Evidence map›Paper›PMID 34522376›Full record

ArticleAnnals of medicine and surgery (2012)2021

Effects of surgery, chemotherapy, and radiation on hepatocellular carcinoma patients: A SEER-based study.

Kaif Qayum, Irfan Kar, Usman Rashid, Ghulam Nawaz, Praveena Krishnakumar, Veena Sudarshan, Aliraza Syed

Open access · diamondAbstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Kaif QayumDepartment of General Surgery, Hereford County Hospital, Wye Valley NHS Trust, Hereford, Herefordshire, UK.
Irfan KarDepartment of General Surgery, Hereford County Hospital, Wye Valley NHS Trust, Hereford, Herefordshire, UK.
Usman RashidDepartment of Medicine, Hereford County Hospital, Wye Valley NHS Trust, Hereford, Herefordshire, UK.
Ghulam NawazDepartment of General Surgery, Hereford County Hospital, Wye Valley NHS Trust, Hereford, Herefordshire, UK.
Praveena KrishnakumarDepartment of General Surgery, Hereford County Hospital, Wye Valley NHS Trust, Hereford, Herefordshire, UK.
Veena SudarshanUniversity of Buckingham Medical School, Buckingham, Buckinghamshire, UK.
Aliraza SyedUniversity of Buckingham Medical School, Buckingham, Buckinghamshire, UK.
County Hospital · GBUniversity of Buckingham · GBWye Valley NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatocellular carcinoma (HCC) is a major global health issue, accounting for 75%-85% of primary liver cancer cases. HCC has huge molecular heterogeneity, and the treatment varies among the patients. The aim of this study is assess the effect of surgery, chemotherapy, and radiation on the mortality risk in hepatocellular carcinoma (HCC) patients.

methodsA retrospective cohort study, obtaining HCC patients' data from the Surveillance, Epidemiology, and End Results (SEER) database. The analyses were conducted using the SPSS software. We investigated the effect of surgery, chemotherapy, and radiation on the mortality risk factors using the Kaplan-Meier and the Cox regression tests in the univariate and multivariate analyses.

resultsA total of 68270 HCC patients, of whom 56347 patients died, were analyzed. In patients who performed surgery, the mortality risk was higher in patients aged ≥50 years, Black, single and widowed, regional and distant stages, and grades II, III, and IV (HR, 1.143), (HR, 1.057), (HR, 1.095), (HR, 1.284), (HR, 1.341), (HR, 2.291), (HR, 1.125), (HR, 1.711), and (HR, 1.894) respectively. In patients who received chemotherapy, the risk was lower in females (HR, 0.948), but higher in widowed (HR, 1.143), in regional and distant stages (HR, 1.479), and (HR, 2.439) respectively, and grades III, and IV (HR, 1.741), and (HR, 1.688) respectively. In patients who received beam radiation, the risk was higher in Black (HR, 1.195), widowed (HR, 1.181), regional (HR, 1.439), and distant stages (HR, 2.287), and in grades III (HR, 1.594), and IV (HR, 1.694).

conclusionIn HCC patients, Black, widowed, regional, and distant stages, grades III and IV had higher mortality risks in several treatment options. In patients who underwent surgery, ≥50 years and grade II also had a higher risk. We recommend future research to assess the radiation sequence with surgery.

Indexed as

ChemotherapyHepatocellular carcinomaMortalityRadiotherapySEERSurgery

Identifiers

PMID34522376
PMCPMC8427198
OpenAlexW3198512896

What OpenQuestion holds

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LicenceCC BY
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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.