Evidence map›Paper›PMID 29510616›Full record

ArticleCancer research and treatment2019

Hepatic Resection Provides Survival Benefit for Selected Intermediate-Stage (BCLC-B) Hepatocellular Carcinoma Patients.

Zhang Zhaohui, Shen Shunli, Chen Bin, Li Shaoqiang, Hua Yunpeng, Kuang Ming, Liang Lijian, Peng Bao Gang

Abstract read
In one paragraph

Article in Cancer research and treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

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

15 citing papers in PubMed.

  1. Single Large Nodule (>5 cm) Prognosis in Hepatocellular Carcinoma: Kinship with Barcelona Clinic Liver Cancer (BCLC) Stage A or B?Medical science monitor : international medical journal of experimental and clinical research · 2020
    Trial
  2. Article
  3. Sorafenib with or without co-interventions for hepatocellular carcinoma.The Cochrane database of systematic reviews · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Advances in post-operative prognostic models for hepatocellular carcinoma.Journal of Zhejiang University. Science. B · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Hepatic ResectionFrontiers in oncology · 2021
    Article
  14. Hepatocellular carcinoma surveillance, early detection and survival in a privately insured US cohort.Liver international : official journal of the International Association for the Study of the Liver · 2020
    Article
  15. 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

8 authors.

Zhang ZhaohuiDepartment of Hepatic Surgery, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Shen ShunliDepartment of Hepatic Surgery, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Chen BinDepartment of Hepatic Surgery, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Li ShaoqiangDepartment of Hepatic Surgery, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Hua YunpengDepartment of Hepatic Surgery, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Kuang MingDepartment of Hepatic Surgery, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Liang LijianDepartment of Hepatic Surgery, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Peng Bao GangDepartment of Hepatic Surgery, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.

Funding

Sun Yat-sen University 2015012
6 · The paper itself

Abstract

purposeThe intermediate stage of hepatocellular carcinoma (HCC) (Barcelona Clinic Liver Cancer [BCLC] B) comprises a highly heterogeneous population, and the treatment strategy is still controversial. Because of the heterogeneity, a subclassification of intermediate-stage HCCs was put forward by Bolondi according to the 'beyond Milan and within up-to-7' criteria and Child-Pugh score. In this study, we aim to analyze the prognosis of BCLC-B stage HCC patients who received hepatic resection according to the Bolondi's subclassification. MATERIALS AND

methodsOne thousand and one hundred three patients diagnosedwith HCC and treatedwith hepatic resectionwere enrolled in our hospital between 2006 and 2012. According to Bolondi's subclassification, the BCLC-B patients were divided into four groups. Recurrence-free survival (RFS) and overall survival (OS) were analyzed.

resultsAccording to Bolondi's subclassification, the BCLC-B patients were divided into four groups: B1 (n=41, 18.7%), B2 (n=160, 73.1%), B3 (n=11, 5.0%), and B4 (n=7, 3.2%). Significant difference was observed between B1 and other groups (B1 vs. B2, p=0.022; B1 vs. B3, p < 0.001; B1 vs. B4, p < 0.001), but no difference for B2 vs. B4 (p=0.542) and B3 vs. B4 (p=0.542). In addition, no significant differences were observed between BCLC-A and BCLC-B1 group for both RFS (p=0.087) and OS (p=0.643). In multivariate analysis, BCLC-B subclassification was not a risk factor for both OS (p=0.263) and RFS (p=0.892).

conclusionIn our study, HCC patients at B1 stagewere benefited from hepatic resection and had similar survival to BCLC-A stage patients. Our study provided rationality of hepatic resection for selected BCLC-B stage HCC patients instead of routine transarterial chemoembolization.

Indexed as

Carcinoma, HepatocellularFemaleHepatectomyHumansLiver NeoplasmsMaleNeoplasm StagingPrognosisSurvival AnalysisTreatment OutcomeBarcelona Clinic Liver CancerBolondi’s subclassificationHepatectomyHepatocellular carcinoma

Identifiers

PMID29510616
PMCPMC6333972

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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.