Evidence map›Paper›PMID 34239809›Full record

ArticleLiver cancer2021

Real-World Data on Clinical Outcomes of Patients with Liver Cancer: A Prospective Validation of the National Cancer Centre Singapore Consensus Guidelines for the Management of Hepatocellular Carcinoma.

Xin Hui Chew, Rehena Sultana, Eshani N Mathew, David Chee Eng Ng, Richard H G Lo, Han Chong Toh, David Tai, Su Pin Choo, Brian Kim Poh Goh, Sean Xuexian Yan and 21 more

Abstract 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.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

31 authors.

Xin Hui ChewDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Rehena SultanaCenter of Quantitative Medicine, Duke-NUS Graduate Medical School, Singapore, Singapore.
Eshani N MathewDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
David Chee Eng NgDepartment of Nuclear Medicine & Molecular Imaging, Singapore General Hospital, Singapore, Singapore.
Richard H G LoDepartment of Vascular and Interventional Radiology, Singapore General Hospital, Singapore, Singapore.
Han Chong TohDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
David TaiDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Su Pin ChooDivision of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Brian Kim Poh GohDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Sean Xuexian YanDepartment of Nuclear Medicine & Molecular Imaging, Singapore General Hospital, Singapore, Singapore.
Kelvin Siu Hoong LokeDepartment of Nuclear Medicine & Molecular Imaging, Singapore General Hospital, Singapore, Singapore.
Sue Ping ThangDepartment of Nuclear Medicine & Molecular Imaging, Singapore General Hospital, Singapore, Singapore.
Apoorva GognaDepartment of Vascular and Interventional Radiology, Singapore General Hospital, Singapore, Singapore.
Nanda Karaddi VenkatanarasimhaDepartment of Vascular and Interventional Radiology, Singapore General Hospital, Singapore, Singapore.
Aaron K T TongDepartment of Nuclear Medicine & Molecular Imaging, Singapore General Hospital, Singapore, Singapore.
Fiona N N MoeDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Jacelyn S S ChuaDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Reiko W T AngDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Aldwin D OngDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Ashley W Y NgDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Marjorie T Q HoangDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Chow Wei TooDepartment of Vascular and Interventional Radiology, Singapore General Hospital, Singapore, Singapore.
Choon Hua ThngDivision of Oncologic Imaging, National Cancer Centre Singapore, Singapore, Singapore.
Wan Ying ChanDivision of Oncologic Imaging, National Cancer Centre Singapore, Singapore, Singapore.
Wanyi KeeDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Jaclyn H M ChanDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Farah IraniDepartment of Vascular and Interventional Radiology, Singapore General Hospital, Singapore, Singapore.
Sum LeongDepartment of Vascular and Interventional Radiology, Singapore General Hospital, Singapore, Singapore.
Kiat Hon LimDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, Singapore.
Michael L C WangDepartment of Radiation Oncology, National Cancer Centre, Singapore, Singapore.
Pierce K H ChowDepartment of Hepatopancreatobiliary and Transplantation Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionReal-world management of patients with hepatocellular carcinoma (HCC) is crucially challenging in the current rapidly evolving clinical environment which includes the need for respecting patient preferences and autonomy. In this context, regional/national treatment guidelines nuanced to local demographics have increasing importance in guiding disease management. We report here real-world data on clinical outcomes in HCC from a validation of the Consensus Guidelines for HCC at the National Cancer Centre Singapore (NCCS).

methodWe evaluated the NCCS guidelines using prospectively collected real-world data, comparing the efficacy of treatment received using overall survival (OS) and progression-free survival (PFS). Treatment outcomes were also independently evaluated against 2 external sets of guidelines, the Barcelona Clinic Liver Cancer (BCLC) and Hong Kong Liver Cancer (HKLC).

resultsOverall treatment compliance to the NCCS guidelines was 79.2%. Superior median OS was observed in patients receiving treatment compliant with NCCS guidelines for early (nonestimable vs. 23.5 months

conclusionThe high overall compliance rate and satisfactory clinical outcomes of patients managed according to the NCCS guidelines confirm its validity. This validation using real-world data considers patient and treating clinician preferences, thus providing a realistic analysis of the usefulness of the NCCS guidelines when applied in the clinics.

Indexed as

Hepatocellular carcinomaLiver cancerPractice guidelinesReal-world data

Identifiers

PMID34239809
PMCPMC8237792

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.