Evidence map›Paper›PMID 34188156›Full record

Trial reportScientific reports2021

Liver transplantation for hepatocellular carcinoma using grafts from uncontrolled circulatory death donation.

Anisa Nutu, Iago Justo, Alberto Marcacuzco, Óscar Caso, Alejandro Manrique, Jorge Calvo, Álvaro García-Sesma, María García-Conde, María Santos Gallego, Carlos Jiménez-Romero

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Incidental Combined Hepatocellular-Cholangiocarcinoma in Liver Transplant Recipients: A Matched Cohort Study.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  4. Review
  5. Liver Transplantation for Hepatocellular Carcinoma in Patients with Inherited Metabolic Liver Diseases: A Single-Center Analysis.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023
    Article
  6. Review
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

10 authors at 1 institution in 1 country.

Anisa NutuUnit of HPB Surgery and Abdominal Organ Transplantation, "Doce de Octubre" University Hospital. Instituto de Investigación (imas12), Department of Surgery, Faculty of Medicine, 4ª Planta. Ctra Andalucía Km 5,4, 28041, Madrid, Spain.
Iago JustoUnit of HPB Surgery and Abdominal Organ Transplantation, "Doce de Octubre" University Hospital. Instituto de Investigación (imas12), Department of Surgery, Faculty of Medicine, 4ª Planta. Ctra Andalucía Km 5,4, 28041, Madrid, Spain. iagojusto@hotmail.com.
Alberto MarcacuzcoUnit of HPB Surgery and Abdominal Organ Transplantation, "Doce de Octubre" University Hospital. Instituto de Investigación (imas12), Department of Surgery, Faculty of Medicine, 4ª Planta. Ctra Andalucía Km 5,4, 28041, Madrid, Spain.
Óscar CasoUnit of HPB Surgery and Abdominal Organ Transplantation, "Doce de Octubre" University Hospital. Instituto de Investigación (imas12), Department of Surgery, Faculty of Medicine, 4ª Planta. Ctra Andalucía Km 5,4, 28041, Madrid, Spain.
Alejandro ManriqueUnit of HPB Surgery and Abdominal Organ Transplantation, "Doce de Octubre" University Hospital. Instituto de Investigación (imas12), Department of Surgery, Faculty of Medicine, 4ª Planta. Ctra Andalucía Km 5,4, 28041, Madrid, Spain.
Jorge CalvoUnit of HPB Surgery and Abdominal Organ Transplantation, "Doce de Octubre" University Hospital. Instituto de Investigación (imas12), Department of Surgery, Faculty of Medicine, 4ª Planta. Ctra Andalucía Km 5,4, 28041, Madrid, Spain.
Álvaro García-SesmaUnit of HPB Surgery and Abdominal Organ Transplantation, "Doce de Octubre" University Hospital. Instituto de Investigación (imas12), Department of Surgery, Faculty of Medicine, 4ª Planta. Ctra Andalucía Km 5,4, 28041, Madrid, Spain.
María García-CondeUnit of HPB Surgery and Abdominal Organ Transplantation, "Doce de Octubre" University Hospital. Instituto de Investigación (imas12), Department of Surgery, Faculty of Medicine, 4ª Planta. Ctra Andalucía Km 5,4, 28041, Madrid, Spain.
María Santos GallegoService of Radiology, "Doce de Octubre" University Hospital, Madrid, Spain.
Carlos Jiménez-RomeroUnit of HPB Surgery and Abdominal Organ Transplantation, "Doce de Octubre" University Hospital. Instituto de Investigación (imas12), Department of Surgery, Faculty of Medicine, 4ª Planta. Ctra Andalucía Km 5,4, 28041, Madrid, Spain.
Research Institute Hospital 12 de Octubre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Controversy exists regarding whether the rate of hepatocellular carcinoma (HCC) recurrence after orthotopic liver transplantation (OLT) differs when using livers from donation after controlled circulatory death (DCD) versus livers from donation after brain death (DBD). The aim of this cohort study was to analyze rates of HCC recurrence, patient survival, and graft survival after OLT for HCC, comparing recipients of DBD livers (n = 103) with recipients of uncontrolled DCD livers (uDCD; n = 41). No significant differences in tumor size, tumor number, serum alpha-fetoprotein, proportion of patients within Milan criteria, or pre-OLT bridging therapies were identified between groups, although the waitlist period was significantly shorter in the uDCD group (p = 0.040). HCC recurrence was similar between groups. Patient survival was similar between groups, but graft survival was lower in the uDCD group. Multivariate analysis identified recipient age (p = 0.031), pre-OLT bridging therapy (p = 0.024), and HCC recurrence (p = 0.048) as independent risk factors for patient survival and pre-OLT transarterial chemoembolization (p = 0.045) as the single risk factor for HCC recurrence. In conclusion, similar patient survival and lower graft survival were observed in the uDCD group. However, the use of uDCD livers appears to be justified due to a shorter waitlist time, and lower waitlist dropout and HCC recurrence rates.

Indexed as

Brain DeathGraft SurvivalLiver NeoplasmsLiver TransplantationTissue DonorsAdultAge FactorsCarcinoma, HepatocellularFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasm Recurrence, LocalRetrospective StudiesRisk Factors

Identifiers

PMID34188156
PMCPMC8241826
OpenAlexW3176831440

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.