Evidence map›Paper›PMID 33761026›Full record

ArticleInternational journal of clinical oncology2021

Clinical usefulness of cell-free and concentrated ascites reinfusion therapy (CART) in combination with chemotherapy for malignant ascites: a post-marketing surveillance study.

Ken Ishitani, Ayako Isoai, Tetsuya Ito, Hiroshi Sugiyama, Atsushi Arakawa, Yosuke Yamada, Hirokazu Onodera, Ryosuke Kobayashi, Naoko Torii, Noriko Soneda and 4 more

Abstract read
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In one paragraph

Article in International journal of clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Occurrence of fever in cell-free and concentrated ascites reinfusion therapy is not related to the primary disease or nature of ascites.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2024
    Article
  4. Advances in the treatment of malignant ascites in China.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Review
  5. Review
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

14 authors at 6 institutions in 1 country.

Ken IshitaniDepartment of Gynecology, Kitasato University Kitasato Institute Hospital, 5-9-1, Shirokane, Minato-ku, Tokyo, 108-8642, Japan. ishitani@insti.kitasato-u.ac.jp.ORCID http://orcid.org/0000-0001-5647-5820
Ayako IsoaiBlood Purification Division, Asahi Kasei Medical Co., Ltd, Tokyo, Japan.
Tetsuya ItoDepartment of Palliative Care, Japanese Red Cross Medical Center, Tokyo, Japan.
Hiroshi SugiyamaDepartment of Gastroenterology, Kizawa Memorial Hospital, Gifu, Japan.
Atsushi ArakawaDepartment of Obstetrics and Gynecology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Yosuke YamadaDivision of Nephrology, Shinshu University Hospital, Nagano, Japan.
Hirokazu OnoderaBlood Purification Division, Asahi Kasei Medical Co., Ltd, Tokyo, Japan.
Ryosuke KobayashiBlood Purification Division, Asahi Kasei Medical Co., Ltd, Tokyo, Japan.
Naoko ToriiBlood Purification Division, Asahi Kasei Medical Co., Ltd, Tokyo, Japan.
Noriko SonedaBlood Purification Division, Asahi Kasei Medical Co., Ltd, Tokyo, Japan.
Yoshihiro MatsunoBlood Purification Division, Asahi Kasei Medical Co., Ltd, Tokyo, Japan.
Taiju UtsugisawaDepartment of Transfusion Medicine and Cell Processing, Tokyo Women's Medical University, Tokyo, Japan.
Michio KatoKato Michio Clinic of Liver Diseases, Hyogo, Japan.
Norio HanafusaDepartment of Blood Purification, Tokyo Women's Medical University, Tokyo, Japan.
Asahi Kasei (Japan) · JPTokyo Women's Medical University · JPAizawa Hospital · JPJapanese Red Cross Medical Center · JPNagoya City University · JPShinshu University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCell-free and concentrated ascites reinfusion therapy (CART) has been suggested to be able to treat malignant ascites more safely and effectively with chemotherapy because of its ability to retain serum protein and albumin. Although the characteristics of cancer types and CART and the clinical implications of combination therapy with antitumor agents are becoming widespread, there are limited reports on its efficacy and complications.

methodsIn this prospective observational national post-marketing study, 128 patients with malignancies received 300 CART sessions at 22 centers. After excluding other malignancies, the patients were divided into four groups: gynecological malignancies with chemotherapy (GYC+; 18 cases and 36 times) and without chemotherapy (GYC-; 35 cases and 52 times), and gastrointestinal malignancies with chemotherapy (GIC+; 8 cases and 16 times) and without chemotherapy (20 cases and 58 times).

resultsThere were significant reductions in the body weight in all groups and significant reductions in abdominal circumference and significant improvements in the diet and Eastern Cooperative Oncology Group performance status only in the GYC+ group. The total serum protein and albumin increased significantly in all groups, except for the GIC+ group, before and after CART. There was no significant difference in the presence or absence of antitumor medication.

conclusionWith CART, there were differences in the improvement of the clinical symptoms between malignancy groups. The combination of CART and antineoplastic agents may be as safe as CART alone in cases of exudative malignant ascites.

Indexed as

AscitesCell-free and concentrated ascites reinfusion therapyGynecological malignancy

Identifiers

PMID33761026
OpenAlexW3139192391

What OpenQuestion holds

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Registered trials

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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.