Evidence map›Paper›PMID 33452421›Full record

ArticleScientific reports2021

Effect of radiotherapy on survival in advanced hepatocellular carcinoma patients treated with sorafenib: a nationwide cancer-registry-based study.

Shou-Sheng Chu, Yu-Hsuan Kuo, Wen-Shan Liu, Shih-Chang Wang, Chung-Han Ho, Yi-Chen Chen, Ching-Chieh Yang, Hung-Chang Wu

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Shou-Sheng ChuDepartment of Radiation Oncology, Chi Mei Medical Center, No. 901 Zhonghua Rd., Yung Kang District, Tainan City, 701, Taiwan, ROC.
Yu-Hsuan KuoDepartment of Hematology and Oncology, Chi Mei Medical Center, No. 901 Zhonghua Rd., Yung Kang District, Tainan City, 701, Taiwan, ROC.
Wen-Shan LiuDepartment of Radiation Oncology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC.
Shih-Chang WangDepartment of Radiation Oncology, Antai Medical Care Corporation Antai Tian-Sheng Memorial Hospital, Pingtung, Taiwan, ROC.
Chung-Han HoDepartment of Medical Research, Chi Mei Medical Center, Tainan, Taiwan, ROC.
Yi-Chen ChenDepartment of Medical Research, Chi Mei Medical Center, Tainan, Taiwan, ROC.
Ching-Chieh Yang *Department of Radiation Oncology, Chi Mei Medical Center, No. 901 Zhonghua Rd., Yung Kang District, Tainan City, 701, Taiwan, ROC. cleanclear0905@gmail.com.
Hung-Chang Wu *Department of Hematology and Oncology, Chi Mei Medical Center, No. 901 Zhonghua Rd., Yung Kang District, Tainan City, 701, Taiwan, ROC. gg4125678@gmail.com.
Chi Mei Medical Center · TWChia Nan University of Pharmacy and Science · TWNational Defense Medical Center · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sorafenib is the standard treatment for advanced hepatocellular carcinoma (HCC) patients. This study aims to determine whether combining radiotherapy with sorafenib administration increases its efficacy. The study cohort included 4763 patients with diagnosed advanced HCC who received sorafenib between January 2012 and December 2015, as reported in medical records in the Taiwan Cancer Registry database. The effect of sorafenib with or without radiotherapy on survival was calculated using the Kaplan-Meier method and compared using the log-rank test. A Cox proportional hazards model was used for multivariate analysis. Patients receiving sorafenib plus radiotherapy had greater 1-year survival than did those receiving sorafenib alone (P < 0.001). Uni- and multivariate analyses also showed that radiotherapy increased survival after adjusting for confounders (adjusted HR 0.57; 95% CI 0.51-0.63). Further stratified analysis according to the timing of radiotherapy relative to sorafenib treatment revealed that patients who underwent radiotherapy after sorafenib had greater 1-year survival than did those undergoing radiotherapy within sorafenib use or sorafenib alone (adjusted HR 0.39; 95% CI 0.27-0.54). Combined treatment with sorafenib and radiotherapy results in greater HCC patient survival and should be considered an option for treating this challenging disease.

Indexed as

AdultAgedCarcinoma, HepatocellularCombined Modality TherapyDatabases, FactualHumansLiver NeoplasmsMaleMiddle AgedProportional Hazards ModelsProtein Kinase InhibitorsRegistriesSorafenibSurvival RateTreatment OutcomeProtein Kinase InhibitorsSorafenib

Identifiers

PMID33452421
PMCPMC7810734
OpenAlexW3121564215

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.