122. The best survival rate was observed in patients with NET, and the worst in patients with MBC. In the univariate analyses, extrahepatic disease (P < 0.001), large tumor burden (P = 0.001), high bilirubin levels (>1.9 mg/dL, P < 0.001) and low cholinesterase levels (CHE <4.62 U/I, P < 0.001) at baseline were significantly associated with poor survival. Tumor entity, tumor burden, extrahepatic disease and CHE were confirmed in the multivariate analysis as independent predictors of survival. Sex, applied RE dose and age had no significant influence on OS.

conclusionsPre-therapeutic baseline bilirubin and CHE levels, extrahepatic disease and hepatic tumor burden are associated with patient survival after RE. Such parameters may be used to improve patient selection for RE of primary or metastatic liver tumors.

Indexed as

Embolization, TherapeuticAdultAgedCohort StudiesFemaleFollow-Up StudiesHumansLiver NeoplasmsMaleMiddle AgedRetrospective StudiesSurvival AnalysisTumor BurdenYttrium RadioisotopesYttrium RadioisotopesPredictionRadioembolizationSurvival

Identifiers

PMID28197686
OpenAlexW2587863280

What OpenQuestion holds

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Registered trials

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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.