Evidence map›Paper›PMID 33134370›Full record

ArticleBioMed research international2020

Risk Factors for Hepatocellular Carcinoma Recurrence and Survival after Liver Transplantation in Patients with HCV-Related Cirrhosis.

Raphael Iglesias de Oliveira Vidal, Edison Iglesias de Oliveira Vidal, Basilio de Bragança Pereira, Cachimo Combo Assane, Alexandre Ribeiro, Emilia Matos do Nascimento, Fernando Gomes Romeiro, Joaquim Ribeiro Filho

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
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

8 authors at 4 institutions in 2 countries.

Raphael Iglesias de Oliveira VidalDepartment of Surgery, Faculty of Medicine, Federal University of Rio de Janeiro (UFRJ), Rua Rodolpho Paulo Rocco, 255-Cidade Universitária, Ilha do Fundão, Rio de Janeiro, RJ, Brazil 21941-902.ORCID https://orcid.org/0000-0001-8235-3747
Edison Iglesias de Oliveira VidalInternal Medicine Department, Botucatu Medical School, Sao Paulo State University (UNESP), Av. Prof. Mario Rubens Guimaraes Montenegro, S/N, Botucatu, SP, Brazil 18618-687.ORCID https://orcid.org/0000-0002-1573-4678
Basilio de Bragança PereiraPreventive Medicine Department, Faculty of Medicine, Federal University of Rio de Janeiro (UFRJ), Cidade Universitária, Ilha do Fundão, P.O. Box: 68507, Rio de Janeiro, RJ, Brazil 21941-972.ORCID https://orcid.org/0000-0003-3098-092X
Cachimo Combo AssaneDepartment of Mathematics and Informatics, Faculty of Sciences, Universidade Eduardo Mondlane, Av. Julius Nyerere/Campus 3453, P.O. Box 257, Maputo, Mozambique.ORCID https://orcid.org/0000-0002-3645-0922
Alexandre RibeiroDepartment of Surgery, Faculty of Medicine, Federal University of Rio de Janeiro (UFRJ), Rua Rodolpho Paulo Rocco, 255-Cidade Universitária, Ilha do Fundão, Rio de Janeiro, RJ, Brazil 21941-902.ORCID https://orcid.org/0000-0001-8118-497X
Emilia Matos do NascimentoCentro Universitário da Zona Oeste, UEZO-Unidade de Engenharia de Produção, Engenharia de Produção, Avenida Manuel Caldeira de Alvarenga, Campo Grande, Rio de Janeiro, RJ, Brazil 23070-200.ORCID https://orcid.org/0000-0001-8313-8766
Fernando Gomes RomeiroInternal Medicine Department, Botucatu Medical School, Sao Paulo State University (UNESP), Av. Prof. Mario Rubens Guimaraes Montenegro, S/N, Botucatu, SP, Brazil 18618-687.ORCID https://orcid.org/0000-0002-9394-6895
Joaquim Ribeiro FilhoDepartment of Surgery, Faculty of Medicine, Federal University of Rio de Janeiro (UFRJ), Rua Rodolpho Paulo Rocco, 255-Cidade Universitária, Ilha do Fundão, Rio de Janeiro, RJ, Brazil 21941-902.ORCID https://orcid.org/0000-0002-0484-6703
Universidade Federal do Rio de Janeiro · BRUniversidade Estadual Paulista (Unesp) · BREduardo Mondlane University · MZUniversidade Estadual da Zona Oeste · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to identify prognostic factors for survival and recurrence of hepatocellular carcinoma (HCC) after liver transplantation (LT) for patients with HCC and hepatitis C virus-related cirrhosis (HCV-cirrhosis).

methodsThis retrospective cohort study followed all adult patients with HCV-cirrhosis who underwent LT because of HCC or had incidental HCC identified through pathologic examination of the explanted liver at a university hospital in Rio de Janeiro, Brazil, over 11 years (1998-2008). We used Cox regression models to assess the following risk factors regarding HCC recurrence or death after LT: age, Model for End-stage Liver Disease score, Child-Pugh classification, alpha-fetoprotein (AFP), whether patients had undergone locoregional treatment before transplantation, the number of packed red blood cell units (PRBCU) transfused during surgery, the number and size of HCC lesions in the explanted liver, and the presence of microvascular invasion and necrotic areas within HCC lesions.

resultsSeventy-six patients were followed up for a median (interquartile range (IQR)) of 4.4 (0.7-6.6) years. Thirteen (17%) patients had HCC recurrence during the follow-up period, and 26 (34%) died. The median survival time was 6.6 years (95% CI: 2.4-12.0), and the 5-year survival was 52.5% (95% CI: 42.3-65.0%). The final regression model for overall survival included four variables: age (hazard ratio (HR): 1.02, 95% CI: 0.96-1.08,

conclusionIn this study of LT for HCV-cirrhosis, preoperative AFP levels and the number of PRBCU transfused during surgery were associated with overall survival, whereas microvascular invasion with HCC recurrence.

Indexed as

Liver Transplantationalpha-FetoproteinsBiomarkers, TumorBlood TransfusionCarcinoma, HepatocellularFemaleHepacivirusHepatitis CHumansLiver CirrhosisLiver NeoplasmsMaleMiddle AgedNeoplasm Recurrence, LocalPrognosisProportional Hazards ModelsAFP protein, humanalpha-FetoproteinsBiomarkers, Tumor

Identifiers

PMID33134370
PMCPMC7591978
OpenAlexW3092797960

What OpenQuestion holds

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LicenceCC BY
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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.