Evidence map›Paper›PMID 32194735›Full record

ArticleOncology letters2020

Impact of cancer rehabilitation on the prognosis of patients with hepatocellular carcinoma.

Ryuki Hashida, Takumi Kawaguchi, Shunji Koya, Keisuke Hirota, Norihiro Goshima, Teruhito Yoshiyama, Takashi Otsuka, Masafumi Bekki, Sohei Iwanaga, Dan Nakano and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Oncology letters, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 9% 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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. The egyptian clinical practice guidelines for the diagnosis and management of metabolic associated fatty liver disease.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Guideline
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Investigation into the efficiency and prognostic elements of CT-guided ¹²⁵I particle implantation for liver cancer.Cancer imaging : the official publication of the International Cancer Imaging Society · 2025
    Article
  12. Review
  13. Prognostic relevance of sarcopenia and tumor-infiltrating CD8Annals of gastroenterological surgery · 2025
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

15 authors at 3 institutions in 1 country.

Ryuki HashidaDivision of Rehabilitation, Kurume University Hospital, Kurume, Fukuoka 830-0011, Japan.
Takumi KawaguchiDivision of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume, Fukuoka 830-0011, Japan.
Shunji KoyaDivision of Rehabilitation, Kurume University Hospital, Kurume, Fukuoka 830-0011, Japan.
Keisuke HirotaDivision of Rehabilitation, Kurume University Hospital, Kurume, Fukuoka 830-0011, Japan.
Norihiro GoshimaDepartment of Medicine, Kurume University School of Medicine, Kurume, Fukuoka 830-0011, Japan.
Teruhito YoshiyamaDepartment of Medicine, Kurume University School of Medicine, Kurume, Fukuoka 830-0011, Japan.
Takashi OtsukaDepartment of Medicine, Kurume University School of Medicine, Kurume, Fukuoka 830-0011, Japan.
Masafumi BekkiDivision of Rehabilitation, Kurume University Hospital, Kurume, Fukuoka 830-0011, Japan.
Sohei IwanagaDivision of Rehabilitation, Kurume University Hospital, Kurume, Fukuoka 830-0011, Japan.
Dan NakanoDivision of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume, Fukuoka 830-0011, Japan.
Takashi NiizekiDivision of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume, Fukuoka 830-0011, Japan.
Hiroo MatsuseDivision of Rehabilitation, Kurume University Hospital, Kurume, Fukuoka 830-0011, Japan.
Atsushi KawaguchiCenter for Comprehensive Community Medicine Faculty of Medicine, Saga University, Saga, Saga 849-8501, Japan.
Naoto ShibaDepartment of Orthopedics, Kurume University School of Medicine, Kurume, Fukuoka 830-0011, Japan.
Takuji TorimuraDivision of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume, Fukuoka 830-0011, Japan.
Kurume University · JPKurume University Hospital · JPSaga University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sarcopenia is a prognostic factor for patients with hepatocellular carcinoma (HCC). Cancer rehabilitation (CR) improves patients' physical function and muscle mass. We investigated the effects of CR on the prognosis of patients with HCC. The present study was a prospective observational study, which analyzed 152 patients with HCC who underwent transcatheter arterial chemoembolization (TACE) between 2013 and 2016. Patients were classified into the CR (n=85) and control (n=67) groups. The effects of CR on muscle mass were evaluated by changes in the skeletal muscle index (SMI) before and after TACE. Independent factors associated with survival were evaluated by Cox regression analysis. Kaplan-Meier analysis was used to compare the survival rate between the CR and control groups. The difference in survival rate between the two groups was also examined after propensity score matching. SMI was significantly increased in the CR group compared with the control group. In Cox regression analysis, independent factors associated with survival were CR and Child-Pugh class A (estimate 1.760, 95% CI 0.914-3.226, P=0.001; estimate 1.602, 95% CI 0.426-2.998, P=0.0129). The survival rate was significantly higher in the CR group than in the control group (median 552 vs. 424 days; P=0.0359). The survival rate was also significantly higher in the CR group than that in the control group after propensity score matching (median 529 vs. 369 days; P=0.0332). CR was associated with prolonged survival in patients with HCC who underwent TACE. Patients with cancer are recommended to maintain physical activity even during cancer treatment.

Indexed as

exercisehepatomasarcopeniaSMIsurvival

Identifiers

PMID32194735
PMCPMC7039060
OpenAlexW3001643457

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.