Evidence map›Paper›PMID 31583558›Full record

ArticleLa Radiologia medica2020

Degradable starch microspheres transarterial chemoembolization (DSMs-TACE) in patients with unresectable hepatocellular carcinoma (HCC): long-term results from a single-center 137-patient cohort prospective study.

Antonio Orlacchio, Fabrizio Chegai, Silvia Roma, Stefano Merolla, Alessandra Bosa, Simona Francioso

Abstract read
PubMed Publisher
In one paragraph

Article in La Radiologia medica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Abbreviated MRI Protocol for the Assessment of Ablated Area in HCC Patients.International journal of environmental research and public health · 2021
    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

6 authors at 2 institutions in 1 country.

Antonio OrlacchioDepartment of Diagnostic and Molecular Imaging, Radiation Therapy and Interventional Radiology, University Hospital "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy. aorlacchio@uniroma2.it.ORCID http://orcid.org/0000-0002-7053-8813
Fabrizio ChegaiDepartment of Diagnostic and Molecular Imaging, Radiation Therapy and Interventional Radiology, University Hospital "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy.
Silvia RomaDepartment of Diagnostic and Molecular Imaging, Radiation Therapy and Interventional Radiology, University Hospital "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy.
Stefano MerollaDepartment of Diagnostic and Molecular Imaging, Radiation Therapy and Interventional Radiology, University Hospital "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy.
Alessandra BosaHepatology Unit, University Hospital "Tor Vergata", Rome, Italy.
Simona FranciosoHepatology Unit, University Hospital "Tor Vergata", Rome, Italy.
Policlinico Tor Vergata · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate safety and efficacy of degradable starch microspheres (DSMs) TACE in a large clinical cohort of patients with unresectable HCC. MATERIALS AND

methodsThis is a single-center consecutive patients cohort study. The study was approved by local institutional ethics committee. Written informed consent was obtained. From December 2013 to March 2018, 137 cirrhotic patients with unresectable HCC were enrolled. For DSMs-TACE, a mixture of 4 mL of DSMs, 6 mL of non-ionic contrast and doxorubicin at a dose of 50 mg/m

resultsTwo hundred and sixty-seven DSMs-TACE were performed in 137 HCC patients (33 patients in BCLC stage A, 84 patients in BCLC stage B, and 20 in stage C). Patients had a mean nodule number of 3.5 ± 1.2 (SD). Major complications were observed in 6.8% of cases. Post-embolization syndrome was common (101 patients 73.7%). According to mRecist criteria, a high objective response rate was obtained even after just one treatment (84.3% of patients showed complete response or partial response). The median TTP and OS after DSMs-TACE were 12 months and 36 months, respectively. OS at 6 months, 1 year, 2 and 3 years was 98%, 81.3%, 57.9%, 34.9%, respectively.

conclusionDSMs-TACE is a safe and effective therapy for patients with HCC, allowing to obtain a good rate of OS with excellent local tumor control.

Indexed as

AgedAged, 80 and overAntibiotics, AntineoplasticCarcinoma, HepatocellularChemoembolization, TherapeuticDoxorubicinFemaleHumansLiver CirrhosisLiver NeoplasmsMaleMiddle AgedProspective StudiesResponse Evaluation Criteria in Solid TumorsRetreatmentStarchAntibiotics, Antineoplasticdegradable starch microspheresDoxorubicinStarchDegradable starch microspheresHepatocellular carcinomaLiver cirrhosisTherapeutic chemoembolization

Identifiers

PMID31583558
OpenAlexW2978561121

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.