Evidence map›Paper›PMID 33572776›Full record

ArticleCancers2021

Postoperative Trends and Prognostic Values of Inflammatory and Nutritional Biomarkers after Liver Transplantation for Hepatocellular Carcinoma.

Riccardo Pravisani, Federico Mocchegiani, Miriam Isola, Dario Lorenzin, Gian Luigi Adani, Vittorio Cherchi, Maria De Martino, Andrea Risaliti, Quirino Lai, Marco Vivarelli and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 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

11 authors at 3 institutions in 1 country.

Riccardo PravisaniLiver-Kidney Transplantation Unit, Department of Medicine, University of Udine, 33100 Udine, Italy.
Federico MocchegianiHPB Surgery and Transplantation Unit, Department of Clinical and Experimental Medicine, Polytechnic University of Marche, 60126 Ancona, Italy.
Miriam IsolaDivision of Medical Statistic, Department of Medicine, University of Udine, 33100 Udine, Italy.ORCID 0000-0002-6391-1720
Dario LorenzinLiver-Kidney Transplantation Unit, Department of Medicine, University of Udine, 33100 Udine, Italy.
Gian Luigi AdaniLiver-Kidney Transplantation Unit, Department of Medicine, University of Udine, 33100 Udine, Italy.
Vittorio CherchiLiver-Kidney Transplantation Unit, Department of Medicine, University of Udine, 33100 Udine, Italy.
Maria De MartinoDivision of Medical Statistic, Department of Medicine, University of Udine, 33100 Udine, Italy.
Andrea RisalitiLiver-Kidney Transplantation Unit, Department of Medicine, University of Udine, 33100 Udine, Italy.
Quirino LaiHepato-biliary and Organ Transplant Unit, Department of Surgery, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0003-1487-3235
Marco VivarelliHPB Surgery and Transplantation Unit, Department of Clinical and Experimental Medicine, Polytechnic University of Marche, 60126 Ancona, Italy.
Umberto BaccaraniLiver-Kidney Transplantation Unit, Department of Medicine, University of Udine, 33100 Udine, Italy.
University of Udine · ITMarche Polytechnic University · ITSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Preoperative inflammatory biomarkers such as the Platelet-to-Lymphocyte Ratio (PLR) and the Neutrophil-to-Lymphocyte Ratio (NLR) strongly predict the outcome in surgically treated patients with hepatocellular carcinoma (HCC), while nutritional biomarkers such as the Controlling Nutritional Status (CONUT) and the Prognostic Nutritional Index (PNI) show an analogue prognostic value in hepatic resection (HR) but not in liver transplant (LT) cases. Data on the impact of LT on the inflammatory and nutritional/metabolic function are heterogeneous. Therefore, we investigated the post-LT trend of these biomarkers up to postoperative month (POM) 12 in 324 HCC patients treated with LT. Inflammatory biomarkers peaked in the early post-LT period but at POM 3 leveled off at values similar (NLR) or higher (PLR) than pre-LT ones. CONUT and PNI worsened in the early post-LT period, but at POM 3 they stabilized at significantly better values than pre-LT. In LT recipients with an overall survival >1 year and no evidence of early HCC recurrence, 1 year post-LT NLR and PNI independently predicted patient overall survival, while 1 year post-LT PLR independently predicted late tumor recurrence. In conclusion, at 1 year post-LT, the nutritional status of liver-transplanted HCC patients significantly improved while their inflammatory state tended to persist. Consequently, post-LT PLR and NLR maintained a prognostic value for LT outcome while post-LT CONUT and PNI acquired it.

Indexed as

controlling nutritional statushepatocellular carcinomaliver transplantationneutrophil-to-lymphocyte ratioplatelet-to-lymphocyte ratioprognostic nutritional index

Identifiers

PMID33572776
PMCPMC7866292
OpenAlexW3126596478

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.