Evidence map›Paper›PMID 34403527›Full record

ArticleJournal of clinical laboratory analysis2021

The prognostic values of serum markers in hepatocellular carcinoma after invasive therapies based on real-world data.

Bo Li, Aixia Liu, Yi Wen, Guang Yang, Jing Zhao, Xiaohan Li, Yuanli Mao, Boan Li

Abstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

8 authors.

Bo LiDepartment of Clinical Laboratory, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Aixia LiuDepartment of Clinical Laboratory, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.ORCID https://orcid.org/0000-0001-8017-055X
Yi WenDepartment of Clinical Laboratory, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Guang YangDepartment of Clinical Laboratory, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Jing ZhaoDepartment of Clinical Laboratory, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Xiaohan LiDepartment of Clinical Laboratory, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Yuanli MaoDepartment of Clinical Laboratory, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Boan LiDepartment of Clinical Laboratory, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.

Funding

Capital Characteristic Clinic Project in China Z171100001017180National key S&T Special Projects in China 2017ZX10302201-001-006
6 · The paper itself

Abstract

BACKGROUND AND

aimsHepatocellular carcinoma (HCC) is one of the most common malignancy with poor prognosis, and the mortality rate remains high. More than 70% of HCC patients have recurrence within 5 years after treatment. The purpose of this study is to evaluate the prognostic values of serum markers with retrospective data.

methodsWe applied real-world data (RWD) to analyze the prognostic values of six serum markers for HCC patients after treatment, including α-fetoprotein (AFP), α-fetoprotein-L3 (AFP-L3), Golgi protein73 (GP73), alanine aminotransferase (ALT), albumin (ALB), and total bilirubin (TBil). A total of 268 cases were enrolled to analyze recurrence-free survival (RFS), and 104 cases were used to analyze overall survival (OS).

resultsOur results demonstrated that patients with higher AFP and AFP-L3 had shorter RFS (p = 0.016 and 0.004), while higher GP73, ALT, and TBil experienced longer RFS (p = 0.000, 0.020, and 0.019). Patients with high-level GP73, ALT, TBil, and low-level ALB had significantly higher mortality rate (p=0.035, 0.008, 0.010, and 0.005). Multivariate analysis revealed that GP73 (HR = 1.548, p = 0.001) and ALT (HR = 1.316, p = 0.046) were identified as independent prognostic factors for RFS, ALB (HR = 0.127, p = 0.007), and ALT (HR = 0.237, p = 0.01) were identified as independent prognostic factors for OS. Subgroups analysis showed that GP73 had better prognostic values than other serum markers in early-stage HCC (p = 0.023).

conclusionsOur study demonstrates that AFP, AFP-L3, and GP73 can be used as prognostic indicators for predicting the recurrence of HCC, while liver function tests have better survival prediction values. GP73 can act as a promising prognostic marker for early-stage HCC.

Indexed as

AdultAgedAged, 80 and overAlanine Transaminasealpha-FetoproteinsBiomarkers, TumorCarcinoma, HepatocellularCombined Modality TherapyFemaleFollow-Up StudiesHumansLiver Function TestsLiver NeoplasmsMaleMiddle AgedNeoplasm Recurrence, LocalAFP protein, humanAlanine Transaminasealpha-FetoproteinsBiomarkers, Tumorhepatocellular carcinomaoverall survivalreal-world datarecurrence-free survivaltumor biomarkers

Identifiers

PMID34403527
PMCPMC8418514

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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.