Evidence map›Paper›PMID 29181069›Full record

ArticleArchives of medical science : AMS2017

Sorafenib combined with hepatectomy in patients with intermediate-stage and advanced hepatocellular carcinoma.

Lei Zhuang, Tianfu Wen, Mingqing Xu, Jiayin Yang, Wentao Wang, Hong Wu, Yong Zeng, Lvnan Yan, Yonggang Wei, Bo Li

Abstract read
In one paragraph

Article in Archives of medical science : AMS, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
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  11. Targeted therapy for hepatocellular carcinoma.Signal transduction and targeted therapy · 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.

Lei ZhuangDepartment of Hepatic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
Tianfu WenDepartment of Hepatic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
Mingqing XuDepartment of Hepatic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
Jiayin YangDepartment of Hepatic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
Wentao WangDepartment of Hepatic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
Hong WuDepartment of Hepatic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
Yong ZengDepartment of Hepatic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
Lvnan YanDepartment of Hepatic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
Yonggang WeiDepartment of Hepatic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
Bo LiDepartment of Hepatic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGuidelines based on the Barcelona Clinic Liver Cancer (BCLC) classification system recommend that hepatic resection should be performed only in patients in BCLC stage A. Patients with stage B or stage C should receive palliative or no treatment. However, actual clinical practice varies, and a recent analysis of hepatocellular carcinoma (HCC) surgery outcomes in high volume surgical centers throughout the world concluded that hepatectomy can provide survival benefit for selected patients in all three BCLC stages. The aim of this study is to evaluate the efficacy and tolerability of adjuvant sorafenib after hepatic resection in patients with intermediate-stage and advanced HCC. MATERIAL AND

methodsIn a retrospective case-control study involving 81 patients with intermediate/advanced HCC, 27 who received sorafenib 400 mg BID (median duration 7.33 months) following hepatic resection were compared with a matched group of 54 patients who received hepatic resection only. Overall survival (OS) and time to recurrence (TTR) were evaluated over a median follow-up time of 14.5 months.

resultsThe median OS was significantly longer in the surgery+sorafenib group than in the surgery-only group (18.6 vs. 11.9 months, respectively;

conclusionsSorafenib is effective as adjuvant therapy after liver resection in intermediate-stage and advanced HCC, and can be considered a viable treatment option following surgery in such patients.

Indexed as

carcinomahepatectomyhepatocellularsorafenib

Identifiers

PMID29181069
PMCPMC5701699

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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.