Evidence map›Paper›PMID 34030131›Full record

GuidelineJournal of the National Comprehensive Cancer Network : JNCCN2021

Hepatobiliary Cancers, Version 2.2021, NCCN Clinical Practice Guidelines in Oncology.

Al B Benson, Michael I D'Angelica, Daniel E Abbott, Daniel A Anaya, Robert Anders, Chandrakanth Are, Melinda Bachini, Mitesh Borad, Daniel Brown, Adam Burgoyne and 26 more

Registry-linked trialOpen access · hybridAbstract readPractice Guideline
PubMed Publisher
In one paragraph

Guideline in Journal of the National Comprehensive Cancer Network : JNCCN, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07558304 (Randomized Clinical Trial of Suprapapillary Drainage With Metal Stent vs. Routine Internal-External Transpapillary Drainage in Patients With Malignant Hilar Biliary Obstruction), which is not on this map. Cited by 620 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
620citing papers in PubMed, 5 pooled it
170.0field-weighted citation impact, top 1% 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.

NCT07558304 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Randomized Clinical Trial of Suprapapillary Drainage With Metal Stent vs. Routine Internal-External Transpapillary Drainage in Patients With Malignant Hilar Biliary Obstruction

TypeinterventionalSponsorHospital de Clinicas de Porto AlegreRan2026 to 2028Enrolled84ConditionsCholangiocarcinoma, Bile Duct Neoplasms, Malignant Biliary ObstructionArmsPercutaneous transpapillary internal-external biliary drainage, Percutaneous suprapapillary biliary drainage with self-expanding metal stent
3 · Its place in the literature

Who cites it

620 citing papers in PubMed, 5 syntheses or guidelines pooled it, 1,009 citations in OpenAlex.

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560 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

36 authors at 20 institutions in 3 countries.

Al B Benson1Robert H. Lurie Comprehensive Cancer Center of Northwestern University.
Michael I D'Angelica2Memorial Sloan Kettering Cancer Center.
Daniel E Abbott3University of Wisconsin Carbone Cancer Center.
Daniel A Anaya4Moffitt Cancer Center.
Robert Anders5The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins.
Chandrakanth Are6Fred & Pamela Buffett Cancer Center.
Melinda Bachini7The Cholangiocarcinoma Foundation.
Mitesh Borad8Mayo Clinic Cancer Center.
Daniel Brown9Vanderbilt-Ingram Cancer Center.
Adam Burgoyne10UC San Diego Moores Cancer Center.
Prabhleen Chahal11Case Comprehensive Cancer Center, University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute.
Daniel T Chang12Stanford Cancer Institute.
Jordan Cloyd13The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute.
Anne M Covey2Memorial Sloan Kettering Cancer Center.
Evan S Glazer14St. Jude Children's Research HospitalThe University of Tennessee Health Science Center.
Lipika Goyal15Massachusetts General Hospital Cancer Center.
William G Hawkins16Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine.
Renuka Iyer17Roswell Park Comprehensive Cancer Center.
Rojymon Jacob18O'Neal Comprehensive Cancer Center at UAB.
R Kate Kelley19UCSF Helen Diller Family Comprehensive Cancer Center.
Robin Kim20Huntsman Cancer Institute at the University of Utah.
Matthew Levine21Abramson Cancer Center at the University of Pennsylvania.
Manisha Palta22Duke Cancer Institute.
James O Park23Fred Hutchinson Cancer Research CenterSeattle Cancer Care Alliance.
Steven Raman24UCLA Jonsson Comprehensive Cancer Center.
Sanjay Reddy25Fox Chase Cancer Center.
Vaibhav Sahai26University of Michigan Rogel Cancer Center.
Tracey Schefter27University of Colorado Cancer Center.
Gagandeep Singh28City of Hope National Medical Center.
Stacey Stein29Yale Cancer Center/Smilow Cancer Hospital.
Jean-Nicolas Vauthey30The University of Texas MD Anderson Cancer Center.
Alan P Venook19UCSF Helen Diller Family Comprehensive Cancer Center.
Adam Yopp31UT Southwestern Simmons Comprehensive Cancer Center; and.
Nicole R McMillian32National Comprehensive Cancer Network.
Cindy Hochstetler32National Comprehensive Cancer Network.
Susan D Darlow32National Comprehensive Cancer Network.
Cancer Institute (WIA) · INUCSF Helen Diller Family Comprehensive Cancer Center · USUniversity of Colorado Denver · USCholangiocarcinoma Foundation · USCity Of Hope National Medical Center · USFox Chase Cancer Center · USFred and Pamela Buffett Cancer CenterFred Hutch Cancer Center · USHarold C. Simmons Comprehensive Cancer CenterJewish Hospital · USKettering University · USMassachusetts General Hospital · USMemorial Sloan Kettering Cancer Center · USMoffitt Cancer Center · USMoores Cancer CenterRobert H. Lurie Comprehensive Cancer Center of Northwestern UniversitySidney Kimmel Comprehensive Cancer Center · USSmilow Cancer Hospital · USStanford Cancer InstituteThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The NCCN Guidelines for Hepatobiliary Cancers focus on the screening, diagnosis, staging, treatment, and management of hepatocellular carcinoma (HCC), gallbladder cancer, and cancer of the bile ducts (intrahepatic and extrahepatic cholangiocarcinoma). Due to the multiple modalities that can be used to treat the disease and the complications that can arise from comorbid liver dysfunction, a multidisciplinary evaluation is essential for determining an optimal treatment strategy. A multidisciplinary team should include hepatologists, diagnostic radiologists, interventional radiologists, surgeons, medical oncologists, and pathologists with hepatobiliary cancer expertise. In addition to surgery, transplant, and intra-arterial therapies, there have been great advances in the systemic treatment of HCC. Until recently, sorafenib was the only systemic therapy option for patients with advanced HCC. In 2020, the combination of atezolizumab and bevacizumab became the first regimen to show superior survival to sorafenib, gaining it FDA approval as a new frontline standard regimen for unresectable or metastatic HCC. This article discusses the NCCN Guidelines recommendations for HCC.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsHumansSorafenibSorafenib

Identifiers

PMID34030131
OpenAlexW3165133969

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.