Evidence map›Paper›PMID 34820694›Full record

ArticleCardiovascular and interventional radiology2022

Long Term Survival Analysis in a Cohort of 125 Patients with Hepatocellular Carcinoma Treated with Transarterial Chemoembolization Using Small Drug Eluting Beads.

Tommaso Cascella, Enrico Matteo Garanzini, Rodolfo Lanocita, Carlo Morosi, Federica Riva, Giorgio Greco, Carlo Sposito, Vincenzo Mazzaferro, Alfonso Marchianò, Carlo Spreafico

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In one paragraph

Article in Cardiovascular and interventional radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

10 authors at 2 institutions in 1 country.

Tommaso CascellaInterventional Vascular and Hepatobiliary Unit, Department of Radiodiagnostics and Radiotherapy, IRCCS Fondazione Istituto Nazionale Tumori di Milano, Milan, Italy.
Enrico Matteo GaranziniInterventional Vascular and Hepatobiliary Unit, Department of Radiodiagnostics and Radiotherapy, IRCCS Fondazione Istituto Nazionale Tumori di Milano, Milan, Italy. enrico.garanzini@istitutotumori.mi.it.ORCID http://orcid.org/0000-0002-2582-9400
Rodolfo LanocitaInterventional Vascular and Hepatobiliary Unit, Department of Radiodiagnostics and Radiotherapy, IRCCS Fondazione Istituto Nazionale Tumori di Milano, Milan, Italy.
Carlo MorosiInterventional Vascular and Hepatobiliary Unit, Department of Radiodiagnostics and Radiotherapy, IRCCS Fondazione Istituto Nazionale Tumori di Milano, Milan, Italy.
Federica RivaPostgraduation School of Radiology, University of Milan, Milan, Italy.
Giorgio GrecoInterventional Vascular and Hepatobiliary Unit, Department of Radiodiagnostics and Radiotherapy, IRCCS Fondazione Istituto Nazionale Tumori di Milano, Milan, Italy.
Carlo SpositoGeneral Surgery and Liver Transplantation Unit, IRCCS Fondazione Istituto Nazionale Tumori di Milano, Milan, Italy.
Vincenzo MazzaferroGeneral Surgery and Liver Transplantation Unit, IRCCS Fondazione Istituto Nazionale Tumori di Milano, Milan, Italy.
Alfonso MarchianòInterventional Vascular and Hepatobiliary Unit, Department of Radiodiagnostics and Radiotherapy, IRCCS Fondazione Istituto Nazionale Tumori di Milano, Milan, Italy.
Carlo SpreaficoInterventional Vascular and Hepatobiliary Unit, Department of Radiodiagnostics and Radiotherapy, IRCCS Fondazione Istituto Nazionale Tumori di Milano, Milan, Italy.
Fondazione IRCCS Istituto Nazionale dei Tumori · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDifferent types of drug-eluting beads have been proposed for hepatocellular carcinoma (HCC) treatment, but long-term results are not well known. We report safety, efficacy and long-term overall survival of HCC patients not amenable of curative therapies treated with transcatheter arterial chemoembolization (TACE) using drug-eluting beads sized 70-150 micron. MATERIALS AND

methodsThis single-center retrospective study included 125 patients with Barcelona Clinic Liver Cancer stage A (80), B (45) and compensated cirrhosis. TACE was executed injecting drug-elutings microparticles loaded with 75 mg of Doxorubicine and was repeated in patients with partial response or stable disease after one month. Adverse events, response according to modified Response Evaluation Criteria in Solid Tumors and overall survival were assessed.

resultsChemoembolization with 70-150 micron beads revealed an objective response rate of 88% according to mRECIST criteria and complete response was 60%. After a median follow-up of 53.3 months, overall survival was 36.6 months. Data were censored at the date of liver transplantation in 35 patients. 33 on 125 patients (26,4%) experienced at least one adverse event. We recorded a total of 102 adverse events and 18 were of a high grade (G3-G4). 30 day mortality was 0%.

conclusionChemoembolization with very small particles (70-150 µm) is an effective and safe treatment in unresectable HCC both as a primary therapy or as bridge to transplantation.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsPharmaceutical PreparationsDoxorubicinHumansRetrospective StudiesSurvival AnalysisTreatment OutcomeDoxorubicinPharmaceutical PreparationsChemoembolizationDrug eluting beadsHCCSurvival analysis

Identifiers

PMID34820694
OpenAlexW3217738383

What OpenQuestion holds

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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.