Evidence map›Paper›PMID 30065561›Full record

ArticleWorld journal of gastroenterology2018

Multikinase inhibitor-associated hand-foot skin reaction as a predictor of outcomes in patients with hepatocellular carcinoma treated with sorafenib.

Masanori Ochi, Toshiro Kamoshida, Atsushi Ohkawara, Haruka Ohkawara, Nobushige Kakinoki, Shinji Hirai, Akinori Yanaka

Abstract read
In one paragraph

Article in World journal of gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

7 authors.

Masanori OchiDepartment of Gastroenterology, Hitachi General Hospital, Ibaraki 317-0077, Japan.
Toshiro KamoshidaDepartment of Gastroenterology, Hitachi General Hospital, Ibaraki 317-0077, Japan.
Atsushi OhkawaraDepartment of Gastroenterology, Hitachi General Hospital, Ibaraki 317-0077, Japan.
Haruka OhkawaraDepartment of Gastroenterology, Hitachi General Hospital, Ibaraki 317-0077, Japan.
Nobushige KakinokiDepartment of Gastroenterology, Hitachi General Hospital, Ibaraki 317-0077, Japan.
Shinji HiraiDepartment of Gastroenterology, Hitachi General Hospital, Ibaraki 317-0077, Japan.
Akinori YanakaHitachi Medical Education and Research Center, University of Tsukuba, Ibaraki 317-0077, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the relationship between the onsets of multikinase inhibitor (MKI)-associated hand-foot skin reaction (HFSR) and prognosis under intervention by pharmacists after the introduction of sorafenib.

methodsWe conducted a retrospective study involving 40 patients treated with sorafenib. Intervention by pharmacists began at the time of treatment introduction and continued until the appearance of symptomatic exacerbation or non-permissible adverse reactions. We examined the relationship between MKI-associated HFSR and overall survival (OS) after the initiation of treatment.

resultsThe median OS was 10.9 mo in the MKI-associated HFSR group and 3.4 mo in the no HFSR group, showing a significant difference in multivariate analysis. A multivariate analysis of the time to treatment failure indicated that the intervention by pharmacists and MKI-associated HFSR were significant factors. The median cumulative dose and the mean medication possession ratio were significantly higher in the intervention group than in the non-intervention group. A borderline significant difference was observed in terms of OS in this group.

conclusionIntervention by pharmacists increased drug adherence. Under increased adherence, MKI-associated HFSR was an advantageous surrogate marker. Intervention by healthcare providers needs to be performed for adequate sorafenib treatment.

Indexed as

AgedAged, 80 and overAntineoplastic AgentsCarcinoma, HepatocellularDrug EruptionsDrug MonitoringFemaleFootHandHumansIncidenceLiver NeoplasmsMaleMiddle AgedNiacinamidePharmacistsAntineoplastic AgentsNiacinamidePhenylurea CompoundsProtein Kinase InhibitorsSorafenibHepatocellular carcinomaIntervention by pharmacistsMultikinase inhibitor-associated hand-foot skin reactionSorafenibSurrogate marker

Identifiers

PMID30065561
PMCPMC6064964

What OpenQuestion holds

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Registered trials

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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.