Evidence map›Paper›PMID 31602371›Full record

ArticleLiver cancer2019

Stereotactic Body Radiation Therapy as an Alternative Treatment for Patients with Hepatocellular Carcinoma Compared to Sorafenib: A Propensity Score Analysis.

Dominik Bettinger, David J Pinato, Michael Schultheiss, Rohini Sharma, Lorenza Rimassa, Tiziana Pressiani, Michela E Burlone, Mario Pirisi, Masatoshi Kudo, Joong Won Park and 17 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Liver cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 11% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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  11. [Treatment paradigms in hepatocellular carcinoma: insights gained from the TRENDY trial].Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 14 institutions in 6 countries.

Dominik BettingerDepartment of Medicine II, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
David J PinatoDepartment of Surgery and Cancer, Imperial College London, Hammersmith Hospital, London, United Kingdom.
Michael SchultheissDepartment of Medicine II, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Rohini SharmaDepartment of Surgery and Cancer, Imperial College London, Hammersmith Hospital, London, United Kingdom.
Lorenza RimassaMedical Oncology and Hematology Unit, Humanitas Cancer Center, Humanitas Clinical and Research Center, Milan, Italy.
Tiziana PressianiMedical Oncology and Hematology Unit, Humanitas Cancer Center, Humanitas Clinical and Research Center, Milan, Italy.
Michela E BurloneDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale "A. Avogadro,", Novara, Italy.
Mario PirisiDepartment of Translational Medicine, Università degli Studi del Piemonte Orientale "A. Avogadro,", Novara, Italy.
Masatoshi KudoDepartment of Gastroenterology and Hepatology, Kindai University School of Medicine, Osakasayama, Japan.
Joong Won ParkCenter for Liver Cancer, National Cancer Center Hospital, Goyang, Republic of Korea.
Nico BuettnerDepartment of Medicine II, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Christoph Neumann-HaefelinDepartment of Medicine II, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Tobias BoettlerDepartment of Medicine II, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Nasrin Abbasi-SengerDepartment of Radiation Oncology, Friedrich-Schiller University Jena, Jena, Germany.
Horst AlheitRadiotherapy Distler, Bautzen, Germany.
Wolfgang BausDepartment of Radiation Oncology, University Hospital of Cologne, Cologne, Germany.
Oliver BlanckDepartment of Radiation Oncology, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Sabine GerumDepartment of Radiation Oncology, Ludwig-Maximilians-University Munich, Munich, Germany.
Mathias GuckenbergerDepartment of Radiation Oncology, University Hospital of Zurich, Zurich, Switzerland.
Daniel HabermehlInstitute of Innovative Radiotherapy, Department of Radiation Science, Helmholtz Zentrum Munich, Munich, Germany.
Christian OstheimerDepartment of Radiation Oncology, Martin Luther University Halle Wittenberg, Halle an der Saale, Germany.
Oliver RiestererDepartment of Radiation Oncology, University Hospital of Zurich, Zurich, Switzerland.
Jörg TamihardjaDepartment of Radiation Oncology, University Hospital of Würzburg, Würzburg, Germany.
Anca-Ligia GrosuDepartment of Radiation Oncology, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Robert ThimmeDepartment of Medicine II, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Thomas Baptist BrunnerGerman Cancer Consortium (DKTK), Partner Site Freiburg, Freiburg, Germany.
Eleni GkikaDepartment of Radiation Oncology, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
University of Freiburg · DEHammersmith Hospital · GBHumanitas University · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITUniversity Hospital of Zurich · CHFriedrich Schiller University Jena · DEGerman Cancer Research Center · DEKindai University · JPLudwig-Maximilians-Universität München · DEMartin Luther University Halle-Wittenberg · DENational Cancer Center · KRTUM Klinikum · DEUniversitätsklinikum Würzburg · DEUniversity Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsStereotactic body radiation therapy (SBRT) has emerged as a safe and effective treatment for patients with hepatocellular carcinoma (HCC), but its role in patients with advanced HCC is not yet defined. In this study, we aim to assess the efficacy and safety of SBRT in comparison to sorafenib treatment in patients with advanced HCC.

methodsWe included 901 patients treated with sorafenib at six tertiary centers in Europe and Asia and 122 patients treated with SBRT from 13 centers in Germany and Switzerland. Medical records were reviewed including laboratory parameters, treatment characteristics and development of adverse events. Propensity score matching was performed to adjust for differences in baseline characteristics. The primary endpoint was overall survival (OS) and progression-free survival.

resultsMedian OS of SBRT patients was 18.1 (10.3-25.9) months compared to 8.8 (8.2-9.5) in sorafenib patients. After adjusting for different baseline characteristics, the survival benefit for patients treated with SBRT was still preserved with a median OS of 17.0 (10.8-23.2) months compared to 9.6 (8.6-10.7) months in sorafenib patients. SBRT treatment of intrahepatic lesions in patients with extrahepatic metastases was also associated with improved OS compared to patients treated with sorafenib in the same setting (17.0 vs. 10.0 months,

conclusionsIn this retrospective comparative study, SBRT showed superior efficacy in HCC patients compared to patients treated with sorafenib.

Indexed as

Hepatocellular carcinomaOverall survivalPropensity score analysisSorafenibStereotactic body radiation therapy

Identifiers

PMID31602371
PMCPMC6738268
OpenAlexW2883189480

What OpenQuestion holds

Textmetadata
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Registered trials

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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.