Evidence map›Paper›PMID 33893764›Full record

SynthesisThe Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology2021

Therapeutic Efficacy of Sorafenib in Patients with Hepatocellular Carcinoma Recurrence After Liver Transplantation: A Systematic Review and Meta-Analysis.

Zhao Li, Jie Gao, ShengMin Zheng, Yang Wang, Xiao Xiang, Qian Cheng, Jiye Zhu

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. Sorafenib-Drug Delivery Strategies in Primary Liver Cancer.Journal of functional biomaterials · 2025
    Review
  6. N6-methyladenosine-modified long non-coding RNAWorld journal of gastroenterology · 2024
    Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
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

7 authors.

Zhao LiDepartment of Hepatobiliary Surgery, Peking University People's Hospital, Beijing, China;Peking University Institute for Organ Transplantation, Beijing, China;Beijing Key Laboratory of Liver Cirrhosis and Liver Cancer, Beijing, China.
Jie GaoDepartment of Hepatobiliary Surgery, Peking University People's Hospital, Beijing, China;Peking University Institute for Organ Transplantation, Beijing, China;Beijing Key Laboratory of Liver Cirrhosis and Liver Cancer, Beijing, China.
ShengMin ZhengDepartment of Hepatobiliary Surgery, Peking University People's Hospital, Beijing, China;Peking University Institute for Organ Transplantation, Beijing, China;Beijing Key Laboratory of Liver Cirrhosis and Liver Cancer, Beijing, China.
Yang WangDepartment of Hepatobiliary Surgery, Peking University People's Hospital, Beijing, China;Peking University Institute for Organ Transplantation, Beijing, China;Beijing Key Laboratory of Liver Cirrhosis and Liver Cancer, Beijing, China.
Xiao XiangDepartment of Hepatobiliary Surgery, Peking University People's Hospital, Beijing, China;Peking University Institute for Organ Transplantation, Beijing, China;Beijing Key Laboratory of Liver Cirrhosis and Liver Cancer, Beijing, China.
Qian ChengDepartment of Hepatobiliary Surgery, Peking University People's Hospital, Beijing, China;Peking University Institute for Organ Transplantation, Beijing, China;Beijing Key Laboratory of Liver Cirrhosis and Liver Cancer, Beijing, China.
Jiye ZhuDepartment of Hepatobiliary Surgery, Peking University People's Hospital, Beijing, China;Peking University Institute for Organ Transplantation, Beijing, China;Beijing Key Laboratory of Liver Cirrhosis and Liver Cancer, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatocellular carcinoma (HCC) recurrence is still threatening patient survival after liver transplantation (LT). The efficacy and safety of sorafenib in the setting of post-LT recurrence are still equivocal. This study aims to disclose the efficacy and safety profile of sorafenib in treating post-LT HCC recurrence. MATERIALS AND

methodsElectronic databases were searched to retrieve relevant publications suitable for inclusion. Data from 23 studies containing 411 patients were analyzed. The primary outcome of interest was 1-year survival rate after sorafenib treatment, and the secondary endpoints included median overall survival (OS), time to progression (TTP), treatment response, and adverse events.

resultsPatients with HCC recurrence after LT treated with sorafenib achieved a 1-year survival rate of 56.8%, with a median OS of 12.8 months and a median TTP of 6.0 months. Univariate logistic regression analysis showed that male gender (P = .048), TTP (P = .021), median duration of sorafenib (P = .021), diarrhea (P = .027), fatigue (P = .044), and partial response (P = .026) were associated with a better 1-year survival rate. In addition, sorafenib exerted a significant superior effect on OS compared with best supportive care in the setting of untreatable post-LT HCC recurrence.

conclusionsBased on the results of this meta-analysis, sorafenib therapy seems to be safe and feasible and exhibits survival benefit in patients with post-LT HCC recurrence. However, prospective randomized controlled trials with larger sample sizes and more rigorous study design are required to confirm the efficacy of sorafenib.

Indexed as

Antineoplastic AgentsCarcinoma, HepatocellularLiver NeoplasmsNeoplasm Recurrence, LocalSorafenibHumansLiver TransplantationProspective StudiesTreatment OutcomeAntineoplastic AgentsSorafenib

Identifiers

PMID33893764
PMCPMC8975512

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.