Evidence map›Paper›PMID 33538186›Full record

ArticleJournal of the American Heart Association2021

Incidence, Predictors, and Mortality in Patients With Liver Cancer After Fontan Operation.

Hideo Ohuchi, Yohsuke Hayama, Kimiko Nakajima, Kenichi Kurosaki, Isao Shiraishi, Michikazu Nakai

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.6field-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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Fontan-Associated Liver Disease.Seminars in liver disease · 2025
    Review
  7. Review
  8. Paraganglioma and phaeochromocytoma in adult Fontan patients.Journal of medical imaging and radiation oncology · 2025
    Article
  9. Article
  10. Gut Dysbiosis in Patients With Fontan Circulation.Journal of the American Heart Association · 2024
    Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. 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

6 authors at 1 institution in 1 country.

Hideo OhuchiPediatric Cardiology National Cerebral and Cardiovascular Center Suita Osaka Japan.
Yohsuke HayamaPediatric Cardiology National Cerebral and Cardiovascular Center Suita Osaka Japan.
Kimiko NakajimaPediatric Cardiology National Cerebral and Cardiovascular Center Suita Osaka Japan.
Kenichi KurosakiPediatric Cardiology National Cerebral and Cardiovascular Center Suita Osaka Japan.
Isao ShiraishiPediatric Cardiology National Cerebral and Cardiovascular Center Suita Osaka Japan.
Michikazu NakaiCenter for Cerebral and Cardiovascular Disease Information National Cerebral and Cardiovascular Center Suita Osaka Japan.
National Cerebral and Cardiovascular Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Liver cancer (LC) is a serious late complication after the Fontan operation. However, the incidence, predictors, and prognosis remain unknown. The purpose of our study was to determine these clinical characteristics. Methods and Results We assessed liver function in 339 consecutive patients who had undergone the Fontan procedure from 2005 to 2019. LC was histologically diagnosed in 10 patients after a median period of 2.9 years (range: 0.3-13.8; median age: 29.9 years [range: 14.4-41.5 years]; overall median post-Fontan procedure follow-up: 25.6 years [range: 13-32.1 years]), and the annual incidence was 0.89%. Over the entire post-Fontan follow-up period, the annual incidences of new-onset LC in the second, third, and fourth decades were 0.14%, 0.43%, and 8.83%, respectively. The patients with LC had longer follow-up periods, higher levels of AFP (α-fetoprotein), and higher values of liver fibrosis indices (

Indexed as

ForecastingAdolescentAdultChildFemaleFollow-Up StudiesFontan ProcedureHeart Defects, CongenitalHumansIncidenceJapanLiver NeoplasmsMalePostoperative ComplicationsPrognosisRetrospective StudiescancerFontan procedurelivermortalitypredictors

Identifiers

PMID33538186
PMCPMC7955326
OpenAlexW3128156606

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.