Evidence map›Paper›PMID 29163965›Full record

ArticleUnited European gastroenterology journal2017

Use of inhibitors of the renin-angiotensin system is associated with longer survival in patients with hepatocellular carcinoma.

Matthias Pinter, Arndt Weinmann, Marcus-Alexander Wörns, Florian Hucke, Simona Bota, Jens U Marquardt, Dan G Duda, Rakesh K Jain, Peter R Galle, Michael Trauner and 2 more

Abstract read
In one paragraph

Article in United European gastroenterology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

12 authors.

Matthias PinterDepartment of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Arndt WeinmannDepartment of Medicine I, University Medical Center Johannes Gutenberg University, Mainz, Germany.
Marcus-Alexander WörnsDepartment of Medicine I, University Medical Center Johannes Gutenberg University, Mainz, Germany.
Florian HuckeDepartment of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Simona BotaDepartment of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Jens U MarquardtDepartment of Medicine I, University Medical Center Johannes Gutenberg University, Mainz, Germany.
Dan G DudaDepartment of Radiation Oncology, Harvard Medical School & Massachusetts General Hospital, Boston, MA, USA.
Rakesh K JainDepartment of Radiation Oncology, Harvard Medical School & Massachusetts General Hospital, Boston, MA, USA.
Peter R GalleDepartment of Medicine I, University Medical Center Johannes Gutenberg University, Mainz, Germany.
Michael TraunerDepartment of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Markus Peck-RadosavljevicDepartment of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Wolfgang SieghartDepartment of Internal Medicine III, Medical University of Vienna, Vienna, Austria.

Funding

Vascular Normalization: Rolse of Perivascular CellsP01CA080124 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI JAIN, RAKESH K. · 2000 to 2016
$35.0M
Dissecting Pediatric Brain Tumor Microenvironment to Improve TreatmentR35CA197743 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI JAIN, RAKESH K. · 2015 to 2020
$5.7M
Reprogramming PDAC tumor microenvironment to improve immunotherapyU01CA224348 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BOUCHER, YVES, JAIN, RAKESH K. · 2017 to 2021
$2.9M
Reengineering obesity-induced abnormal microenvironment to improve PDAC treatmentR01CA208205 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI FUKUMURA, DAI, JAIN, RAKESH K. · 2017 to 2020
$2.2M
NCI NIH HHS P01 CA080124NCI NIH HHS R01 CA208205NCI NIH HHS R35 CA197743NCI NIH HHS U01 CA224348
6 · The paper itself

Abstract

backgroundInhibition of the renin-angiotensin system (RAS) was associated with longer survival in patients with different solid malignancies.

objectiveThe objective of this study was to investigate the effect of RAS inhibitor (RASi) treatment (angiotensin-converting enzyme inhibitors or angiotensin-II-receptor blockers) on survival of patients with hepatocellular carcinoma (HCC).

methodsPatients diagnosed with HCC and Child-Pugh A between 1992 and 2013 who received sorafenib, experimental therapy, or best supportive care were eligible for the Vienna cohort. The Mainz cohort included patients with HCC and Child-Pugh A who received sorafenib treatment between 2007 and 2016. The association between RASi and overall survival (OS) was evaluated in univariate and multivariate analyses.

resultsIn the Vienna cohort, 43 of 156 patients received RASi for hypertension. RASi treatment was associated with longer OS (11.9 vs. 6.8 months (mo);

conclusionRAS inhibition is associated with longer survival in HCC patients with Child-Pugh class A.

Indexed as

angiotensin-converting enzyme inhibitorangiotensin II receptor blockerHepatocellular carcinomarenin–angiotensin systemsorafenib

Identifiers

PMID29163965
PMCPMC5676550

What OpenQuestion holds

Textmetadata
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.