Evidence map›Paper›PMID 33174159›Full record

GuidelineHepatology international2020

APASL practical recommendations for the management of hepatocellular carcinoma in the era of COVID-19.

Shuichiro Shiina, Rino A Gani, Osamu Yokosuka, Hitoshi Maruyama, Hiroaki Nagamatsu, Diana Alcantara Payawal, A Kadir Dokmeci, Laurentius A Lesmana, Tawesak Tanwandee, George Lau and 2 more

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in Hepatology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 11% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Article
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  4. Review
  5. Article
  6. A Patient Charter to Improve Care for Hepatocellular Carcinoma.Journal of hepatocellular carcinoma · 2025
    Review
  7. Review
  8. Article
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  12. Article
  13. Review
  14. Article
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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 at 8 institutions in 6 countries.

Shuichiro ShiinaDepartment of Gastroenterology, Juntendo University, 2-1-1, Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan. sshiina@juntendo.ac.jp.ORCID http://orcid.org/0000-0002-7314-7228
Rino A GaniDepartment of Internal Medicine, Cipto Mangunkusumo Hospital, University of Indonesia, Jakarta, Indonesia.
Osamu YokosukaChiba University, Chiba, Japan.
Hitoshi MaruyamaDepartment of Gastroenterology, Juntendo University, 2-1-1, Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.
Hiroaki NagamatsuDepartment of Gastroenterology, Juntendo University, 2-1-1, Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.
Diana Alcantara PayawalDepartment of Hepatology, Cardinal Santos Medical Center, Manila, Philippines.
A Kadir DokmeciDepartment of Gastroenterology, Ankara University School of Medicine, Ankara, Turkey.
Laurentius A LesmanaDigestive Disease and GI Oncology Center, Medistra, Hospital, University of Indonesia, Jakarta, Indonesia.
Tawesak TanwandeeDepartment of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
George LauHumanity and Health Clinical Trial Center, Humanity and Health Medical Group, Hong Kong SAR, China.
Shiv Kumar SarinDepartment of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, 110070, India.
Masao OmataDepartment of Gastroenterology, Yamanashi Prefectural Central Hospital, Kofu-city, Yamanashi, Japan.
Juntendo University · JPUniversity of Indonesia · IDAnkara University · TRChiba University · JPChinese PLA General Hospital · CNInstitute of Liver and Biliary Sciences · INSiriraj Hospital · THYamanashi Prefectural Central Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 has been giving the devastating impact on the current medical care system. There are quite many guidelines on COVID-19, but only a few on the management of hepatocellular carcinoma (HCC) during COVID-19 pandemic.

aimsWe develop these recommendations to preserve adequate clinical practice for the management of HCC.

methodsExperts of HCC in the Asia-Pacific region exchanged opinions via webinar, and these recommendations were formed.

resultsClose contact should be minimized to reduce possible exposure of both medical staff and patients to the novel coronavirus. To prevent transmission of the virus, meticulous hygiene measures are important. With the decrease in regular medical service, the medical staff may be mobilized to provide COVID-19-related patient care. However, diagnosis and treatment of HCC should not be delayed because of COVID-19 pandemic. The management of HCC should be the same as in non-pandemic circumstances. HCC is highly malignant, thus it is recommended not to delay curative treatment such as surgery and ablation. However, a kind of triage is necessary even among patients with HCC when resources are insufficient for all to be treated. Curative treatments should be periodized and cytoreductive or non-curative treatment such as vascular interventions and systemic therapy may be postponed until it can be performed safely with sufficient resources. For patients with confirmed or suspected to be infected with the novel coronavirus, diagnosis and treatment should be postponed until the virus is eliminated or they are confirmed as not being infected with it.

conclusionsThese are collection of measures implemented by front-line medical professionals. We would evolve these recommendations over time as more real-world data becomes available.

Indexed as

COVID-19Carcinoma, HepatocellularHumansLiver NeoplasmsAerosol generating procedureAsian-PacificAsymptomatically infectedChronic liver diseaseCT screening for COVID-19Decision-makingDiagnosisFacemaskHospital preparednessLiver cancerPersonal protective equipmentSurveillanceThe novel coronavirusTreatment

Identifiers

PMID33174159
PMCPMC7655459
OpenAlexW3105033147

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.