Evidence map›Paper›PMID 36230596›Full record

ArticleCancers2022

The Clinical Benefit of Percutaneous Transhepatic Biliary Drainage for Malignant Biliary Tract Obstruction.

Ivan Nikolić, Jelena Radić, Andrej Petreš, Aleksandar Djurić, Mladjan Protić, Jelena Litavski, Maja Popović, Ivana Kolarov-Bjelobrk, Saša Dragin, Lazar Popović

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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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  4. Observational
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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

10 authors at 3 institutions in 1 country.

Ivan NikolićOncology Institute of Vojvodina, Department of Medical Oncology, Put Doktora Goldmana 4, 21204 Sremska Kamenica, Serbia.
Jelena RadićOncology Institute of Vojvodina, Department of Medical Oncology, Put Doktora Goldmana 4, 21204 Sremska Kamenica, Serbia.ORCID 0000-0001-9721-7414
Andrej PetrešClinical Center of Vojvodina, Department of Radiology, Hajduk Veljkova 1-9, 21000 Novi Sad, Serbia.ORCID 0000-0003-2359-8810
Aleksandar DjurićOncology Institute of Vojvodina, Department of Medical Oncology, Put Doktora Goldmana 4, 21204 Sremska Kamenica, Serbia.ORCID 0000-0003-0897-4128
Mladjan ProtićOncology Institute of Vojvodina, Department of Medical Oncology, Put Doktora Goldmana 4, 21204 Sremska Kamenica, Serbia.
Jelena LitavskiOncology Institute of Vojvodina, Department of Medical Oncology, Put Doktora Goldmana 4, 21204 Sremska Kamenica, Serbia.ORCID 0000-0003-4082-7099
Maja PopovićOncology Institute of Vojvodina, Department of Medical Oncology, Put Doktora Goldmana 4, 21204 Sremska Kamenica, Serbia.
Ivana Kolarov-BjelobrkOncology Institute of Vojvodina, Department of Medical Oncology, Put Doktora Goldmana 4, 21204 Sremska Kamenica, Serbia.ORCID 0000-0003-1239-4994
Saša DraginDepartment for Animal Sciences, Faculty of Agriculture, University of Novi Sad, 21000 Novi Sad, Serbia.ORCID 0000-0003-0154-4141
Lazar PopovićOncology Institute of Vojvodina, Department of Medical Oncology, Put Doktora Goldmana 4, 21204 Sremska Kamenica, Serbia.ORCID 0000-0002-3278-6875
University of Novi Sad · RSOncology Institute of Vojvodina · RSKlinički centar Vojvodine · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Percutaneous transhepatic biliary drainage (PTBD) is a decompression procedure for malignant proximal biliary obstruction. In this research, over a six-year period, 89 patients underwent PTBD procedure for jaundice caused by malignant disease to restart chemotherapy or for palliative intent. Clinical outcomes after PTBD procedure in the two groups of patients, according to the adequate bilirubin decline (ABD) needed for subsequent chemotherapy, are presented in this paper. Survival and logistic regression were plotted and compared using Kaplan−Meier survival multivariate analysis with a long-range test. Results were processed by MEDCALC software. In the series, 58.4% (52/89) of patients were in good performance status (ECOG 0/1), and PTBD was performed with the intention to (re)start chemotherapy. The normalization of the bilirubin level was seen in 23.0% (12/52), but only 15.4% (8/52) received chemotherapy. The median survival time after PTBD was 9 weeks. In patients with ABD that received chemotherapy, the median survival time was 64 weeks, with 30-day mortality of 27.7%, and 6.4% of death within 7 days. The best outcome was in patients with good performance status (ECOG 0−1), low bilirubin (<120 µmol/L) and LDH (<300 µmol/L) levels and elevated leukocytes at the time of the procedures. PTBD is considered in ABD patients who are candidates for chemotherapy.

Indexed as

adequate bilirubin decline (ABD)biliary drainagejaundicemalignant obstruction

Identifiers

PMID36230596
PMCPMC9563508
OpenAlexW4297225697

What OpenQuestion holds

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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.