Evidence map›Paper›PMID 31954490›Full record

ReviewJournal of hepatology2020

Epidemiology and surveillance for hepatocellular carcinoma: New trends.

Amit G Singal, Pietro Lampertico, Pierre Nahon

2 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Journal of hepatology, 2020. 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 669 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
669citing papers in PubMed, 7 pooled it
90.3field-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.

NCT06007846 phase2 / phase3recruitingnot on this mapstarted 2023, after this paper: background citation

A Prospective Cohort Study of Single Agent Memantine in Patients With Child-Pugh Score ≥ B7 Cirrhosis and Hepatocellular Carcinoma

TypeinterventionalSponsorInova Health Care ServicesRan2023 to 2026Enrolled12ConditionsHepatocellular Carcinoma, CirrhosisArmsNamenda
NCT06789757 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

An Open Label Phase II Study of Atezolizumab, Bevacizumab and Memantine in Patients With Hepatocellular Carcinoma

TypeinterventionalSponsorInova Health Care ServicesRan2025 to 2028Enrolled19ConditionsHepatocellular CarcinomaArmsMemantine Hydrochloride, Bevacizumab, Atezolizumab
3 · Its place in the literature

Who cites it

669 citing papers in PubMed, 7 syntheses or guidelines pooled it, 1,083 citations in OpenAlex.

  1. Guideline
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  12. Proton beam therapy versus trans-arterial chemoembolization for BCLC stage B hepatocellular carcinoma-a propensity-matched analysis.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2026
    Article
  13. Emerging Immune-Based Therapeutic Strategies in Hepatocellular Carcinoma.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Review
  14. Bioimpedance Analysis to Predict Clinical Outcomes of Liver Cirrhosis in a Prospective Cohort Study.JGH open : an open access journal of gastroenterology and hepatology · 2026
    Article
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609 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 3 countries.

Amit G SingalDivision of Digestive and Liver Diseases, UT Southwestern Medical Center, Dallas, TX, USA. Electronic address: amit.singal@utsouthwestern.edu.
Pietro LamperticoCRC "A. M. and A. Migliavacca" Center for the Study of Liver Disease, Division of Gastroenterology and Hepatology, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
Pierre NahonCentre de Recherche des Cordeliers, Sorbonne Universités, Université Paris Descartes, Université Paris Diderot, Université Paris, Paris, France; Functional Genomics of Solid Tumors, USPC, Université Paris Descartes, Université Paris Diderot, Université Paris, Paris, France; Service d'hépatologie, Hôpital Jean Verdier, Hôpitaux Universitaires Paris-Seine-Saint-Denis, Assistance-Publique Hôpitaux de Paris, Bondy, France; Unité de Formation et de Recherche Santé Médecine et Biologie Humaine, Université Paris 13, Communauté d'Universités et Etablissements Sorbonne Paris Cité, Paris, France.
Délégation Paris 5 · FRSouthwestern Medical Center · USUniversity of Milan · IT

Funding

Harms of Hepatocellular Carcinoma Screening in Patients with CirrhosisR01CA212008 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI SINGAL, AMIT · 2017 to 2022
$3.2M
Precision Screening for Hepatocellular Carcinoma in Patients with CirrhosisR01CA222900 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI SINGAL, AMIT · 2018 to 2023
$2.4M
NCI NIH HHS R01 CA212008NCI NIH HHS R01 CA222900
6 · The paper itself

Abstract

The burden of hepatocellular carcinoma (HCC) is highest in East Asia and Africa, although its incidence and mortality are rapidly rising in the United States and Europe. With the implementation of hepatitis B vaccination and hepatitis C treatment programmes worldwide, the epidemiology of HCC is shifting away from a disease predominated by viral hepatitis - an increasing proportion of cases are now attributable to non-alcoholic steatohepatitis. Surveillance using ultrasound, with or without alpha-fetoprotein, every 6 months has been associated with improved early detection and improved overall survival; however, limitations in implementation lead to a high proportion of HCC being detected at late stages in clinical practice. Herein, we review the current state of HCC surveillance and highlight areas for future research, including improved risk stratification of at-risk patients, surveillance tools with higher sensitivity and specificity for early HCC, and interventions to increase surveillance utilisation.

Indexed as

alpha-FetoproteinsBiomarkers, TumorCarcinoma, HepatocellularFemaleHepatitis B, ChronicHepatitis C, ChronicHumansIncidenceLiver NeoplasmsMaleNon-alcoholic Fatty Liver DiseasePopulation SurveillanceRisk FactorsUltrasonographyAFP protein, humanalpha-FetoproteinsBiomarkers, Tumor

Identifiers

PMID31954490
PMCPMC6986771
OpenAlexW3000074215

What OpenQuestion holds

Textmetadata
LicenceTDM
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.