Evidence map›Paper›PMID 33024950›Full record

ArticleJHEP reports : innovation in hepatology2020

Increasing antiviral treatment uptake improves survival in patients with HBV-related HCC.

Vicki Wing-Ki Hui, Stephen Lam Chan, Vincent Wai-Sun Wong, Lilian Yan Liang, Terry Cheuk-Fung Yip, Jimmy Che-To Lai, Becky Wing-Yan Yuen, Hester Wing-Sum Luk, Yee-Kit Tse, Hye-Won Lee and 2 more

Abstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

12 authors.

Vicki Wing-Ki HuiDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China.
Stephen Lam ChanDepartment of Clinical Oncology, The Chinese University of Hong Kong, Hong Kong SAR, China.
Vincent Wai-Sun WongDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China.
Lilian Yan LiangDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China.
Terry Cheuk-Fung YipDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China.
Jimmy Che-To LaiDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China.
Becky Wing-Yan YuenDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China.
Hester Wing-Sum LukDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China.
Yee-Kit TseDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China.
Hye-Won LeeDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea.
Henry Lik-Yuen ChanDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China.
Grace Lai-Hung WongDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsAntiviral treatment is known to improve survival in patients with chronic hepatitis B (CHB)-related hepatocellular carcinoma (HCC). Yet, the treatment uptake in CHB patients remains low. We aimed to report the secular trend in antiviral treatment uptake from 2007-2017, and to compare the effect of different nucleos(t)ide analogue (NA) initiation times (before

methodsA 3-month landmark analysis was used to compare overall survival in patients not receiving NA treatment (

resultsThe uptake of antiviral treatment in HCC patients increased from 47.3% in 2007 to 98.3% in 2017. The pre-HCC NA group contributed mostly to the uptake rate, which increased from 72.7% to 96.0% in the past decade. In addition, 3,843 CHB patients (407 no NA; 2,932 pre-HCC NA; 504 post-HCC NA) with HCC, receiving at least 1 type of HCC treatment, were included in the analysis. Lack of NA treatment at the time of HCC diagnosis increased the risk of death (weighted HR 3.05; 95% CI 2.70-3.44;

conclusionsThe uptake of antiviral treatment in HCC patients increased over the past decade. NA treatment, regardless of whether it was initiated before or after HCC diagnosis, improved survival. It is never too late to initiate NA treatment, even after HCC diagnosis. LAY SUMMARY: More and more patients who have hepatitis B-related liver cancer received antiviral treatment over the past decade. The timing of starting antiviral treatment, regardless of whether it was before or after liver cancer happens, does not really matter in terms of survival benefits.

Indexed as

AFP, alpha-fetoproteinaHR, adjusted hazard ratioALT, alanine aminotransferaseASMD, absolute standardised mean differenceCDARS, Clinical Data Analysis and Reporting SystemCHB, chronic hepatitis BEntecavirGGT, gamma-glutamyl transpeptidaseHazard ratioHCC, hepatocellular carcinomaHR, hazard ratioICD-9-CM, International Classification of Diseases, Ninth Revision, Clinical ModificationIPTW, inverse probability of treatment weightingIQR, inter-quartile rangeKS, Kolmogorov-SmirnovLamivudineLocal ablative therapyMICE, multivariate imputation by chained equationsNA, nucleos(t)ide analoguePropensity scoresPS, propensity scoreSurgical resectionTACE, transarterial chemoembolisationTDF, tenofovir disoproxil fumarateTransarterial chemoembolisation

Identifiers

PMID33024950
PMCPMC7530304

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.