Evidence map›Paper›PMID 33955600›Full record

ArticleJournal of veterinary internal medicine2021

Drug-eluting bead chemoembolization for the treatment of nonresectable hepatic carcinoma in dogs: A prospective clinical trial.

Cleo P Rogatko, Chick Weisse, Tobias Schwarz, Allyson C Berent, Marcio A Diniz

Abstract readClinical Trial, Veterinary
In one paragraph

Article in Journal of veterinary internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

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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

5 authors.

Cleo P RogatkoThe Animal Medical Center, New York, New York, USA.ORCID https://orcid.org/0000-0003-3789-9972
Chick WeisseThe Animal Medical Center, New York, New York, USA.ORCID https://orcid.org/0000-0001-5202-9962
Tobias SchwarzRoyal (Dick) School of Veterinary Studies, The University of Edinburgh, Roslin, United Kingdom.ORCID https://orcid.org/0000-0001-8412-573X
Allyson C BerentThe Animal Medical Center, New York, New York, USA.
Marcio A DinizCedars-Sinai Medical Center, Los Angeles, California, USA.

Funding

NORD grant
6 · The paper itself

Abstract

backgroundEffective treatment options for nonresectable hepatic carcinoma (HC) in dogs are limited. HYPOTHESIS/

objectiveObjectives were to report outcomes, complications, and tumor responses via computed tomography (CT) assessment after drug-eluting bead transarterial chemoembolization (DEB-TACE) for nonresectable HC in dogs. The authors hypothesized that major complications would be uncommon and short-term CT assessment would demonstrate stable disease or partial response. ANIMALS: Client-owned dogs (n = 16) with nonresectable HC.

methodsProspective, single-arm clinical trial. Drug-eluting bead transarterial chemoembolization was performed to varying levels of blood flow stasis. Computed tomography imaging was compared before and approximately 12 weeks after initial treatment.

resultsDrug-eluting bead transarterial chemoembolization was successfully administered in all attempts. Based on percent change in elliptical tumor volume response (mL), stable disease (8/13; 62%) was the most common outcome followed by partial response (3/13; 23%) and progressive disease (2/13; 15%) with a median of 74 days (range, 39-125) after initial treatment. Median tumor volume (mL) after DEB-TACE decreased in volume by 13% (range, 56% decrease to 77% increase). Mild complications consistent with postembolization syndrome occurred after 7/27 (26%) treatments. Major complications occurred after 3/27 (11%) treatments: hepatic abscess/septicemia (2) and cholecystitis/death (1), resulting in treatment-induced death after 2/27 (7%) treatments. Median survival time after treatment was 337 days (range, 22-1061). Dogs with a presenting complaint of weight loss (P = .02) had a significantly shorter median survival time (126 days; range, 46-337) than those dogs without prior history of weight loss (582 days; range, 22-1061).

conclusionsDrug-eluting bead transarterial chemoembolization for nonresectable HC is a feasible procedure, which promoted stable disease or partial response in 85% of dogs in this study sample.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticDog DiseasesLiver NeoplasmsPharmaceutical PreparationsAnimalsDogsDoxorubicinProspective StudiesTreatment OutcomeDoxorubicinPharmaceutical PreparationsDEBdoxorubicininterventional radiologyliverTACE

Identifiers

PMID33955600
PMCPMC8162590

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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.