Evidence map›Paper›PMID 34080071›Full record

ArticleEJNMMI research2021

Prognostic value of baseline interleukin 6 levels in liver decompensation and survival in HCC patients undergoing radioembolization.

Osman Öcal, Juozas Kupčinskas, Egidijus Morkunas, Holger Amthauer, Kerstin Schütte, Peter Malfertheiner, Heinz Josef Klümpen, Christian Sengel, Julia Benckert, Ricarda Seidensticker and 6 more

Open access · goldAbstract read
In one paragraph

Article in EJNMMI research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 19 citations in OpenAlex.

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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

16 authors at 8 institutions in 5 countries.

Osman ÖcalDepartment of Radiology, University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany.
Juozas KupčinskasInstitute for Digestive Research and Department of Gastroenterology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Egidijus MorkunasInstitute for Digestive Research and Department of Gastroenterology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Holger AmthauerDepartment of Nuclear Medicine, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Kerstin SchütteDepartment of Internal Medicine and Gastroenterology, Niels-Stensen-Kliniken Marienhospital, Osnabrück, Germany.
Peter MalfertheinerDepartment of Internal Medicine II, University Hospital, LMU Munich, Munich, Germany.
Heinz Josef KlümpenDepartment of Medical Oncology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, the Netherlands.
Christian SengelRadiology Department, Grenoble University Hospital, La Tronche, France.
Julia BenckertDepartment of Hepatology and Gastroenterology, Charité - Universitätsmedizin Berlin, Campus Virchow Klinikum, Berlin, Germany.
Ricarda SeidenstickerDepartment of Radiology, University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany.
Bruno SangroLiver Unit, Clínica Universidad de Navarra, Pamplona, Spain.
Moritz WildgruberDepartment of Radiology, University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany.
Maciej PechDepartments of Radiology and Nuclear Medicine, University of Magdeburg, Magdeburg, Germany.
Peter BartensteinDepartment of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany.
Jens RickeDepartment of Radiology, University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany.
Max SeidenstickerDepartment of Radiology, University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany. max.seidensticker@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-2481-5410
LMU Klinikum · DECharité - Universitätsmedizin Berlin · DELithuanian University of Health Sciences · LTAmsterdam University Medical Centers · NLCentre Hospitalier Universitaire de Grenoble · FRClinica Universidad de Navarra · ESMarienhospital Osnabrück · DEUniversity Hospital Magdeburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo confirm the prognostic value of previously published baseline interleukin 6 (IL6) and IL8 cutoff values in survival and liver dysfunction in patients with advanced HCC undergoing

methodsA total of 83 patients (77 male) represented a subset of HCC patients undergoing

resultsMedian OS was 12.0 months. While low baseline albumin and high bilirubin values were associated with high IL6, liver cirrhosis, alcoholic liver disease, and portal vein infiltration were associated with high IL8. In univariate analysis, high baseline IL6 and IL8 were associated with significantly shorter overall survival (7.8 vs. 19.0 months for IL6 and 8.4 vs. 16.0 months for IL8). In addition to IL values, liver cirrhosis, Child-Pugh grade, baseline albumin (< 36 g/dL), and total bilirubin (≥ 17 µmol/L), and higher mALBI grade (2b &3) values were associated with OS. At multivariate analysis, high baseline IL6 was the only independent prognostic factor for OS (HR 2.35 [1.35-4.1], p = 0.002). Risk factors for liver dysfunction were high baseline IL6, albumin, and total bilirubin, and mALBI grade as found in univariate analysis. High baseline IL6 (HR 2.67 [1.21-5.94], p = 0.016) and total bilirubin ≥ 17 µmol/L (HR 3.73 [1.72-8.06], p < 0.001) were independently associated with liver dysfunction.

conclusionIn advanced HCC patients receiving

Indexed as

Hepatocellular carcinomaInterleukinLiver decompensationRadioembolizationSurvival

Identifiers

PMID34080071
PMCPMC8172845
OpenAlexW3165548667

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.