Evidence map›Paper›PMID 35504832›Full record

ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2022

Treatment modalities and long-term outcomes of hepatic hemangioendothelioma in the United States.

Christof Kaltenmeier, Silvia Stacchiotti, Alessandro Gronchi, Gonzalo Sapisochin, Hao Liu, Eishan Ashwat, Vikraman Gunabushanam, Dheera Reddy, Ann Thompson, David Geller and 3 more

Open access · greenAbstract read
In one paragraph

Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.9field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 19 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

13 authors at 3 institutions in 3 countries.

Christof KaltenmeierDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: kaltenmeierct2@upmc.edu.
Silvia StacchiottiDepartment of Cancer Medicine, Fondazione IRCCS Istituto Nazionale dei Tumoi, Milan, Italy. Electronic address: silvia.stacchiotti@istitutotumori.mi.it.
Alessandro GronchiDepartmento of Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy. Electronic address: alessandro.gronchi@istitutotumori.mi.it.
Gonzalo SapisochinDepartment of Surgery, University of Toronto, Toronto, Canada. Electronic address: gonzalo.sapisochin@uhn.ca.
Hao LiuDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: liuh13@upmc.edu.
Eishan AshwatDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: ashwate2@upmc.edu.
Vikraman GunabushanamDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: gunabushanamv2@upmc.edu.
Dheera ReddyDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: reddyda2@upmc.edu.
Ann ThompsonDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: thompsonam13@upmc.edu.
David GellerDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: gellerda@upmc.edu.
Samer TohmeDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: tohmest@upmc.edu.
Amer ZureikatDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: zureikatah@upmc.edu.
Michele MolinariDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: molinarim@upmc.edu.
University of Pittsburgh Medical Center · USFondazione IRCCS Istituto Nazionale dei Tumori · ITUniversity of Toronto · CA

Funding

Postdoctoral Research Training in Biotherapy of CancerT32CA113263 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Udai S Kammula · 2006 to 2026
$3.6M
NCI NIH HHS T32 CA113263
6 · The paper itself

Abstract

backgroundWe analyzed the outcomes of patients with hepatic epithelioid hemangioendothelioma (HEHE) in the United States after stratification by their most definitive treatment.

methodsThe National Cancer Data Base was used to identify patients with HEHE between 2004 and 2018. Patients were divided in four treatment groups: no surgical therapy, ablation, liver resection or liver transplantation. Demographics and clinical characteristics were compared, and Kaplan Meier functions and Cox-regression were used for unadjusted and adjusted survival analyses.

resultsAmong a total of 334 patients, 218 (65.2%) were managed non-surgically, 74 (22.1%) underwent hepatic resections, 35 (10.4%) underwent liver transplantation and 7 (2.1%) underwent ablations. The overall median survival was 111 months (95%CI 73-149) after liver transplantation, 69 months (95%CI 45-92) after hepatic resection, 38 months (95%CI 0-78) after ablation and 80 months (95%CI 70-90) for patients managed by watchful waiting (P < 0.001). After adjustment, patients who underwent liver transplantation were found to have a better survival when compared to other therapies (Hazard Ratio: 0.61, 95% Confidence Interval: 0.38-0.97, p = 0.035).

conclusionsThis study reports the outcomes of the largest cohort of patients with HEHE. The longest survival was observed after liver transplantation, followed by non-surgical management and hepatic resection. Because of selection bias, future studies to better characterize what criteria should be used for the selection of treatment modalities for HEHE are urgently needed.

Indexed as

HemangioendotheliomaHemangioendothelioma, EpithelioidLiver NeoplasmsHumansLiverRetrospective StudiesTreatment OutcomeUnited States

Identifiers

PMID35504832
PMCPMC9827415
OpenAlexW4223967461

What OpenQuestion holds

Textmetadata
LicenceTDM
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.