Evidence map›Paper›PMID 30059513›Full record

Trial reportPloS one2018

Hepatitis B virus reactivation after radiotherapy for hepatocellular carcinoma and efficacy of antiviral treatment: A multicenter study.

Baek Gyu Jun, Young Don Kim, Sang Gyune Kim, Young Seok Kim, Soung Won Jeong, Jae Young Jang, Sae Hwan Lee, Hong Soo Kim, Seong Hee Kang, Moon Young Kim and 8 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Hepatitis B Virus Screening and Management for Patients With Cancer Prior to Therapy: ASCO Provisional Clinical Opinion Update.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Guideline
  4. Article
  5. Article
  6. Article
  7. Review
  8. Exploration of safety indicators for radiotherapy in hepatocellular carcinoma: A real-world study.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Article
  9. Article
  10. Review
  11. Review
  12. Advances in treatment and prevention of hepatitis B.World journal of gastrointestinal pharmacology and therapeutics · 2021
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Recent Advances in HBV Reactivation Research.BioMed research international · 2018
    Review
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

18 authors at 6 institutions in 1 country.

Baek Gyu JunDepartment of Internal Medicine, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, South Korea.ORCID 0000-0003-4693-9542
Young Don KimDepartment of Internal Medicine, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, South Korea.
Sang Gyune KimDepartment of Internal Medicine, Soonchunhyang University College of Medicine Bucheon Hospital, Bucheon, South Korea.
Young Seok KimDepartment of Internal Medicine, Soonchunhyang University College of Medicine Bucheon Hospital, Bucheon, South Korea.
Soung Won JeongDepartment of Internal Medicine, Soonchunhyang University College of Medicine Seoul Hospital, Seoul, South Korea.
Jae Young JangDepartment of Internal Medicine, Soonchunhyang University College of Medicine Seoul Hospital, Seoul, South Korea.
Sae Hwan LeeDepartment of Internal Medicine, Soonchunhyang University College of Medicine Cheonan Hospital, Cheonan, South Korea.
Hong Soo KimDepartment of Internal Medicine, Soonchunhyang University College of Medicine Cheonan Hospital, Cheonan, South Korea.
Seong Hee KangDepartment of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, South Korea.
Moon Young KimDepartment of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, South Korea.
Soon Koo BaikDepartment of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, South Korea.
Minjong LeeDepartment of Internal medicine, Kangwon National University Hospital, Chuncheon, South Korea.
Tae-Suk KimDepartment of Internal medicine, Kangwon National University Hospital, Chuncheon, South Korea.
Dae Hee ChoiDepartment of Internal medicine, Kangwon National University Hospital, Chuncheon, South Korea.
Sang-Hyeon ChoiDepartment of Internal Medicine Hallym University College of Medicine, Chuncheon, South Korea.
Ki Tae SukDepartment of Internal Medicine Hallym University College of Medicine, Chuncheon, South Korea.
Dong Joon KimDepartment of Internal Medicine Hallym University College of Medicine, Chuncheon, South Korea.
Gab Jin CheonDepartment of Internal Medicine, University of Ulsan College of Medicine, Gangneung Asan Hospital, Gangneung, South Korea.
Ulsan College · KRHallym University · KRKangwon National University Hospital · KRSoonchunhyang University · KRYonsei University · KRSoonchunhyang University Hospital Seoul · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Convincing data that support routine use of preventive therapy against hepatitis B virus (HBV) reactivation in radiotherapy (RT) for hepatocellular carcinoma (HCC) are lacking. The aim of this study was to investigate the incidence, clinical significance, and risk factors of HBV reactivation after RT. Medical records of 133 HBsAg (+) HCC patients who received radiotherapy from March 2009 to February 2016 were reviewed. Patients were divided into two groups: 1) non-antiviral group, those who did not receive antiviral therapy before RT (n = 27); and antiviral group (those who underwent antiviral therapy before RT) (n = 106). Factors related to HBV reactivation in HCC patients were evaluated. 17 (12.7%) of 133 patients developed HBV reactivation after RT. Patients in the antiviral group had significantly lower rates of HBV reactivation than those in the non-antiviral group (7.5% vs. 33.3%, p<0.001). HBV related hepatitis was also lower in the antiviral group (3.8% vs. 14.8%, p = 0.031). In multivariate analysis, absence of antiviral treatment (OR: 8.339, 95% CI: 2.532-27.470, p<0.001) and combined treatment of RT with transarterial chemoembolizatoin (TACE) (OR: 5.313, 95% CI: 1.548-18.232, p = 0.008) were risk factors for HBV reactivation. HBV reactivation can occur after radiotherapy. Combination treatment of RT with TACE and non-antiviral treatment are major risk factors for HBV reactivation during or after RT. Therefore, preventive antiviral therapy should be recommended for patients with HCC who are scheduled to receive RT.

Indexed as

Chemoembolization, TherapeuticVirus ActivationAgedAntiviral AgentsCarcinoma, HepatocellularFemaleHepatitis BHepatitis B virusHumansLiver NeoplasmsMaleMiddle AgedRisk FactorsAntiviral Agents

Identifiers

PMID30059513
PMCPMC6066246
OpenAlexW2884468897

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.