Evidence map›Paper›PMID 33442543›Full record

ArticleLiver cancer2020

Surveillance for Hepatocellular Carcinoma Also Improves Survival of Incidentally Detected Intrahepatic Cholangiocarcinoma Arisen in Liver Cirrhosis.

Francesco Tovoli, Pietro Guerra, Massimo Iavarone, Letizia Veronese, Matteo Renzulli, Stefania De Lorenzo, Francesca Benevento, Giovanni Brandi, Federico Stefanini, Fabio Piscaglia

Open access · goldAbstract read
In one paragraph

Article in Liver cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Survival Benefit Relative to Treatment Modalities Among Patients with Very Early Intrahepatic Cholangiocarcinoma: an Analysis of the National Cancer Database.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Pattern of progression of intrahepatic cholangiocarcinoma: Implications for second-line clinical trials.Liver international : official journal of the International Association for the Study of the Liver · 2022
    Article
  9. 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

10 authors at 5 institutions in 1 country.

Francesco TovoliDivision of Internal Medicine, Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Pietro GuerraDivision of Internal Medicine, Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Massimo IavaroneFoundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Division of Gastroenterology and Hepatology, Milan, Italy.
Letizia VeroneseIII Medical Clinic, Department of Internal Medicine, IRCCS - Policlinico San Matteo Foundation, Pavia, Italy.
Matteo RenzulliRadiology Unit, Azienda Ospedaliero Universitaria S.Orsola-Malpighi di Bologna, Bologna, Italy.
Stefania De LorenzoOncologia Medica, Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Francesca BeneventoDivision of Internal Medicine, Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Giovanni BrandiOncologia Medica, Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Federico StefaniniDivision of Internal Medicine, Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Fabio PiscagliaDivision of Internal Medicine, Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Azienda USL di Bologna · ITMedica (Italy) · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITPoliclinico San Matteo Fondazione · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to its poor survival, intrahepatic cholangiocarcinoma (ICC) is held to be a much more aggressive cancer than hepatocellular carcinoma (HCC). In most published series, patients were diagnosed when symptomatic. However, ICC is now increasingly being discovered during the surveillance for HCC in cirrhosis. Whether this earlier detection of ICC is associated with an equally dismal prognosis or not is unknown.

methodsThis is amulticenter retrospective study of consecutive ICC patients. Patients were stratified into subgroups according to the absence/presence of cirrhosis. A propensity score matching was performed to reduce the potential biases. Cirrhotic patients were further stratified according to their surveillance status. The lead-time bias and its potential effects were also estimated.

resultsWe gathered 184 patients. Eighty-five patients (46.2%) were cirrhotic. Liver cirrhosis was not related to a worse overall survival (33.0 vs. 32.0 months,

conclusionsCirrhotic patients have different clinical presentation and outcomes of ICC according to their surveillance status. In our series, ICC in cirrhosis was not associated with worse OS. Cirrhosis itself should not discourage either surgical or non-surgical treatments.

Indexed as

Cholangiocellular carcinomaIntrahepatic cholangiocarcinomaLiver cirrhosisOutcomesScreening

Identifiers

PMID33442543
PMCPMC7768136
OpenAlexW3095045919

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.