Evidence map›Paper›PMID 34627199›Full record

ArticleBMC surgery2021

The role of lymph node dissection in intrahepatic cholangiocarcinoma: a multicenter retrospective study.

Hanjie Hu, Gang Xu, Shunda Du, Zhiwen Luo, Hong Zhao, Jianqiang Cai

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  9. Is Lymphadenectomy Reasonable for Elderly Intrahepatic Cholangiocarcinoma Patients?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
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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

6 authors at 2 institutions in 2 countries.

Hanjie HuHepatobiliary Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Beijing, China.
Gang XuChinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Shunda DuChinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Zhiwen LuoHepatobiliary Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Beijing, China.
Hong ZhaoHepatobiliary Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Beijing, China.
Jianqiang CaiHepatobiliary Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Beijing, China. caijianqiang188@126.com.
Peking Union Medical College Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CN

Funding

Sanming Project of Medicine in Shenzhen SZSM202011010The capital health research and development of special 2018-1-4021The National Natural Science Foundation of China 81672461the State Key Project on Infection Diseases of China 2017ZX10201021-007-003
6 · The paper itself

Abstract

backgroundLymph node dissection (LND) is of great significance in intrahepatic cholangiocarcinoma (ICC). Although the National Comprehensive Cancer Network (NCCN) guidelines recommend routine LND in ICC, the effects of LND remains controversial. This study aimed to explore the role of LND and some related issues and of in ICC.

methodsPatients were identified in two Chinese academic centers. Inverse probability of treatment weighting (IPTW) was used to reduce bias. Kaplan-Meier curves and Cox proportional hazards models were used to compare overall survival (OS) and disease-free survival (DFS).

resultsOf 232 patients, 177 (76.3%) underwent LND, and 71 (40.1%) had metastatic lymph nodes. A minimum of 6 lymph nodes were dissected in 66 patients (37.3%). LND did not improve the prognosis of ICC. LNM > 3 may have worse OS and DFS than LNM 1-3, especially in the LND >  = 6 group. For patients who did not underwent LND, the adjuvant treatment group had better OS and DFS.

conclusionsThe proportions of patients who underwent LND and removed >  = 6 lymph nodes were not high enough. LND has no definite predictive effect on prognosis. Patients with 4 or more LNMs may have a worse prognosis than patients with 1-3 LNMs. Adjuvant therapy may benefit patients of nLND.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaBile Ducts, IntrahepaticHumansLymph Node ExcisionRetrospective StudiesIntrahepatic cholangiocarcinomaIPTWLymph node dissectionSurgery

Identifiers

PMID34627199
PMCPMC8501613
OpenAlexW3165055121

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.