Evidence map›Paper›PMID 32500344›Full record

Trial reportAnnals of surgical oncology2020

Is Postoperative Adjuvant Transcatheter Arterial Infusion Therapy Effective for Patients with Hepatocellular Carcinoma who Underwent Hepatectomy? A Prospective Randomized Controlled Trial.

Fumitoshi Hirokawa, Koji Komeda, Kohei Taniguchi, Mitsuhiro Asakuma, Tetsunosuke Shimizu, Yoshihiro Inoue, Shuji Kagota, Atsushi Tomioka, Kazuhiro Yamamoto, Kazuhisa Uchiyama

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Annals of surgical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Neoadjuvant Therapy for Hepatocellular Carcinoma.Journal of hepatocellular carcinoma · 2022
    Review
  16. Article
  17. Article
  18. 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

10 authors.

Fumitoshi HirokawaDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki City, Osaka, Japan. sur122@osaka-med.ac.jp.
Koji KomedaDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki City, Osaka, Japan.
Kohei TaniguchiDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki City, Osaka, Japan.
Mitsuhiro AsakumaDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki City, Osaka, Japan.
Tetsunosuke ShimizuDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki City, Osaka, Japan.
Yoshihiro InoueDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki City, Osaka, Japan.
Shuji KagotaDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki City, Osaka, Japan.
Atsushi TomiokaDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki City, Osaka, Japan.
Kazuhiro YamamotoDepartment of Radiology, Osaka Medical College, Osaka, Japan.
Kazuhisa UchiyamaDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki City, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effectiveness of adjuvant transcatheter arterial chemo- or/and chemoembolization therapy after curative hepatectomy of initial hepatocellular carcinoma (HCC) is controversial. This study aimed to evaluate whether hepatectomy combined with adjuvant transcatheter arterial infusion therapy (TAI) for initial HCC has better long-term survival outcomes than hepatectomy alone.

methodsFrom January 2012 to December 2014, a prospective randomized controlled trial of patients with initial HCC was conducted. Then, 114 initial HCC patients were recruited to undergo hepatectomy with adjuvant TAI (TAI group, n = 55) or hepatectomy alone (control group, n = 59) at our institution. The TAI therapy was performed twice, at 3 and 6 months after curative hepatectomy (UMIN 000011900).

resultsThe patients treated with TAI had no serious side effects, and operative outcomes did not differ between the two groups. No significant differences were found in the pattern of intrahepatic recurrence or time until recurrence between the two groups. Moreover, no significant differences were found in the relapse-free survival or overall survival. Low cholinesterase level (< 200) had been identified as a risk factor affecting relapse-free survival. Furthermore, compared with surgery alone, adjuvant TAI with hepatectomy improved the overall survival for lower-cholinesterase patients.

conclusionsAdjuvant TAI is safe and feasible, but it cannot reduce the incidence of postoperative recurrence or prolong survival for patients who underwent curative hepatectomy for initial HCC.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsChemotherapy, AdjuvantHepatectomyHumansProspective StudiesSurvival RateTreatment Outcome

Identifiers

PMID32500344

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.