Evidence map›Paper›PMID 33850865›Full record

ArticleAnnals of translational medicine2021

Development of a predictive nomogram for early recurrence of hepatocellular carcinoma in patients undergoing liver transplantation.

Ensi Ma, Jianhua Li, Hao Xing, Ruidong Li, Conghuan Shen, Quanbao Zhang, Zhenyu Ma, Yifeng Tao, Lunxiu Qin, Jing Zhao and 1 more

Abstract read
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Article in Annals of translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

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9citing 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

9 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Ensi MaDepartment of General Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Jianhua LiDepartment of General Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Hao XingDepartment of General Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Ruidong LiDepartment of General Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Conghuan ShenDepartment of General Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Quanbao ZhangDepartment of General Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Zhenyu MaDepartment of General Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Yifeng TaoDepartment of General Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Lunxiu QinDepartment of General Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Jing ZhaoDepartment of General Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Zhengxin WangDepartment of General Surgery, Huashan Hospital, Fudan University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn individual prognostic model that includes inflammation caused by the delayed recovery of liver function after surgery for the early recurrence of hepatocellular carcinoma (HCC) following liver transplantation (LT) has not been well determined. Our aim was to develop a nomogram model for predicting individual survival and early recurrence following LT for patients.

methodsRetrospective data, including clinical pathology and follow-up data, on HCC patients were collected between October 2016 and October 2019 at Huashan Hospital Affiliated to Fudan University. A nomogram estimating recurrence post-transplantation was constructed using multivariate Cox regression analysis.

resultsA total of 210 patients were included in the present study. The multivariate estimators of recurrence consisted of age, maximum tumor diameter, tumor thrombus, microvascular invasion (MVI), alanine aminotransferase and alpha-fetoprotein on postoperative day 7. Nomogram of recurrence-free survival was developed. The calibration and discrimination of the novel model were assessed with the calibration curves and concordance index (C-index). Its reliability and advantages were evaluated by comparing it with the conventional American Joint Committee on Cancer (AJCC) 8th edition staging system using integrated discrimination improvement (IDI) and net reclassification improvement (NRI). In comparison to the AJCC 8th edition staging system, the C-index (development set: 0.796

conclusionsThe nomogram, based on clinical and pathological factors, showed good accuracy in estimating prognostic recurrence and can be used to guide individual patient follow-up and treatment.

Indexed as

hepatocellular carcinoma (HCC)Liver transplantation (LT)prognosis

Identifiers

PMID33850865
PMCPMC8039665

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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.