Evidence map›Paper›PMID 35294656›Full record

SynthesisAnnals of surgical oncology2022

Hepatic Arterial Infusion Pump Chemotherapy for Unresectable Intrahepatic Cholangiocarcinoma: A Systematic Review and Meta-Analysis.

Jessica J Holster, Marouan El Hassnaoui, Stijn Franssen, Jan N M IJzermans, Jeroen de Jonge, Bianca Mostert, Wojciech G Polak, Roeland F de Wilde, Marjolein Y V Homs, Bas Groot Koerkamp

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Annals of surgical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
8.7field-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.

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, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Radiological Loco-Regional Treatments for Cholangiocarcinoma: A Systematic Review of the Literature.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. New perspectives in biliary tract cancers.ESMO gastrointestinal oncology · 2024
    Review
  15. Prospects of Synergy: Local Interventions and CAR T Cell Therapy in Solid Tumors.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2024
    Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article
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 1 institution in 1 country.

Jessica J HolsterDepartment of Surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0001-6503-4525
Marouan El HassnaouiDepartment of Surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Stijn FranssenDepartment of Surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Jan N M IJzermansDepartment of Surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Jeroen de JongeDepartment of Surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Bianca MostertDepartment of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Wojciech G PolakDepartment of Surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Roeland F de WildeDepartment of Surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Marjolein Y V HomsDepartment of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Bas Groot KoerkampDepartment of Surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands. b.grootkoerkamp@erasmusmc.nl.
Erasmus MC Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with unresectable intrahepatic cholangiocarcinoma (iCCA) have poor survival. This systematic review describes the survival outcomes of hepatic arterial infusion pump (HAIP) chemotherapy with floxuridine for patients with unresectable iCCA. PATIENTS AND

methodsA literature search was conducted using the electronic databases PubMed, Medline (Ovid), Embase, Web of Science, Google Scholar, and Cochrane to find studies that reported data on the survival of patients with unresectable iCCA treated with HAIP chemotherapy using floxuridine. The quality of the studies was assessed using the Newcastle-Ottawa quality assessment Scale (NOS). Overall survival (OS) was the primary outcome measure, and progression-free survival (PFS), response rates, resection rates, and toxicity were defined as secondary outcome measures.

resultsAfter removing duplicates, 661 publications were assessed, of which nine studies, representing a total of 478 patients, met the inclusion criteria. Three out of nine studies were phase II clinical trials, one study was a prospective dose-escalation study, and the remaining five studies were retrospective cohort studies. After accounting for overlapping cohorts, 154 unique patients were included for pooled analysis. The weighted median OS of patients with unresectable iCCA treated with HAIP chemotherapy with floxuridine was 29.0 months (range 25.0-39 months). The pooled 1-, 2-, 3-, and 5-year OS were 86.4, 55.5, 39.5, and 9.7%, respectively.

conclusionHAIP chemotherapy with floxuridine for patients with unresectable iCCA was associated with a 3-year OS of 39.5%, which is favorable compared with systemic chemotherapy for which no 3-year survivors were reported in the Advanced Biliary Cancer (ABC) trials.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaLiver NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsBile Ducts, IntrahepaticFloxuridineHumansInfusion PumpsInfusions, Intra-ArterialProspective StudiesRetrospective StudiesTreatment OutcomeFloxuridineBiliary Tract CancerChemotherapyFloxuridineHepatic Arterial Infusion Pump (HAIP)Unresectable Intrahepatic Cholangiocarcinoma

Identifiers

PMID35294656
PMCPMC9356931
OpenAlexW4220981238

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.