Evidence map›Paper›PMID 33849485›Full record

ArticleBMC cancer2021

A new risk-stratification system for hepatoblastoma in children under six years old and the significance for prognosis evaluation-a 14-year retrospective study from a single center.

Tian Zhi, Wei-Ling Zhang, Yi Zhang, Hui-Min Hu, Yi-Zhuo Wang, Dong-Sheng Huang

Abstract read
In one paragraph

Article in BMC cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Tian Zhi *Department of Pediatrics, Beijing Tongren Hospital Capital Medical University, No. 1 Dongjiaominxiang, Dongcheng District, Beijing, 100730, China.
Wei-Ling Zhang *Department of Pediatrics, Beijing Tongren Hospital Capital Medical University, No. 1 Dongjiaominxiang, Dongcheng District, Beijing, 100730, China.
Yi ZhangDepartment of Pediatrics, Beijing Tongren Hospital Capital Medical University, No. 1 Dongjiaominxiang, Dongcheng District, Beijing, 100730, China.
Hui-Min HuDepartment of Pediatrics, Beijing Tongren Hospital Capital Medical University, No. 1 Dongjiaominxiang, Dongcheng District, Beijing, 100730, China.
Yi-Zhuo WangDepartment of Pediatrics, Beijing Tongren Hospital Capital Medical University, No. 1 Dongjiaominxiang, Dongcheng District, Beijing, 100730, China.
Dong-Sheng HuangDepartment of Pediatrics, Beijing Tongren Hospital Capital Medical University, No. 1 Dongjiaominxiang, Dongcheng District, Beijing, 100730, China. huamgdomgshemg@163.com.

Funding

the Special Fund of The Pediatric Medical Coordinated Development Center of Beijing Municipal Administration of Hospitals XTZD20180203
6 · The paper itself

Abstract

backgroundThis study explores and analyzes the clinical characteristics and prognostic factors of hepatoblastoma (HB) in children under 6 years old and establishes a new risk-stratification system for individualized therapy.

methodsThe clinical data of 382 pediatric patients under 6 years old (231 males and 151 females) who had been diagnosed with HB by pathology between May 2005 and May 2019 were collected. By analyzing the risk factors influencing the survival rate of patients with HB, a new risk-stratification system was established, and it was compared with previous risk-stratification systems by a receiver operating characteristic (ROC) curve.

results(1) According to a Kaplan-Meier survival analysis, the one-year, three-year, and five-year overall survival (OS) was 93.7, 84.0, and 73.9%, respectively, and the event-free survival (EFS) was 90.5, 79.2, and 67.5%, respectively. (2) The independent risk factors influencing prognosis in pediatric patients with HB were alpha-fetoprotein (AFP) < 100 ng/ml or > 1000 ng/ml (HR = 3.341, P = 0.005); platelet count > 400 × 10

conclusionThis new risk-stratification system had a better predictive value for the prognosis of pediatric patients with HB than other stratification systems.

Indexed as

Age FactorsBiomarkers, TumorChild, PreschoolClinical Decision-MakingCombined Modality TherapyDisease ManagementFemaleHepatoblastomaHumansInfantKaplan-Meier EstimateLiver NeoplasmsMaleNeoplasm GradingNeoplasm StagingPrognosisBiomarkers, TumorAFPChemotherapyChildrenHepatoblastomaPRETEXT staging systemPrognosisRisk factor

Identifiers

PMID33849485
PMCPMC8042704

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