Evidence map›Paper›PMID 35441947›Full record

ArticleLangenbeck's archives of surgery2022

Major postoperative complications are associated with early recurrence of hepatocellular carcinoma following hepatectomy.

Tatsunori Miyata, Takashi Matsumoto, Yosuke Nakao, Takaaki Higashi, Katsunori Imai, Hiromitsu Hayashi, Hidetoshi Nitta, Akira Chikamoto, Toru Beppu, Yo-Ichi Yamashita and 1 more

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In one paragraph

Article in Langenbeck's archives of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 9 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

11 authors at 2 institutions in 1 country.

Tatsunori MiyataDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University Hospital, Kumamoto, Japan.
Takashi MatsumotoDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University Hospital, Kumamoto, Japan.
Yosuke NakaoDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University Hospital, Kumamoto, Japan.
Takaaki HigashiDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University Hospital, Kumamoto, Japan.
Katsunori ImaiDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University Hospital, Kumamoto, Japan.
Hiromitsu HayashiDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University Hospital, Kumamoto, Japan.
Hidetoshi NittaDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University Hospital, Kumamoto, Japan.
Akira ChikamotoDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University Hospital, Kumamoto, Japan.
Toru BeppuDepartment of Surgery, Yamaga Medical Center, Kumamoto, Japan.
Yo-Ichi YamashitaDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University Hospital, Kumamoto, Japan.
Hideo BabaDepartment of Gastroenterological Surgery, Graduate School of Life Sciences, Kumamoto University Hospital, Kumamoto, Japan. hdobaba@kumamoto-u.ac.jp.ORCID http://orcid.org/0000-0001-6292-8670
Kumamoto University Hospital · JPKumamoto Medical Center · JP

Funding

Japan Society for the Promotion of Science 201960331Japan Society for the Promotion of Science 20K16418
6 · The paper itself

Abstract

BACKGROUND AND

aimEarly recurrence (ER) is a strong predictor of poor prognosis in patients with hepatocellular carcinoma (HCC) after hepatectomy. The aim of this study was to examine manageable factors associated with ER.

methodsOverall, 475 consecutive patients with primary HCC who underwent curative hepatectomy were included (R0/R1). We defined ER as recurrence within 2 years after hepatectomy and analyzed predictors for ER. We also defined postoperative complication as Clavien-Dindo classification grade III or IV.

resultsER after hepatectomy was observed in 209 cases (44.0%). Patients with ER had a significantly poor prognosis compared with those with late recurrence (log-rank p < 0.0001) and were more likely to be diagnosed with extrahepatic metastasis (p = 0.009). Significant predictors for ER were des-γ-carboxyprothrombin > 40 mAU/mL (odds ratio (OR) 2.06, 95% confidence interval (CI) 1.36-3.14, p = 0.001), multiple tumors (OR 2.80 95%CI 1.83-4.32, p < 0.0001), cirrhosis (OR 1.53, 95%CI 1.01-2.32, p = 0.043), and postoperative complications (OR 1.72, 95% CI 1.05-2.85, p = 0.032). Blood loss (OR 1.09, 95%CI 1.05-1.13, p < 0.0001) and cirrhosis (OR 1.74, 95%CI 1.05-2.86, p = 0.031) were significant predictors for postoperative complications.

conclusionsWe should pay close attention to surgical associated- and disease-specific factors in hepatectomy for HCC to prevent ER.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsHepatectomyHumansLiver CirrhosisNeoplasm Recurrence, LocalPostoperative ComplicationsPrognosisRetrospective StudiesRisk FactorsEarly recurrenceHCCPostoperative complicationPrognosis

Identifiers

PMID35441947
OpenAlexW4224215379

What OpenQuestion holds

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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.