Evidence map›Paper›PMID 33527030›Full record

ArticleAmerican journal of translational research2021

Comparison of the efficacy of pre-surgery and post-surgery radiotherapy in the treatment of hepatocellular carcinoma: a population-based study.

Lei Chen, Xiaopeng Guo, Shi Chen, Yanqiao Ren, Tao Sun, Fan Yang, Chuansheng Zheng

Abstract read
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Article in American journal of translational research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

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4 · The record

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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

7 authors.

Lei ChenThe Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan 430022, China.
Xiaopeng GuoThe Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan 430022, China.
Shi ChenThe Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan 430022, China.
Yanqiao RenThe Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan 430022, China.
Tao SunThe Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan 430022, China.
Fan YangThe Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan 430022, China.
Chuansheng ZhengThe Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology Wuhan 430022, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRadiotherapy has been widely used in the treatment of hepatocellular carcinoma (HCC). However, whether the patients should receive radiotherapy before or after surgical treatment has not been studied. The objective of the study was to compare the efficacy of the treatment in HCC patients who received pre-surgery and post-surgery radiotherapy.

methodsData from the Surveillance, Epidemiology, and End Results (SEER) database were analyzed. Patients with surgery combined with radiotherapy were included into the study. The outcome measures were overall survival (OS) and cancer-specific survival (CSS). Propensity score matching (PSM) was used to reduce selection bias.

resultsBefore PSM, the median OS (mOS: 82 months) and median CSS (mCSS: NA) in the pre-surgery group were longer than in the post-surgery group (mOS: 21 months; mCSS: 20 months; P<0.001 for both). After PSM, the mOS and mCSS in the pre-surgery group were longer than in the post-surgery group (mOS: 45 vs. 26 months, P=0.011; mCSS: 60 vs. 26 months, P=0.003). The subgroup analysis documented that patients with single tumor, liver resection, and American Joint Committee on Cancer (AJCC) stage I and II had longer mOS and mCSS if they received pre-surgery rather than post-surgery radiotherapy (all P<0.05). Multivariate regression analysis showed patients with post-surgery radiotherapy had a higher risk of mortality than patients with post-surgery radiotherapy.

conclusionHCC patients with single tumor, AJCC stage I and II, or with liver resection who received pre-surgery radiotherapy have better survival benefits than patients receiving post-surgery radiotherapy, particularly if internal radiotherapy was used.

Indexed as

efficacyHepatocellular carcinomaradiotherapysurgerytime

Identifiers

PMID33527030
PMCPMC7847525

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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.