Evidence map›Paper›PMID 28875374›Full record

Trial reportMedical oncology (Northwood, London, England)2017

Yttrium-90 radioembolization treatment for unresectable hepatocellular carcinoma: a single-centre prognostic factors analysis.

C Floridi, F Pesapane, S A Angileri, D De Palma, F Fontana, F Caspani, A Barile, A Del Sole, C Masciocchi, G Lucignani and 1 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Medical oncology (Northwood, London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Review
  7. Article
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  9. Article
  10. Review
  11. 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

11 authors.

C FloridiRadiology Department, Fatebenefratelli Hospital, Piazzale Principessa Clotilde, 3, 20121, Milan, Italy.
F PesapaneDepartment of Health Sciences, Diagnostic and Interventional Radiology, ASST Santi Paolo e Carlo, University of Milan, Milan, Italy.
S A AngileriDepartment of Health Sciences, Diagnostic and Interventional Radiology, ASST Santi Paolo e Carlo, University of Milan, Milan, Italy.
D De PalmaDepartment of Nuclear Medicine, Circolo e Fondazione Macchi Hospital, Varese, Italy.
F FontanaRadiology Department, Fatebenefratelli Hospital, Piazzale Principessa Clotilde, 3, 20121, Milan, Italy.
F CaspaniOncology Department, Circolo e Fondazione Macchi Hospital, Insubria University, Varese, Italy.
A BarileDepartment of Biotechnological and Applied Clinical Sciences, University of l'Aquila, L'Aquila, Italy.
A Del SoleNuclear Medicine Unit, ASST Santi Paolo e Carlo, University of Milan, Milan, Italy.
C MasciocchiDepartment of Biotechnological and Applied Clinical Sciences, University of l'Aquila, L'Aquila, Italy.
G LucignaniNuclear Medicine Unit, ASST Santi Paolo e Carlo, University of Milan, Milan, Italy.
G CarrafielloDepartment of Health Sciences, Diagnostic and Interventional Radiology, ASST Santi Paolo e Carlo, University of Milan, Milan, Italy. gcarraf@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to evaluate the efficacy and the safety of Y90 radioembolization (Y90-RE) in patients with unresectable hepatocellular carcinoma (HCC) analysing our results and correlating them with independent prognostic factors for overall survival (OS) and for complications. Forty-three patients with advanced inoperable HCC including those with multiple bilobar lesions or portal vein thrombosis (PVT) treated with Y90-RE were reviewed. Treatment efficacy and safety were evaluated. Survival was calculated by the Kaplan-Meier method. Univariate analyses were performed for identifying potential prognostic factors. Radiologic response was evaluated with the modified Response Evaluation Criteria in Solid Tumours (mRECIST) criteria. Clinical toxicities were prospectively recorded. Median overall progression-free survival and OS were 27.7 and 16.8 months, respectively. Longer median OS was revealed in those without PVT (p = 0.0241) and those whose pre-treatment haemoglobin values was higher (p = 0.0471). According with mRECIST criteria, we observed a disease control rate of 69.2 and 61.9% at 3- and 6-month follow-up, respectively. Complications developed in 28 patients (65.1%), among which grade 2-3 events were reported in 17 patients. We noted that activity administered dose presented a correlation with intra-procedural toxicity (p = 0.039259) while common hepatic artery use as release site was associated with a most frequent presentation of remote adverse events. Y90-RE is an alternative treatment with a promising outcome for poor-risk advanced inoperable HCC. PVT and pre-treatment haemoglobin values can be predictors of efficacy. Activity administered dose and arterial release site can be predictors of safety.

Indexed as

AgedCarcinoma, HepatocellularDisease-Free SurvivalEmbolization, TherapeuticFemaleHumansKaplan-Meier EstimateLiver NeoplasmsMaleMiddle AgedPrognosisRadiopharmaceuticalsTreatment OutcomeYttrium RadioisotopesRadiopharmaceuticalsYttrium-90Yttrium RadioisotopesHepatocellular carcinomaInterventional radiologyLiver cancerRadioembolizationYttrium-90

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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.