Evidence map›Paper›PMID 30008024›Full record

ArticleJournal of cancer research and clinical oncology2018

Quality of life in patients undergoing repetitive TACE for the treatment of intermediate stage HCC.

K J Hartrumpf, S Marquardt, T Werncke, T Murray, M M Kirstein, A Vogel, F Wacker, T Rodt

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Health-related quality of life in primary hepatic cancer: a systematic review assessing the methodological properties of instruments and a meta-analysis comparing treatment strategies.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
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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

8 authors at 2 institutions in 2 countries.

K J HartrumpfDepartment of Diagnostic and Interventional Radiology, Hanover Medical School, Carl-Neuberg-Str.1, 30625, Hannover, Germany.
S MarquardtDepartment of Diagnostic and Interventional Radiology, Hanover Medical School, Carl-Neuberg-Str.1, 30625, Hannover, Germany.
T WernckeDepartment of Diagnostic and Interventional Radiology, Hanover Medical School, Carl-Neuberg-Str.1, 30625, Hannover, Germany.
T MurrayBeaumont Hospital, Beaumont Rd, Dublin 9, Ireland.
M M KirsteinDepartment of Diagnostic and Interventional Radiology, Hanover Medical School, Carl-Neuberg-Str.1, 30625, Hannover, Germany.
A VogelDepartment of Diagnostic and Interventional Radiology, Hanover Medical School, Carl-Neuberg-Str.1, 30625, Hannover, Germany.
F WackerDepartment of Diagnostic and Interventional Radiology, Hanover Medical School, Carl-Neuberg-Str.1, 30625, Hannover, Germany.
T RodtDepartment of Diagnostic and Interventional Radiology, Hanover Medical School, Carl-Neuberg-Str.1, 30625, Hannover, Germany. rodt.thomas@mh-hannover.de.
Medizinische Hochschule Hannover · DEBeaumont Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWith a limited overall survival (OS) of 20 months in patients diagnosed with intermediate stage hepatocellular carcinoma (HCC), the preservation of quality of life (QoL) during transarterial chemoembolization (TACE) procedures remains a primary goal. The aim of our study was to evaluate the change in QoL amongst patients undergoing repetitive TACE and to identify specific risk factors that may predict change in QoL.

methodsQoL was assessed in 82 patients undergoing at least two TACE, before and 14 days after TACE, using validated EORTC QLQ-C30 and EORTC HCC18 questionnaires. Tumour response was assessed using established response criteria. Laboratory and clinical parameters were analysed.

resultsFunctional scores decreased due to first TACE treatment (p < 0.01), conversely symptom scores increased significantly (p < 0.01). During repetitive TACE no statistically significant changes were observed. Higher Global Health- and Physical Functioning scores at baseline were identified as independent prognostic factors for greater decrease in QoL. Tumour response did not alter QoL at all. Furthermore higher symptom scales including pain (p = 0.00), nausea and vomiting (p = 0.00) and fever (p < 0.01 for repetitive TACE) at baseline were predictive of a significantly lesser increase of symptom severity, and a greater reduction in pain during a course of TACE. Higher C-reactive protein (CRP) at baseline and female gender were associated with a greater decrease of functional scales and increase of symptom scales.

conclusionQoL amongst patients receiving repetitive TACE showed neither significant nor clinically relevant changes over time. Pre-treatment assessment of QoL-scores, clinical and laboratory parameters can improve patient selection for TACE whilst optimizing QoL.

Indexed as

AdultAgedAged, 80 and overCarcinoma, HepatocellularChemoembolization, TherapeuticFemaleHumansLiver NeoplasmsMaleMiddle AgedNeoplasm StagingPrognosisProspective StudiesQuality of Life

Identifiers

PMID30008024
PMCPMC11813470
OpenAlexW2884000753

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.