Evidence map›Paper›PMID 32901308›Full record

ArticleAnnals of surgical oncology2021

Eligibility for Liver Transplantation in Patients with Perihilar Cholangiocarcinoma.

Jaynee J A Vugts, Marcia P Gaspersz, Eva Roos, Lotte C Franken, Pim B Olthof, Robert J S Coelen, Jeroen L A van Vugt, Tim A Labeur, Lieke Brouwer, Marc G H Besselink and 9 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Annals of surgical oncology, 2021. 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 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.7field-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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Outcomes of Liver Transplant Versus Partial Hepatectomy for Perihilar Cholangiocarcinoma Patients Requiring Arterial Reconstruction.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  3. Article
  4. Review
  5. Cholangiocarcinoma 2026: status quo, unmet needs and priorities.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Outcomes After Liver Transplantation With Incidental Cholangiocarcinoma.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Article
  14. Review
  15. Cholangiocarcinoma and liver transplantation: What we know so far?World journal of gastrointestinal pathophysiology · 2021
    Review
  16. Nationwide treatment and outcomes of perihilar cholangiocarcinoma.Liver international : official journal of the International Association for the Study of the Liver · 2021
    Article
  17. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 3 institutions in 1 country.

Jaynee J A VugtsDepartment of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0001-8411-0829
Marcia P GasperszDepartment of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Eva RoosDepartment of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Lotte C FrankenDepartment of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Pim B OlthofDepartment of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Robert J S CoelenDepartment of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Jeroen L A van VugtDepartment of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Tim A LabeurDepartment of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Lieke BrouwerDepartment of Gastroenterology, Maasstad Ziekenhuis, Rotterdam, The Netherlands.
Marc G H BesselinkDepartment of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Jan N M IJzermansDepartment of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Sarwa Darwish MuradDepartment of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Thomas M van GulikDepartment of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Jeroen de JongeDepartment of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Wojciech G PolakDepartment of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Olivier R C BuschDepartment of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Joris L ErdmannDepartment of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Bas Groot Koerkamp *Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands. b.grootkoerkamp@erasmusmc.nl.
Stefan Buettner *Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands. s.buttner@erasmusmc.nl.
Amsterdam University Medical Centers · NLErasmus MC · NLMaasstad Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiver transplantation (LT) has been performed in a select group of patients presenting with unresectable or primary sclerosing cholangitis (PSC)-associated perihilar cholangiocarcinoma (pCCA) in the Mayo Clinic with a reported 5-year overall survival (OS) of 53% on intention-to-treat analysis. The objective of this study was to estimate eligibility for LT in a cohort of pCCA patients in two tertiary referral centers.

methodsPatients diagnosed with pCCA between 2002 and 2014 were included from two tertiary referral centers in the Netherlands. The selection criteria used by the Mayo Clinic were retrospectively applied to determine the proportion of patients that would have been eligible for LT.

resultsA total of 732 consecutive patients with pCCA were identified, of whom 24 (4%) had PSC-associated pCCA. Overall, 154 patients had resectable disease on imaging and 335 patients were ineligible for LT because of lymph node or distant metastases. An age limit of 70 years led to the exclusion of 50 patients who would otherwise be eligible for LT. After applying the Mayo Clinic criteria, only 34 patients (5%) were potentially eligible for LT. Median survival from diagnosis for these 34 patients was 13 months (95% CI 3-23).

conclusionOnly 5% of all patients presenting with pCCA were potentially eligible for LT under the Mayo criteria. Without transplantation, a median OS of about 1 year was observed.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaKlatskin TumorLiver TransplantationAgedHumansMaleMiddle AgedNetherlandsRetrospective Studies

Identifiers

PMID32901308
PMCPMC7892510
OpenAlexW3084058676

What OpenQuestion holds

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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.