Evidence map›Paper›PMID 30171402›Full record

ArticleDigestive diseases and sciences2018

Incidence and Prognosis of Subsequent Cholangiocarcinoma in Patients with Hepatic Resection for Bile Duct Stones.

Hyun Jung Kim, Tae Uk Kang, Heather Swan, Min Ji Kang, Nayoung Kim, Hyeong Sik Ahn, Seon Mee Park

Abstract read
PubMed Publisher
In one paragraph

Article in Digestive diseases and sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. 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

7 authors at 5 institutions in 2 countries.

Hyun Jung KimDepartment of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
Tae Uk KangHealth Insurance Policy Research Institute, National Health Insurance Service, Wonju, Korea.
Heather SwanSchool of Sociology and Anthropology, University of Ottawa, Ottawa, Canada.
Min Ji KangDepartment of Public Health, Graduate School, Korea University, Seoul, Korea.
Nayoung KimDepartment of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seoul, Korea.
Hyeong Sik AhnDepartment of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
Seon Mee ParkDepartment of Internal Medicine, Chungbuk National University College of Medicine and Chungbuk National University Hospital, 1 Chungdae-ro, Seowon-gu, Cheongju, 28644, Korea. smpark@chungbuk.ac.kr.ORCID http://orcid.org/0000-0002-5835-2741
Korea University · KRChungbuk National University · KRNational Health Insurance Service · KRSeoul National University Bundang Hospital · KRUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimCholangiocarcinoma (CCA) often develops after the hepatic resection for hepatolithiasis as well as indwelling it. We studied the incidence and prognosis of subsequent CCA in patients with hepatolithiasis in South Korea.

methodsWe identified individuals with diagnosed CCA at the time of or after surgery, during 2002-2016, from the Korean National Health Insurance. The incidences and survival rates of subsequent CCA were analyzed and compared with concomitant CCA. The standardized incidence ratios (SIRs) of CCA in this cohort were evaluated in the standard Korean population. All data were stratified by the presence of intrahepatic or extrahepatic CCA, age and sex.

resultsOf the 7852 patients with hepatectomy for BDS, 433 (5.84%) had concomitant CCA. Over the 12-year follow-up, 107 of 7419 (1.98%) patients were diagnosed with subsequent CCA. Patients with hepatic resection for BDS revealed higher SIRs for subsequent CCA (12.89, 95% CI 10.96-15.15) in cases of both intrahepatic CCA (13.40, 10.55-17.02) and extrahepatic CCA (12.42, 9.98-15.46). The median survival time for subsequent CCA was 0.87 years, while that for concomitant CCA was 2.79 years. Having subsequent CCA (HR 2.71, 95% CI 2.17-3.40) and being male (HR 1.28, 1.05-1.57) were related to a shorter survival time. The CCA site and age at CCA diagnosis were not related to prognoses.

conclusionsSubsequent CCA developed in 2% of the patients with hepatic resection for benign BDS until 10 years and was associated with poorer prognoses than concomitant CCA. Future studies focused on the long-term surveillance for CCA in such patients are needed.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaCholelithiasisHepatectomyAgedFemaleHumansIncidenceInsurance Claim ReviewMaleMiddle AgedPrognosisRepublic of KoreaRisk FactorsSex FactorsSurvival AnalysisBile duct stoneCholangiocarcinomaHepatic resectionIncidenceMortality

Identifiers

PMID30171402
OpenAlexW2888973186

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.