Evidence map›Paper›PMID 33748727›Full record

ArticleJHEP reports : innovation in hepatology2021

Primary liver cancer in the UK: Incidence, incidence-based mortality, and survival by subtype, sex, and nation.

Anya Burton, Daniela Tataru, Robert J Driver, Thomas G Bird, Dyfed Huws, David Wallace, Timothy J S Cross, Ian A Rowe, Graeme Alexander, Aileen Marshall and 1 more

Open access · goldAbstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
11.1field-weighted citation impact, top 1% 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
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  6. Cholangiocarcinoma in Denmark: Time-trends in incidence and mortality.JHEP reports : innovation in hepatology · 2025
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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 7 institutions in 1 country.

Anya BurtonHCC-UK/British Association for the Study of the Liver (BASL), Lichfield, UK.
Daniela TataruNational Cancer Registration and Analysis Service, National Disease Registration Service, Public Health England, London, UK.
Robert J DriverLeeds Institute for Medical Research at St. James's, University of Leeds, Leeds, UK.
Thomas G BirdCancer Research UK Beatson Institute, Glasgow, UK.
Dyfed HuwsWelsh Cancer Intelligence and Surveillance Unit, Knowledge Directorate, Public Health Wales, Cardiff, UK.
David WallaceDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Timothy J S CrossInstitute of Translational Medicine, The University of Liverpool, Liverpool, UK.
Ian A RoweLeeds Institute for Medical Research, University of Leeds, Leeds, UK.
Graeme AlexanderUCL Institute for Liver and Digestive Health, Royal Free Hospital, London, UK.
Aileen MarshallSheila Sherlock Liver Centre, The Royal Free Hospital, London, UK.
HCC-UK/BASL/NCRAS Partnership Steering Group
Public Health England · GBUniversity of Leeds · GBLondon School of Hygiene & Tropical Medicine · GBPublic Health Wales · GBThe Royal Free Hospital · GBUniversity of Liverpool · GBCancer Research UK Scotland Institute · GB

Funding

Cancer Research UK 26813Chief Scientist Office CGA/17/19
6 · The paper itself

Abstract

BACKGROUND &

aimsThe incidence of primary liver cancer (PLC) is increasing in Western Europe. To understand trends over time and the current burden in the UK, a detailed analysis of the epidemiology of PLC and its subtypes was conducted.

methodsData on PLCs diagnosed during 1997-2017 were obtained from population-based, nationwide registries in the UK. European age-standardised incidence (ASR) and incidence-based mortality rates (ASMR) per 100,000 person-years were calculated overall and by sex and UK-nation. Annual percentage change in rates was estimated using Joinpoint regression. One-, 2-, and 5-year age-standardised net survival was estimated.

resultsA total of 82,024 PLCs were diagnosed. Both hepatocellular carcinoma (HCC) incidence and mortality rates trebled (ASR 1.8-5.5 per 100,000, ASMR 1.3-4.0). The rate of increase appeared to plateau around 2014/2015. Scottish men consistently had the highest HCC incidence rates. PLC survival increased, driven by a substantial increase in the proportion that are HCC (as prognosis is better than other PLCs) and in HCC survival (change in 1-year survival 24-47%). Intrahepatic cholangiocarcinoma was the most common PLC in women and 1-year survival improved from 22.6% to 30.5%.

conclusionsPLC incidence has been increasing rapidly but, as most risk factors are modifiable, it is largely a preventable cancer. This rate of increase has slowed in recent years, possibly attributable to effective treatment for hepatitis C. As other risk factors such as obesity and diabetes remain prevalent in the UK, it is unlikely the considerable burden of this disease will abate. While improvements in survival have been made, over half of patients are not alive after 1 year, therefore further progress in prevention, early detection, and treatment innovation are needed. LAY SUMMARY: Many more people are getting liver cancer, particularly the subtype hepatocellular carcinoma, than 20 years ago. Men in Scotland are most likely to get liver cancer and to die from it. Survival after liver cancer diagnosis is getting longer but still less than half are alive after 1 year.

Indexed as

AAPC, average annual percentage changeAPC, annual percentage changeASMR, age-standardised mortality rateASR, age-standardised incidence rateBASL, British Association for the Study of the LiverDAA, direct-acting antiviralsDCO, death certificate onlyHCC, hepatocellular carcinoma HCV, hepatitis C virusHepatocellular carcinomaICCA, intrahepatic cholangiocarcinomaICD-10, International Classification of Diseases 10th EditionICD-O, International Classification of Diseases for OncologyIncidenceIntrahepatic cholangiocarcinomaMortalityNAFLD, non-alcoholic fatty liver diseaseNCRAS, National Cancer Registration and Analysis ServiceNI, Northern IrelandPLC, primary liver cancerPrimary liver cancerSurvival

Identifiers

PMID33748727
PMCPMC7966867
OpenAlexW3122969443

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.