Evidence map›Paper›PMID 30357021›Full record

ReviewWorld journal of gastroenterology2018

Carcinogenesis on the background of liver fibrosis: Implications for the management of hepatocellular cancer.

Joanne Marie O'Rourke, Vandana Mridhu Sagar, Tahir Shah, Shishir Shetty

Open access · hybridAbstract readReview
In one paragraph

Review 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 93 papers.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed
9.0field-weighted citation impact, top 1% 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

93 citing papers in PubMed, 161 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. The intersection of liver cirrhosis and pulmonary fibrosis.Journal of translational medicine · 2025
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Circular RNAs in Liver Diseases.Advances in experimental medicine and biology · 2025
    Review
  18. Review
  19. Review
  20. Article

33 more citing papers are in PubMed but not listed here.

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

4 authors at 2 institutions in 1 country.

Joanne Marie O'RourkeCentre for Liver Research, Institute of Biomedical Research, Birmingham B15 2TT, United Kingdom.
Vandana Mridhu SagarCentre for Liver Research, Institute of Biomedical Research, Birmingham B15 2TT, United Kingdom.
Tahir ShahNIHR Birmingham Biomedical Research Centre, University of Birmingham and University Hospitals Birmingham NHS Foundation Trust, United Kingdom.
Shishir ShettyCentre for Liver Research, Institute of Biomedical Research, Birmingham B15 2TT, United Kingdom.
NIHR Birmingham Liver Biomedical Research Unit · GBNIHR Birmingham Biomedical Research Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is now the second leading cause of cancer-related deaths globally and many patients have incurable disease. HCC predominantly occurs in the setting of liver cirrhosis and is a paradigm for inflammation-induced cancer. The causes of chronic liver disease promote the development of transformed or premalignant hepatocytes and predisposes to the development of HCC. For HCC to grow and progress it is now clear that it requires an immunosuppressive niche within the fibrogenic microenvironment of cirrhosis. The rationale for targeting this immunosuppression is supported by responses seen in recent trials with checkpoint inhibitors. With the impact of immunotherapy, HCC progression may be delayed and long term durable responses may be seen. This makes the management of the underlying liver cirrhosis in HCC even more crucial as studies demonstrate that measures of liver function are a major prognostic factor in HCC. In this review, we discuss the development of cancer in the setting of liver inflammation and fibrosis, reviewing the microenvironment that leads to this tumourigenic climate and the implications this has for patient management.

Indexed as

AnimalsAntigens, NeoplasmAntineoplastic AgentsCarcinogenesisCarcinoma, HepatocellularDisease ProgressionHepatocytesHumansImmune ToleranceImmunotherapyLiverLiver CirrhosisLiver NeoplasmsProtein Kinase InhibitorsTreatment OutcomeTumor MicroenvironmentAntigens, NeoplasmAntineoplastic AgentsProtein Kinase InhibitorsCarcinogenesisFibrosisHepatocellular cancerImmunotherapyInflammation

Identifiers

PMID30357021
PMCPMC6196335
OpenAlexW2897557611

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.