Evidence map›Paper›PMID 34419064›Full record

ArticleWorld journal of surgical oncology2021

Clinical application of gelatin sponge microparticles combined with pirarubicin for hepatic transcatheter arterial chemoembolization in breast cancer liver metastasis treatment: results of a single-center long-term study.

Guang Sheng Zhao, Song Liu, Ying Liu, Jian Ma, Ruo Yu Wang, Jie Bian, Jun Zhou, Jian Lin Wu, Yue Wei Zhang

Open access · goldAbstract read
In one paragraph

Article in World journal of surgical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
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

9 authors at 4 institutions in 1 country.

Guang Sheng Zhao *Interventional Medicine Center, Affiliated Zhongshan Hospital of Dalian University, No. 6 Jie Fang Street, Dalian, 116001, Liaoning Province, China.
Song Liu *Interventional Medicine Center, Linyi Cancer Hospital, 6 East Lingyuan Street, Linyi, 276001, Shandong Province, China.
Ying LiuHepatobiliary and Pancreatic Center, Beijing Tsinghua Changgung Hospital, 168 Litang Road, Beijing, 102218, Changping District, China.
Jian MaInterventional Medicine Center, Affiliated Zhongshan Hospital of Dalian University, No. 6 Jie Fang Street, Dalian, 116001, Liaoning Province, China.
Ruo Yu WangCancer Treatment Center, Affiliated Zhongshan Hospital of Dalian University, No. 6 Jiefang Street, Dalian, 116001, Liaoning Province, China.
Jie BianMedical Imaging Center, The Second Hospital of Dalian Medical University, No. 467 Zhongshan Raod, Shahekou District, Dalian, 116044, Liaoning Province, China.
Jun Zhou *Interventional Medicine Center, Affiliated Zhongshan Hospital of Dalian University, No. 6 Jie Fang Street, Dalian, 116001, Liaoning Province, China. zhoujun_doc@163.com.
Jian Lin Wu *Medical Imaging Center, Affiliated Zhongshan Hospital of Dalian University, No. 6 Jie Fang Street, Dalian, 116001, Liaoning Province, China. drwulinjian@126.com.
Yue Wei Zhang *Hepatobiliary and Pancreatic Center, Beijing Tsinghua Changgung Hospital, 168 Litang Road, Beijing, 102218, Changping District, China. yueweizhangdr@126.com.
Affiliated Zhongshan Hospital of Dalian University · CNBeijing Tsinghua Chang Gung Hospital · CNLinyi People's Hospital · CNSecond Affiliated Hospital of Dalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo retrospectively analyze the safety and long-term clinical efficacy of gelatin sponge microparticles combined with the chemotherapy drug pirarubicin for hepatic transcatheter arterial chemoembolization (GSMs-TACE) in order to treat breast cancer liver metastasis (BCLM).

methodsTwenty-seven BCLM patients who underwent GSMs-TACE from July 2010 to July 2016 were enrolled. Tumor target blood vessels were slowly and regionally embolized with absorbable gelatin sponge particles and pirarubicin injections. Plain computed tomography (CT) scans and biochemical indexes were re-examined at 4 days after treatment, and enhanced CT scans or magnetic resonance images and biochemical indexes, 1 month later. For patients with stable tumors, the follow-up period was 2 to 3 months, and the tumor response was evaluated using Modified Response Evaluation Criteria in Solid Tumors. Adverse reactions, survival time, and prognostic factors were assessed.

resultsBy October 2019, 27 patients with BCLM had undergone GSMs-TACE, with an average of 2.44 ± 1.58 treatments. The 1-, 3-, and 5-year survival rates were 62.96%, 22.22%, and 14.81%, respectively, and the mOS was 22.0 months. No serious complications, such as acute liver failure and liver abscess, had occurred. There were two cases of acute cholecystitis that recovered after symptomatic treatment. Multivariate analysis of the prognosis showed that the primary tumor size, number of metastatic lymph nodes, estrogen receptor/progesterone receptor (ER/PR) status, and time to postoperative liver metastasis and combination therapy were statistically significant.

conclusionsThe overall prognosis of BCLM was poor. GSMs-TACE was safe and effective for BCLM treatment and could prolong the median survival time of patients. Therefore, it is worthy of widespread clinical application.

Indexed as

Breast NeoplasmsCarcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsDoxorubicinFemaleGelatinHumansPrognosisRetrospective StudiesDoxorubicinGelatinpirarubicinBreast tumorEfficacyGelatin sponge microparticlesLiver metastasisTACE

Identifiers

PMID34419064
PMCPMC8380398
OpenAlexW3193910999

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.