Evidence map›Paper›PMID 34293849›Full record

ArticleClinical and molecular hepatology2021

Impact of everolimus on survival after liver transplantation for hepatocellular carcinoma.

Incheon Kang, Jae Geun Lee, Sung Hoon Choi, Hyun Jeong Kim, Dai Hoon Han, Gi Hong Choi, Myoung Soo Kim, Jin Sub Choi, Soon Il Kim, Dong Jin Joo

Open access · goldAbstract read
In one paragraph

Article in Clinical and molecular hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
5.4field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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  6. Genetic alterations are related to clinicopathological features and risk of recurrence/metastasis of hepatocellular carcinoma.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Incheon KangDepartment of Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
Jae Geun LeeDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Sung Hoon ChoiDepartment of Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
Hyun Jeong KimDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Dai Hoon HanDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Gi Hong ChoiDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Myoung Soo KimDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Jin Sub ChoiDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Soon Il KimDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Dong Jin JooDepartment of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Yonsei University · KRCHA University Bundang Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsThis study aimed to investigate whether everolimus (EVR) affects long-term survival after liver transplantation (LT) in patients with hepatocellular carcinoma (HCC).

methodsThe data from 303 consecutive patients with HCC who had undergone LT from January 2012 to July 2018 were retrospectively reviewed. The patients were divided into two groups: 1) patients treated with EVR in combination with calcineurin inhibitors (CNIs) (EVR group; n=114) and 2) patients treated with CNI-based therapy without EVR (non-EVR group; n=189). Time to recurrence (TTR) and overall survival (OS) after propensity score (PS) matching were compared between the groups, and prognostic factors for TTR and OS were evaluated.

resultsThe EVR group exhibited more aggressive tumor biology than the non-EVR group, such as a higher number of tumors (P=0.003), a higher prevalence of microscopic vascular invasion (P=0.017) and exceeding Milan criteria (P=0.029). Compared with the PS-matched non-EVR group, the PS-matched EVR group had significantly better TTR (P<0.001) and OS (P<0.001). In multivariable analysis, EVR was identified as an independent prognostic factor for TTR (hazard ratio [HR], 0.248; P=0.001) and OS (HR, 0.145; P<0.001).

conclusionCombined with CNIs, EVR has the potential to prolong long-term survival in patients undergoing LT for HCC. These findings warrant further investigation in a well-designed prospective study.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsLiver TransplantationEverolimusHumansImmunosuppressive AgentsNeoplasm Recurrence, LocalProspective StudiesRetrospective StudiesEverolimusImmunosuppressive AgentsHepatocellular carcinomaImmunosuppressionLiver transplantationRecurrenceSurvival

Identifiers

PMID34293849
PMCPMC8524068
OpenAlexW3183695647

What OpenQuestion holds

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LicenceCC BY-NC
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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.