Evidence map›Paper›PMID 29578192›Full record

ArticleThe Indian journal of medical research2017

Comparison of radiofrequency ablation alone & in combination with percutaneous ethanol injection for management of hepatocellular carcinoma.

Naveen Kalra, Mandeep Kang, Ajay K Duseja, Anmol Bhatia, Virendra Singh, Radha K Dhiman, Arvind Rajwanshi, Yogesh K Chawla, Niranjan Khandelwal

Open access · diamondAbstract read
In one paragraph

Article in The Indian journal of medical research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 28% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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  4. Review
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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

9 authors at 1 institution in 1 country.

Naveen KalraDepartment of Radiodiagnosis & Imaging, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Mandeep KangDepartment of Radiodiagnosis & Imaging, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Ajay K DusejaDepartment of Hepatology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Anmol BhatiaDepartment of Radiodiagnosis & Imaging, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Virendra SinghDepartment of Hepatology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Radha K DhimanDepartment of Hepatology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Arvind RajwanshiDepartment of Cytology & Gynaecology Pathology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Yogesh K ChawlaDepartment of Hepatology, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Niranjan KhandelwalDepartment of Radiodiagnosis & Imaging, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Post Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & objective: It has been shown that the combined use of alcohol before radiofrequency ablation (RFA) helps to augment the therapeutic advantage of RFA. The present study was conducted to compare the outcome of treatment with RFA alone and RFA with alcohol as ablative technique in patients with small hepatocellular carcinomas (HCCs), who were not candidates for surgery. Methods: Fifty patients with chronic liver disease and concurrent HCC were enrolled in this prospective study. The patients were treated with either RFA alone (n=25) or RFA combined with alcohol (n=25). Patient outcome was evaluated, and the tumour recurrence and survival of the patients were assessed in the two groups. Results: The survival rates at six months in patients who completed at least six months of follow up were 84 and 80 per cent in patients treated with RFA alone and combination therapy, respectively. During the follow up period, 11 and four patients treated with RFA alone showed local and distant intrahepatic tumour recurrence, respectively. All local recurrences were at one to 18 months of the follow up period. The distant recurrences occurred at 6-36 months of the follow up period. During the follow up period, eight and six patients treated with combination therapy showed local and distant intrahepatic tumour recurrence, respectively. All local recurrences were at 1.5-15 months during the follow up period. The distant intrahepatic recurrences occurred at 6-72 months during the follow up period. Interpretation & conclusions: No significant difference was seen between the survival time of the patients treated with RFA alone and RFA with alcohol as well as in the local recurrences and distant intrahepatic recurrences in RFA compared to RFA and alcohol group patients. Combined use of RFA and alcohol did not improve the local tumour control and survival in patients with HCC compared to RFA alone.

Indexed as

Administration, CutaneousAdultAgedCarcinoma, HepatocellularCatheter AblationCombined Modality TherapyEthanolFemaleHumansLiver NeoplasmsMaleMiddle AgedNeoplasm Recurrence, LocalTreatment OutcomeEthanolAlcohol - hepatocellular carcinomas - outcome - radiofrequency ablation - survival

Identifiers

PMID29578192
PMCPMC5890593
OpenAlexW2790737180

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.