Evidence map›Paper›PMID 35158918›Full record

ArticleCancers2022

Transarterial Chemoembolization (TACE) Plus Sorafenib Compared to TACE Alone in Transplant Recipients with Hepatocellular Carcinoma: An Institution Experience.

Maen Abdelrahim, David Victor, Abdullah Esmail, Sudha Kodali, Edward A Graviss, Duc T Nguyen, Linda W Moore, Ashish Saharia, Robert McMillan, Joy N Fong and 4 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 4% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 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

14 authors at 3 institutions in 1 country.

Maen AbdelrahimSection of GI Oncology, Department of Medical Oncology, Houston Methodist Cancer Center, Houston, TX 77030, USA.
David VictorJ.C. Walter Jr. Center for Transplantation, Sherrie and Alan Conover Center for Liver Disease and Transplantation, Houston, TX 77030, USA.
Abdullah EsmailSection of GI Oncology, Department of Medical Oncology, Houston Methodist Cancer Center, Houston, TX 77030, USA.
Sudha KodaliJ.C. Walter Jr. Center for Transplantation, Sherrie and Alan Conover Center for Liver Disease and Transplantation, Houston, TX 77030, USA.
Edward A GravissCancer Clinical Trials, Houston Methodist Research Institute, Houston, TX 77030, USA.
Duc T NguyenCancer Clinical Trials, Houston Methodist Research Institute, Houston, TX 77030, USA.
Linda W MooreJ.C. Walter Jr. Center for Transplantation, Sherrie and Alan Conover Center for Liver Disease and Transplantation, Houston, TX 77030, USA.
Ashish SahariaWeill Cornell Medical College, New York, NY 10021, USA.
Robert McMillanWeill Cornell Medical College, New York, NY 10021, USA.
Joy N FongJ.C. Walter Jr. Center for Transplantation, Sherrie and Alan Conover Center for Liver Disease and Transplantation, Houston, TX 77030, USA.
Ahmed UosefCancer Clinical Trials, Houston Methodist Research Institute, Houston, TX 77030, USA.
Mahmoud ElshawwafCancer Clinical Trials, Houston Methodist Research Institute, Houston, TX 77030, USA.
Kirk HeyneSection of GI Oncology, Department of Medical Oncology, Houston Methodist Cancer Center, Houston, TX 77030, USA.
Rafik M GhobrialWeill Cornell Medical College, New York, NY 10021, USA.
IST Research · USCornell University · USHouston Methodist · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatocellular carcinoma (HCC) is the sixth most common malignancy and the third most common cause of cancer-related mortality worldwide. Transarterial chemoembolization has shown survival benefits in patients with early to intermediate-stage HCC, becoming the standard of care and recommended treatment modality by most clinical practice guidelines. The most recent trials of the TACE plus sorafenib combined therapy in patients with unresectable HCC have yielded inconsistent outcomes. The purpose of this study was to compare the outcomes of HCC patients treated with the TACE sorafenib combination as opposed to TACE monotherapy.

methodsThis retrospective study included all patients with unresectable HCC who underwent liver transplantation and were treated by either TACE alone or TACE plus sorafenib between July 2008-December 2019. Demographic and clinical data as well as HCC recurrence post-liver transplant (LT) were reported as frequencies and proportions for categorical variables and as the median and interquartile range (IQR) or mean. Chi-square or Fisher's exact tests were performed for categorical variables and the Kruskal-Wallis test or unpaired test was performed for continuous variables. Kaplan-Meier curves present overall patient survival and HCC-free survival.

resultsA total of 128 patients received LT, with a median (IQR) age of 61.4 (57.0, 66.3) years; most were males (77%). Within the TACE-only group, 79 (77%) patients met the Milan criteria and 24 (23%) were beyond the Milan criteria, while the TACE plus sorafenib group had a higher proportion of patients beyond the Milan criteria: 16 (64%) vs. 9 (36%);

conclusionThis study identified that using TACE plus sorafenib is generally well-tolerated and demonstrated improved overall survival compared to TACE only in transplant recipients with unresectable HCC. A multi-center and prospective randomized controlled trial is needed to substantiate these findings.

Indexed as

hepatocellular carcinomaimmunotherapyLTMilan criteriasorafenibTACETKI

Identifiers

PMID35158918
PMCPMC8833802
OpenAlexW4210569263

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.