Evidence map›Paper›PMID 31548703›Full record

ArticleScientific reports2019

Endoscopic Radiofrequency Ablation Prolongs Survival of Patients with Unresectable Hilar Cholangiocellular Carcinoma - A Case-Control Study.

Arne Bokemeyer, Philipp Matern, Dominik Bettenworth, Friederike Cordes, Tobias Max Nowacki, Hauke Heinzow, Iyad Kabar, Hartmut Schmidt, Hansjoerg Ullerich, Frank Lenze

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 2% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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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

10 authors at 1 institution in 1 country.

Arne BokemeyerDepartment of Medicine B for Gastroenterology and Hepatology, University Hospital Muenster, Muenster, Germany. arne.bokemeyer@ukmuenster.de.ORCID http://orcid.org/0000-0002-4238-751X
Philipp MaternDepartment of Medicine B for Gastroenterology and Hepatology, University Hospital Muenster, Muenster, Germany.
Dominik BettenworthDepartment of Medicine B for Gastroenterology and Hepatology, University Hospital Muenster, Muenster, Germany.
Friederike CordesDepartment of Medicine B for Gastroenterology and Hepatology, University Hospital Muenster, Muenster, Germany.ORCID http://orcid.org/0000-0002-0376-0764
Tobias Max NowackiDepartment of Medicine B for Gastroenterology and Hepatology, University Hospital Muenster, Muenster, Germany.
Hauke HeinzowDepartment of Medicine B for Gastroenterology and Hepatology, University Hospital Muenster, Muenster, Germany.
Iyad KabarDepartment of Medicine B for Gastroenterology and Hepatology, University Hospital Muenster, Muenster, Germany.
Hartmut SchmidtDepartment of Medicine B for Gastroenterology and Hepatology, University Hospital Muenster, Muenster, Germany.
Hansjoerg UllerichDepartment of Medicine B for Gastroenterology and Hepatology, University Hospital Muenster, Muenster, Germany.
Frank LenzeDepartment of Medicine B for Gastroenterology and Hepatology, University Hospital Muenster, Muenster, Germany.
University Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The life expectancy of unresectable hilar cholangiocellular carcinomas (CCCs) is very limited and endoscopic radiofrequency ablation (ERFA) of the biliary tract may prolong survival. Our single-center-study retrospectively analysed all CCC cases, in whom ERFAs of the biliary tract were performed between 2012 and 2017 and compared these to historical control cases who received the standard treatment of sole stent application. ERFA was performed in 32 patients with malignant biliary strictures that were mainly caused by Bismuth III and IV hilar CCCs (66%). 14 of these patients received repeated ERFAs, for an overall performance of 54 ERFAs. Stents were applied after examination of all patients (100%). Adverse events occurred in 18.5% of examinations. Case-control analysis revealed that the survival time of cases with unresectable Bismuth type III and IV hilar CCCs (n = 20) treated with combined ERFA and stent application significantly increased compared to controls (n = 22) treated with sole stent application (342 +/- 57 vs. 221 +/- 26 days; p = 0.046). In conclusion, ERFA therapy significantly prolonged survival in patients with unresectable Bismuth type III and IV hilar CCC. As an effective and safe method, ERFA should be considered as a palliative treatment for all these patients.

Indexed as

AgedBile Duct NeoplasmsCase-Control StudiesCholangiocarcinomaEndoscopyFemaleHumansMaleMiddle AgedPalliative CareRadiofrequency AblationRetrospective StudiesStentsSurvival RateTreatment Outcome

Identifiers

PMID31548703
PMCPMC6757045
OpenAlexW2975784625

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.