Evidence map›Paper›PMID 33670174›Full record

ArticleCancers2021

Synergistic Impact of Alpha-Fetoprotein and Tumor Burden on Long-Term Outcomes Following Curative-Intent Resection of Hepatocellular Carcinoma.

Diamantis I Tsilimigras, J Madison Hyer, Adrian Diaz, Fabio Bagante, Francesca Ratti, Hugo P Marques, Olivier Soubrane, Vincent Lam, George A Poultsides, Irinel Popescu and 8 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 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.9field-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

26 citing papers in PubMed, 44 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

18 authors at 11 institutions in 8 countries.

Diamantis I TsilimigrasDepartment of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA.
J Madison HyerDepartment of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA.
Adrian DiazDepartment of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA.
Fabio BaganteDepartment of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA.
Francesca RattiDepartment of Surgery, Ospedale San Raffaele, 20132 Milano, Italy.
Hugo P MarquesDepartment of Surgery, Curry Cabral Hospital, 1069-166 Lisbon, Portugal.ORCID 0000-0003-3540-0488
Olivier SoubraneDepartment of Hepatobiliopancreatic Surgery, APHP, Beaujon Hospital, 92110 Clichy, France.ORCID 0000-0002-2059-1237
Vincent LamDepartment of Surgery, Westmead Hospital, Sydney 2145, Australia.ORCID 0000-0001-5566-4769
George A PoultsidesDepartment of Surgery, Stanford University, Stanford, CA 94305, USA.
Irinel PopescuDepartment of Surgery, Fundeni Clinical Institute, 022328 Bucharest, Romania.
Sorin AlexandrescuDepartment of Surgery, Fundeni Clinical Institute, 022328 Bucharest, Romania.
Guillaume MartelDepartment of Surgery, University of Ottawa, Ottawa, ON K1H 8M5, Canada.
Aklile WorknehDepartment of Surgery, University of Ottawa, Ottawa, ON K1H 8M5, Canada.
Alfredo GuglielmiDepartment of Surgery, University of Verona, 37134 Verona, Italy.
Tom HughDepartment of Surgery, School of Medicine, The University of Sydney, Sydney 2006, Australia.
Luca AldrighettiDepartment of Surgery, Ospedale San Raffaele, 20132 Milano, Italy.
Itaru EndoDepartment of Gastroenterological Surgery, Yokohama City University School of Medicine, Yokohama 236-0004, Japan.
Timothy M PawlikDepartment of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA.
The Ohio State University Wexner Medical Center · USInstitutul Clinic Fundeni · ROIRCCS Ospedale San Raffaele · ITUniversity of Ottawa · CAUniversity of Verona · ITHôpital Beaujon · FRHospital Curry Cabral · PTStanford University · USThe University of Sydney · AUWestmead Hospital · AUYokohama City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe prognostic role of tumor burden score (TBS) relative to pre-operative α -fetoprotein (AFP) levels among patients undergoing curative-intent resection of HCC has not been examined.

methodsPatients who underwent curative-intent resection of HCC between 2000 and 2017 were identified from a multi-institutional database. The impact of TBS on overall survival (OS) and cumulative recurrence relative to serum AFP levels was assessed.

resultsAmong 898 patients, 233 (25.9%) patients had low TBS, 572 (63.7%) had medium TBS and 93 (10.4%) had high TBS. Both TBS (5-year OS; low TBS: 76.9%, medium TBS: 60.9%, high TBS: 39.1%) and AFP (>400 ng/mL vs. <400 ng/mL: 48.5% vs. 66.1%) were strong predictors of outcomes (both

conclusionBoth TBS and serum AFP were important predictors of prognosis among patients with resectable HCC. Serum AFP and TBS had a synergistic impact on prognosis following HCC resection with higher serum AFP predicting worse outcomes among patients with HCC of a certain TBS class.

Indexed as

AFPHCCresectionsurgerytumor burden

Identifiers

PMID33670174
PMCPMC7916953
OpenAlexW3128269446

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.