Evidence map›Paper›PMID 30215040›Full record

ArticleAnnals of hepato-biliary-pancreatic surgery2018

Predictors of post-hepatectomy liver failure in patients undergoing extensive liver resections for hepatocellular carcinoma.

Ken Min Chin, John Carson Allen, Jin Yao Teo, Juinn Huar Kam, Ek Khoon Tan, Yexin Koh, Kim Poh Brian Goh, Peng Chung Cheow, Prema Raj, Kah Hoe Pierce Chow and 4 more

Abstract read
In one paragraph

Article in Annals of hepato-biliary-pancreatic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Meta-analysis of Prognostic Factors for Overall Survival Among Resected Patients with Spontaneous Ruptured Hepatocellular Carcinoma.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
    Pooled it
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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

14 authors.

Ken Min ChinDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
John Carson AllenDuke-National University of Singapore (NUS) Medical School, Singapore.
Jin Yao TeoDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Juinn Huar KamDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Ek Khoon TanDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Yexin KohDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Kim Poh Brian GohDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Peng Chung CheowDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Prema RajDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Kah Hoe Pierce ChowDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Yaw Fui Alexander ChungDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
London Lucien OoiDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Chung Yip ChanDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.
Ser Yee LeeDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUNDS/

aimsTo determine the prevalence of post-hepatectomy liver failure/insufficiency (PHLF/I) in patients undergoing extensive hepatic resections for hepatocellular carcinoma (HCC) and to assess the predictive value of preoperative factors for post-hepatectomy liver failure or insufficiency (PHLF/I).

methodsA retrospective review of patients who underwent liver resections for HCC between 2001 and 2013 was conducted. Preoperative parameters were assessed and analyzed for their predictive value of PHLF/I. Definitions used included the 50-50, International Study Group of Liver Surgery (ISGLS) and Memorial Sloan Kettering Cancer Centre (MSKCC) criteria.

resultsAmong the 848 patients who underwent liver resections for HCC between 2001 and 2013, 157 underwent right hepatectomy (RH) and extended right hepatectomy (ERH). The prevalence of PHLF/I was 7%, 41% and 28% based on the 50-50, ISGLS and MSKCC criteria, respectively. There were no significant differences in PHLF/I between RH and ERH. Model for End-Stage Liver Disease (MELD) score and bilirubin were the strongest independent predictors of PHLF/I based on the 50-50 and ISGLS/MSKCC criteria, respectively. Predictive models were developed for each of the criteria with multiple logistic regression.

conclusionsMELD score, bilirubin, alpha-fetoprotein and platelet count showed significant predictive value for PHLF/I (all

Indexed as

CirrhosisLiverLiver failurePredictorsResection

Identifiers

PMID30215040
PMCPMC6125273

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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.