Evidence map›Paper›PMID 34801630›Full record

ReviewJournal of hepatology2022

BCLC strategy for prognosis prediction and treatment recommendation: The 2022 update.

Maria Reig, Alejandro Forner, Jordi Rimola, Joana Ferrer-Fàbrega, Marta Burrel, Ángeles Garcia-Criado, Robin K Kelley, Peter R Galle, Vincenzo Mazzaferro, Riad Salem and 6 more

7 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Journal of hepatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 2,666 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2,666citing papers in PubMed, 6 pooled it
318.7field-weighted citation impact, top 1% 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.

NCT05433701 naactive not recruitingnot on this map

A Phase III Randomized Controlled Non-inferiority Trial to Compare Stereotactic Body Radiotherapy Versus Radiofrequency Ablation for Unresectable, Small (≤ 3 cm) Hepatocellular Carcinoma

TypeinterventionalSponsorJonggi ChoiRan2022 to 2026Enrolled178ConditionsHepatocellular CarcinomaArmsStereotactic Body Radiotherapy, Radiofrequency Ablation
NCT05631613 unknown statusnot on this map

Transarterial Chemoembolization With Lipiodol-Idarubicin Emulsion Based On a Specific Ratio for Hepatocellular Carcinoma:a Prospective, Observational Study

Typeobservational_patient_registrySponsorZhongda HospitalRan2022 to 2023Enrolled40ConditionsHepatocellular CarcinomaArmscTACE(conventional transarterial chemoembolization)
NCT05879328 unknown statusnot on this map

Liver Transplantation in Patients With Partial or Complete Response After Atezolizumab Plus Bevacizumab for Intermediate-advanced Stage Hepatocellular Carcinoma: the ImmunoXXL Study

TypeobservationalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2022 to 2024Enrolled12ConditionsHepatocellular CarcinomaArmsLiver Transplantation
NCT06007846 phase2 / phase3recruitingnot on this mapstarted 2023, after this paper: background citation

A Prospective Cohort Study of Single Agent Memantine in Patients With Child-Pugh Score ≥ B7 Cirrhosis and Hepatocellular Carcinoma

TypeinterventionalSponsorInova Health Care ServicesRan2023 to 2026Enrolled12ConditionsHepatocellular Carcinoma, CirrhosisArmsNamenda
NCT06096896 active not recruitingnot on this mapstarted 2023, after this paper: background citation

The Efficacy and Safety of EOB-MRI Guided Microwave Ablation for Early HCC: A Multicenter, Prospective, Observational Study

TypeobservationalSponsorShandong Provincial HospitalRan2023 to 2030Enrolled334ConditionsEarly Hepatocellular CarcinomaArmsMWA
NCT06642220 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Ablative Yttrium-90 Radioembolization Therapy for Non-Metastatic Renal Cell Carcinoma (ARRCC Trial)

TypeinterventionalSponsorDerek W. CoolRan2025 to 2032Enrolled16ConditionsRenal Cell Carcinoma (RCC), RadioembolizationArmsY-90 Selective Internal Radiation Therapy (SIRT)
NCT07493668 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

A Phase 2, Multicenter, Randomized, Open-label Study Comparing Fostrox + Lenvatinib vs. Lenvatinib in Patients With Locally Advanced or Unresectable Advanced Hepatocellular Carcinoma (HCC) Who Have Received First-line Combination Immunotherapy

TypeinterventionalSponsorCHA UniversityRan2026 to 2029Enrolled80ConditionsHepatocellular Carcinoma (HCC)ArmsFostrox, Lenvatinib
3 · Its place in the literature

Who cites it

2,666 citing papers in PubMed, 6 syntheses or guidelines pooled it, 3,953 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Guideline
  6. Pooled it
  7. Trial
  8. A Phase Ib/IIa Study of Fostrox in Combination with Lenvatinib as Second-line Therapy in Patients with Advanced Hepatocellular Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  9. Review
  10. Article
  11. Review
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  14. Review
  15. Article
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  17. Review
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2,606 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 9 institutions in 4 countries.

Maria ReigBCLC Group, Liver Unit, ICMDM, IDIBAPS, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Spain. Electronic address: mreig1@clinic.cat.
Alejandro FornerBCLC Group, Liver Unit, ICMDM, IDIBAPS, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Spain.
Jordi RimolaBCLC Group, Radiology Department, CDI, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain.
Joana Ferrer-FàbregaBCLC Group, Surgery Department, ICMDM, IDIBAPS, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain.
Marta BurrelBCLC Group, Vascular Department, CDI, Hospital Clinic of Barcelona, Barcelona University, University of Barcelona, Barcelona, Spain.
Ángeles Garcia-CriadoBCLC Group, Radiology Department, CDI, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain.
Robin K KelleyHelen Diller Family Comprehensive Cancer Center, University of California, San Francisco, California, USA.
Peter R GalleDepartment of Internal Medicine, Mainz University Medical Center, Mainz, Germany.
Vincenzo MazzaferroDepartment of Oncology, University of Milan and HPB Surgery and Liver Transplantation, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Riad SalemDepartment of Radiology, Section of Interventional Radiology, Northwestern University, Chicago, IL, USA.
Bruno SangroCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Spain; Liver Unit, Clinica Universidad de Navarra, Pamplona, Spain.
Amit G SingalDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Arndt VogelHannover Medical School, Department of Gastroenterology, Hepatology and Endocrinology, Hannover, Germany.
Josep FusterCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Spain; BCLC Group, Surgery Department, ICMDM, IDIBAPS, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain.
Carmen AyusoCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Spain; BCLC Group, Radiology Department, CDI, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain.
Jordi BruixBCLC Group, Liver Unit, ICMDM, IDIBAPS, Hospital Clinic of Barcelona, University of Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Spain. Electronic address: jbruix@clinic.cat.
Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESUniversitat de Barcelona · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESJohannes Gutenberg University Mainz · DEMedizinische Hochschule Hannover · DENorthwestern University · USThe University of Texas Southwestern Medical Center · USUniversity of California, San Francisco · USUniversity of Milan · IT

Funding

Multilevel factors for racial/ethnic and socioeconomic disparities in prognosis of hepatocellular carcinomaR01MD012565 · NIMHD · UT SOUTHWESTERN MEDICAL CENTER · PI SINGAL, AMIT, YOPP, ADAM · 2018 to 2022
$4.3M
NIMHD NIH HHS R01 MD012565
6 · The paper itself

Abstract

There have been major advances in the armamentarium for hepatocellular carcinoma (HCC) since the last official update of the Barcelona Clinic Liver Cancer prognosis and treatment strategy published in 2018. Whilst there have been advances in all areas, we will focus on those that have led to a change in strategy and we will discuss why, despite being encouraging, data for select interventions are still too immature for them to be incorporated into an evidence-based model for clinicians and researchers. Finally, we describe the critical insight and expert knowledge that are required to make clinical decisions for individual patients, considering all of the parameters that must be considered to deliver personalised clinical management.

Indexed as

PrognosisCarcinoma, HepatocellularFemaleHumansLiver NeoplasmsMaleMiddle AgedNeoplasm StagingSeverity of Illness IndexablationAFPALBI scoreBCLCHCCliver transplantation TACEsurgerysurvivalsystemic treatmentTARE

Identifiers

PMID34801630
PMCPMC8866082
OpenAlexW3213277274

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

and 1 more above

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.