Evidence map›Paper›PMID 32312256›Full record

ArticleWorld journal of surgical oncology2020

Clinical analysis of ultrasound-guided radiofrequency ablation for recurrent colorectal liver metastases after hepatectomy.

Xiao-Xiang Fan, Shu-Yi Lv, Mei-Wu Zhang, Xiao-Yu Dai, Jian-Pei Zhao, Da-Feng Mao, Yan Zhang

Open access · goldAbstract read
In one paragraph

Article in World journal of surgical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Contemporary evidence on colorectal liver metastases ablation: toward a paradigm shift in locoregional treatment.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2022
    Article
  6. Review
  7. 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

7 authors at 1 institution in 1 country.

Xiao-Xiang FanDepartment of Interventional Therapy, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, People's Republic of China.
Shu-Yi LvDepartment of Interventional Therapy, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, People's Republic of China.
Mei-Wu ZhangDepartment of Interventional Therapy, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, People's Republic of China.
Xiao-Yu DaiNingbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, People's Republic of China.
Jian-Pei ZhaoNingbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, People's Republic of China.
Da-Feng MaoDepartment of Interventional Therapy, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, People's Republic of China.
Yan ZhangDepartment of Interventional Therapy, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, People's Republic of China. zhangyan123dr@163.com.
University of Chinese Academy of Sciences · CN

Funding

Medical and health science and technology Foundation of Zhejiang Province 2019KY175, 2018KY699Ningbo Clinical Research Center for Digestive System Tumors Grant No.2019A21003Ningbo Science and Technology Huimin Project 2017C50070
6 · The paper itself

Abstract

backgroundRFA is designed to produce localized tumor destruction by heating the tumor and surrounding liver tissue, especially suitable for patients who do not qualify for hepatic resection. Many studies have reported that RFA was inferior to hepatectomy in the treatment of recurrent colorectal liver metastases. However, strong evidence is lacking in the literature. This study aimed to investigate the effect and clinical outcome of percutaneous ultrasound-guided RFA and repeat hepatic resection for recurrent colorectal liver metastases after hepatectomy.

methodsFrom January 2007 to January 2014, 194 patients with recurrent colorectal liver metastases after hepatectomy diagnosed in our hospital was performed, and then divided into two groups based on different regimens: repeat hepatic resection group and RFA group. The clinical data of the two groups were analyzed. After treatment, the liver function-related indexes, complication rate, survival rate, and tumor recurrence of the two groups were recorded. The difference in short-term and long-term effects between repeat hepatic resection and RFA was identified by propensity score analysis.

resultsThe number of metastases and the proportion of left and right lobe involved by tumor and preoperative chemotherapy in the RFA group were higher than those in the repeat hepatic resection group. The clinical data showed no significant difference between the two groups after using propensity score analysis. Compared with the RFA group, the liver function of the repeat hepatic resection group was significantly improved. After adjustment for potential confounders, no significant difference in liver function-related indexes was found between RFA and repeat hepatic resection, and the incidence of complications in the RFA group was lower. In survival analysis, there was no significant difference in OS and DFS between the two groups.

conclusionsRFA is a safe and effective therapeutic option for patients with recurrent colorectal liver metastases after hepatectomy.

Indexed as

HepatectomyAdultAgedAged, 80 and overCatheter AblationChemotherapy, AdjuvantColorectal NeoplasmsDisease-Free SurvivalFemaleFollow-Up StudiesHumansLiverLiver NeoplasmsMaleMiddle AgedNeoplasm Recurrence, LocalClinical outcomeLiver metastasesRadiofrequency ablationRecurrence rateRepeat hepatic resectionUltrasound-guided

Identifiers

PMID32312256
PMCPMC7171833
OpenAlexW3016763683

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.