Evidence map›Paper›PMID 28208001›Full record

ArticleGut and liver2017

Predictive Factors for Complete Response and Recurrence after Transarterial Chemoembolization in Hepatocellular Carcinoma.

Shin Ok Jeong, Eui Bae Kim, Soung Won Jeong, Jae Young Jang, Sae Hwan Lee, Sang Gyune Kim, Sang Woo Cha, Young Seok Kim, Young Deok Cho, Hong Soo Kim and 4 more

Abstract readEvaluation Study
In one paragraph

Article in Gut and liver, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing 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

48 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

14 authors.

Shin Ok JeongInstitute for Digestive Research and Digestive Disease Center, Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.
Eui Bae KimInstitute for Digestive Research and Digestive Disease Center, Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.
Soung Won JeongInstitute for Digestive Research and Digestive Disease Center, Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.
Jae Young JangInstitute for Digestive Research and Digestive Disease Center, Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.
Sae Hwan LeeDepartment of Internal Medicine, Soonchunhyang University Hospital, Cheonan, Korea.
Sang Gyune KimDepartment of Internal Medicine, Soonchunhyang University Hospital, Bucheon, Korea.
Sang Woo ChaInstitute for Digestive Research and Digestive Disease Center, Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.
Young Seok KimDepartment of Internal Medicine, Soonchunhyang University Hospital, Bucheon, Korea.
Young Deok ChoInstitute for Digestive Research and Digestive Disease Center, Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.
Hong Soo KimDepartment of Internal Medicine, Soonchunhyang University Hospital, Cheonan, Korea.
Boo Sung KimInstitute for Digestive Research and Digestive Disease Center, Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.
Yong Jae KimDepartment of Radiology, Soonchunhyang University Hospital, Seoul, Korea.
Dong Erk GooDepartment of Radiology, Soonchunhyang University Hospital, Seoul, Korea.
Su Yeon ParkDepartment of Biostatistics, Soonchunhyang University Hospital, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsTo investigate the predictive factors for complete response (CR) and recurrence after CR in patients with hepatocellular carcinoma (HCC) treated with transarterial chemoembolization (TACE).

methodsAmong 691 newly diagnosed HCC patients, 287 were treated with TACE as a first therapy. We analyzed the predictive factors for CR, recurrence after CR, and overall survival (OS).

resultsEighty-one patients (28.2%) achieved CR after TACE, and recurrence after CR was detected in 35 patients (43.2%). In multivariate analyses, tumor size (≤5 cm) and single nodularity were predictive factors for CR, with hazard ratios (HRs) of 0.35 (p=0.002) and 0.41 (p<0.001), respectively. Elevated serum α-fetoprotein (AFP) (>20 ng/mL) level and multinodularity exhibited significant relationships with recurrence after CR, with HRs of 2.220 (p=0.026) and 3.887 (p<0.001), respectively. Tumor size (>5 cm), multinodularity, elevated serum AFP (>20 ng/mL) level, Child-Turcotte-Pugh score (B and C), and portal vein thrombosis were significant factors for OS.

conclusionsIn patients treated with TACE as a first therapy, tumor size (≤5 cm) and single nodularity were predictive factors for CR, and multinodularity and elevated serum AFP (>20 ng/mL) levels were predictive factors for recurrence after CR. These factors were also significant for OS.

Indexed as

Agedalpha-FetoproteinsCarcinoma, HepatocellularChemoembolization, TherapeuticFemaleHumansLiver NeoplasmsMaleMiddle AgedNeoplasm Recurrence, LocalProportional Hazards ModelsRetrospective StudiesRisk FactorsSeverity of Illness IndexTreatment OutcomeVenous Thrombosisalpha-FetoproteinsCarcinomaChemoembolizationComplete responsehepatocellularRecurrencetherapeutic

Identifiers

PMID28208001
PMCPMC5417784

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.