Evidence map›Paper›PMID 33057213›Full record

ArticleScientific reports2020

A comparison of prognoses between surgical resection and radiofrequency ablation therapy for patients with hepatocellular carcinoma and esophagogastric varices.

Cheng-Yi Wei, Gar-Yang Chau, Ping-Hsien Chen, Chien-An Liu, Yi-Hsiang Huang, Teh-Ia Huo, Ming-Chih Hou, Han-Chieh Lin, Yu-Hui Su, Jaw-Ching Wu and 1 more

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 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
–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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Differential prognoses among male and female patients with hepatocellular carcinoma.Journal of the Chinese Medical Association : JCMA · 2022
    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

11 authors.

Cheng-Yi WeiDivision of Gastroenterology and Hepatology, Department of Medicine, Taipei Veterans General Hospital, No.201, Sec. 2, Shipai Rd., Peitou District, Taipei, 11217, Taiwan.
Gar-Yang ChauDivision of General Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan.
Ping-Hsien ChenFaculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Chien-An LiuFaculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Yi-Hsiang HuangDivision of Gastroenterology and Hepatology, Department of Medicine, Taipei Veterans General Hospital, No.201, Sec. 2, Shipai Rd., Peitou District, Taipei, 11217, Taiwan.
Teh-Ia HuoDepartment and Institute of Pharmacology, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Ming-Chih HouDivision of Gastroenterology and Hepatology, Department of Medicine, Taipei Veterans General Hospital, No.201, Sec. 2, Shipai Rd., Peitou District, Taipei, 11217, Taiwan.
Han-Chieh LinDivision of Gastroenterology and Hepatology, Department of Medicine, Taipei Veterans General Hospital, No.201, Sec. 2, Shipai Rd., Peitou District, Taipei, 11217, Taiwan.
Yu-Hui SuDepartment of Accounting, School of Business, Soochow University, Taipei, Taiwan.
Jaw-Ching WuInstitute of Clinical Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Chien-Wei SuDivision of Gastroenterology and Hepatology, Department of Medicine, Taipei Veterans General Hospital, No.201, Sec. 2, Shipai Rd., Peitou District, Taipei, 11217, Taiwan. cwsu2@vghtpe.gov.tw.ORCID 0000-0003-3889-7004

Funding

Ministry of Science and Technology, Taiwan MOST 106-2314-B-038-030Ministry of Science and Technology, Taiwan MOST 108-2314-B-075-049-MY3Taipei Veterans General Hospital Big Data CenterTaipei Veterans General Hospital Center of Excellence for Cancer Research MOHW109-TDU-B-211-134019Taipei Veterans General Hospital V107D36-003-MY2-2Taipei Veterans General Hospital V108C-050Taipei Veterans General Hospital V109C-154Taipei Veterans General Hospital VGHUST109-V6-2-2
6 · The paper itself

Abstract

There has been insufficient investigation of the differences in long-term outcomes between surgical resection (SR) and radiofrequency ablation (RFA) among patients with hepatocellular carcinoma (HCC) and esophagogastric varices (EGV). We retrospectively enrolled 251 patients with treatment-naïve HCC and EGV who underwent SR or RFA as a first-line treatment. Prognostic factors were analyzed using a Cox proportional hazards model. A total of 68 patients underwent SR, and the remaining 183 patients received RFA. Patients who underwent SR were younger, had better liver functional reserves, and had larger tumors. After a median follow-up duration of 45.1 months, 151 patients died. The cumulative 5-year overall survival (OS) rate was significantly higher among patients who underwent SR than those treated with RFA (66.7% vs. 36.8%, p < 0.001). Multivariate analysis showed that age > 65 years, multiple tumors, RFA, albumin bilirubin grade > 1, and the occurrence of major peri-procedural morbidity were the independent risk factors that are predictive of poor OS. In conclusion, SR could be recommended as a first-line treatment modality for HCC patients with EGV if the patients are carefully selected and liver function is well preserved.

Indexed as

AgedCarcinoma, HepatocellularEsophageal and Gastric VaricesFemaleHumansLiver NeoplasmsMaleMiddle AgedPrognosisProportional Hazards ModelsRadiofrequency AblationRetrospective StudiesSurvival Rate

Identifiers

PMID33057213
PMCPMC7560860

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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.