Evidence map›Paper›PMID 30413833›Full record

ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2019

Combined stereotactic body radiotherapy and trans-arterial chemoembolization as initial treatment in BCLC stage B-C hepatocellular carcinoma.

C L Chiang, Mark K H Chan, Cynthia S Y Yeung, Connie H M Ho, Francis A S Lee, Venus W Y Lee, Frank C S Wong, Oliver Blanck

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 13% 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.

NCT03817736 phase2completednot on this map

Sequential TransArterial Chemoembolization and Stereotactic RadioTherapy Followed by ImmunoTherapy for Downstaging Hepatocellular Carcinoma for Hepatectomy (START-FIT)

TypeinterventionalSponsorThe University of Hong KongRan2019 to 2023Enrolled33ConditionsHCCArmsTACE, SBRT, Immune Checkpoint Inhibitor
NCT04988945 phase2recruitingnot on this mapstarted 2020, after this paper: background citation

Sequential TransArterial Chemoembolization and Stereotactic RadioTherapy Followed by Durvalumab (MEDI4736) and Tremelimumab for Downstaging Hepatocellular Carcinoma for Hepatectomy

TypeinterventionalSponsorThe University of Hong KongRan2020 to 2026Enrolled33ConditionsHCCArmsTACE, SBRT, Durvalumab, Tremelimumab
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  6. Managing hepatocellular carcinoma across the stages: efficacy and outcomes of stereotactic body radiotherapy : A retrospective study.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2024
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  13. Stereotactic body radiotherapy in patients with hepatocellular carcinoma in a multimodal treatment setting.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2020
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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

8 authors at 2 institutions in 3 countries.

C L ChiangDepartment of Clinical Oncology, Tuen Mun Hospital, Hong Kong, China.
Mark K H ChanDepartment of Clinical Oncology, Tuen Mun Hospital, Hong Kong, China. mark.chan2@nhs.net.ORCID http://orcid.org/0000-0002-0187-2703
Cynthia S Y YeungDepartment of Clinical Oncology, Tuen Mun Hospital, Hong Kong, China.
Connie H M HoDepartment of Clinical Oncology, Tuen Mun Hospital, Hong Kong, China.
Francis A S LeeDepartment of Clinical Oncology, Tuen Mun Hospital, Hong Kong, China.
Venus W Y LeeDepartment of Clinical Oncology, Tuen Mun Hospital, Hong Kong, China.
Frank C S WongDepartment of Clinical Oncology, Tuen Mun Hospital, Hong Kong, China.
Oliver BlanckDepartment of Radiation Oncology, Universitatsklinikum Schleswig-Holstein, Kiel, Germany.
Tuen Mun Hospital · CNUniversity Hospital Schleswig-Holstein · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe retrospectively evaluated the efficacy and safety of stereotactic body radiotherapy (SBRT) combined with trans-arterial chemoembolization (TACE) as initial therapy in Barcelona Clinic Liver Cancer (BCLC) system stage B-C hepatocellular carcinoma (HCC). PATIENTS AND

methodsSeventy-two patients received a single dose of TACE followed by SBRT 4 weeks later. All patients had tumor sizes ≥5 cm, at least 700 ml of disease-free liver, Child-Pugh (CP) score ≤ B7 and tumor nodules ≤5. SBRT dose, ranging from 6 × 5-8 Gy or 5-10 × 4 Gy, was individualized according to normal tissue constraints. No subsequent scheduled treatment was delivered unless disease progression was observed. Local control (LC), overall survival (OS), progression-free survival (PFS), response rate (RR), and toxicity were evaluated.

resultsThe patients' characteristics were: median age 60 years (range 28-87 years); CP score A/B (n = 68/4); BCLC stage B/C (n = 51/21); solitary/multifocal (n = 37/35); portal vein invasion (n = 18). The median tumor size and GTV were 11.2 cm (range 5.0-23.6 cm) and 751 cm

conclusionOur experience suggests that combined TACE and SBRT can be a safe and effective initial therapy for BCLC stage B-C HCC with appropriate patient selection. Further prospective trials are warranted.

Indexed as

AdultAgedAged, 80 and overCarcinoma, HepatocellularChemoembolization, TherapeuticCombined Modality TherapyFemaleHumansLiver NeoplasmsMaleMiddle AgedNeoplasm StagingRadiosurgeryBCLC stage B-CHepatocellular carcinomaInitial therapyStereotactic body radiotherapyTransarterial chemoembolization

Identifiers

PMID30413833
OpenAlexW2900259840

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.