Evidence map›Paper›PMID 33977089›Full record

ArticleLiver cancer2021

Time-Varying mHAP-III Is the Most Accurate Predictor of Survival in Patients with Hepatocellular Carcinoma Undergoing Transarterial Chemoembolization.

Claudia Campani, Alessandro Vitale, Gabriele Dragoni, Umberto Arena, Giacomo Laffi, Umberto Cillo, Edoardo G Giannini, Francesco Tovoli, Gian Ludovico Rapaccini, Maria Di Marco and 19 more

Open access · goldAbstract read
In one paragraph

Article in Liver cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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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

29 authors at 20 institutions in 1 country.

Claudia CampaniInternal Medicine and Hepatology Unit, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Alessandro VitaleDepartment of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.
Gabriele DragoniInternal Medicine and Hepatology Unit, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Umberto ArenaInternal Medicine and Hepatology Unit, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Giacomo LaffiInternal Medicine and Hepatology Unit, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Umberto CilloDepartment of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.
Edoardo G GianniniGastroenterology Unit, Department of Internal Medicine, University of Genoa, IRCCS Policlinico San Martino, Genoa, Italy.
Francesco TovoliInternal Medicine-Piscaglia Unit, Azienda Ospedaliero-Universitaria S. Orsola-Malpighi, University of Bologna, Bologna, Italy.
Gian Ludovico RapacciniGastroenterology Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Maria Di MarcoMedicine Unit, Bolognini Hospital, Seriate, Italy.
Eugenio CaturelliGastroenterology Unit, Belcolle Hospital, Viterbo, Italy.
Marco ZoliInternal Medicine-Zoli Unit, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Rodolfo SaccoGastroenterology and Digestive Endoscopy Unit, Foggia University Hospital, Foggia, Italy.
Giuseppe CabibboGastroenterology & Hepatology Unit, Department of Health Promotion, Mother & Child Care, Internal Medicine & Medical Specialties, PROMISE, University of Palermo, Palermo, Italy.
Andrea MegaGastroenterology Unit, Bolzano Regional Hospital, Bolzano, Italy.
Maria GuarinoGastroenterology Unit, Department of Clinical Medicine and Surgery, University of Naples "Federico II", Naples, Italy.
Antonio GasbarriniInternal Medicine and Gastroenterology Unit, Policlinico Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy.
Gianluca Svegliati-BaroniLiver Injury and Transplant Unit, and Obesity Center, Polytechnic University of Marche, Ancona, Italy.
Francesco Giuseppe FoschiDepartment of Internal Medicine, Ospedale per gli Infermi di Faenza, Faenza, Italy.
Elisabetta BiasiniInfectious Diseases and Hepatology Unit, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
Alberto MasottoGastroenterology Unit, Ospedale Sacro Cuore Don Calabria, Negrar, Italy.
Gerardo NardoneHepato-Gastroenterology Unit, Department of Clinical Medicine and Surgery, University of Naples "Federico II", Naples, Italy.
Giovanni RaimondoClinical and Molecular Hepatology Unit, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Francesco AzzaroliGastroenterology Unit, Department of Surgical and Medical Sciences, Alma Mater Studiorum - Università of Bologna, Bologna, Italy.
Gianpaolo VidiliDepartment of Medical, Surgical and Experimental Sciences, Sassari, Italy.
Maurizia Rossana BrunettoHepatology and Liver Physiopathology Laboratory and Internal Medicine, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Fabio FarinatiDepartment of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.
Franco TrevisaniDepartment of Medical and Surgical Sciences, Semeiotics Unit, Alma Mater Studiorum-University of Bologna, Bologna, Italy.
Fabio MarraInternal Medicine and Hepatology Unit, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
University of Florence · ITUniversity of Bologna · ITUniversity of Padua · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliera Bolognini Seriate · ITFederico II University Hospital · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITMarche Polytechnic University · ITOspedale di Belcolle · ITOspedale di Bolzano · ITOspedale di Parma · ITOspedale per gli Infermi · ITOspedale Policlinico San Martino · ITOspedale Sacro Cuore Don Calabria · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Foggia · ITUniversity of Messina · ITUniversity of Naples Federico II · ITUniversity of Palermo · ITUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe prognosis of patients undergoing transarterial chemoembolization (TACE) is extremely variable, and a confounding factor is that TACE is often repeated several times. We retrospectively evaluated the accuracy of different prognostic scores and staging systems in estimating overall survival (OS) in patients with hepatocellular carcinoma (HCC).

methodsAn analysis considering prognostic models as time-varying variables was performed, calculating OS from the time of TACE to the time of the subsequent treatment. Total follow-up time for each patient was therefore split into several observation times accounting for each TACE procedure. Values of the likelihood ratio test (LRT) and Akaike information criterion (AIC) were used to compare different systems. Univariable and multivariable analyses were conducted to identify additional factors predictive of OS. We analyzed 1,610 TACE performed in 1,058 patients recorded in the Italian Liver Cancer database from 2008 through 2016.

resultsThe median OS of the enrolled patients was 41 months. According to LRT χ

conclusionAn innovative time-varying analysis revealed that mHAP-III was the most accurate model in predicting OS in patients with HCC undergoing TACE. Other clinical pre- and post-TACE variables were also found to be relevant for this prediction.

Indexed as

ALBI gradeBarcelona Clinic Liver CancerCancer of the Liver Italian ProgramITALICA staging systemMESIAH

Identifiers

PMID33977089
PMCPMC8077424
OpenAlexW3139247911

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.