Evidence map›Paper›PMID 36263668›Full record

SynthesisClinical and molecular hepatology2022

Global prevalence of depression and anxiety in patients with hepatocellular carcinoma: Systematic review and meta-analysis.

Darren Jun Hao Tan, Sabrina Xin Zi Quek, Jie Ning Yong, Adithya Suresh, Kaiser Xuan Ming Koh, Wen Hui Lim, Jingxuan Quek, Ansel Tang, Caitlyn Tan, Benjamin Nah and 10 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical and molecular hepatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 8% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

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  19. Associations of tumor-related psychiatric symptoms and healthy behaviors with dynamic quality of life after hepatocellular carcinoma hepatectomy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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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

20 authors at 5 institutions in 4 countries.

Darren Jun Hao TanYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Sabrina Xin Zi QuekYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Jie Ning YongYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Adithya SureshYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Kaiser Xuan Ming KohYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Wen Hui LimYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Jingxuan QuekYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Ansel TangYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Caitlyn TanYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Benjamin NahDivision of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore.
Eunice TanYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Taisei KeitokuDepartment of Gastroenterology and Hepatology, Musashino Red Cross Hospital, Tokyo, Japan.
Mark D MuthiahYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Nicholas SynYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Cheng Han NgYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Beom Kyung KimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Nobuharu TamakiDepartment of Gastroenterology and Hepatology, Musashino Red Cross Hospital, Tokyo, Japan.
Cyrus Su Hui HoYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Rohit LoombaNAFLD Research Center, Division of Medicine, University of California San Diego, La Jolla, California, USA.
Daniel Q HuangYong Loo Lin School of Medicine, National University of Singapore, Singapore.
National University of Singapore · SGMusashino Red Cross Hospital · JPNational University Hospital · SGUniversity of California San Diego · USYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsDepression and anxiety are associated with poorer outcomes in patients with hepatocellular carcinoma (HCC). However, the prevalence of depression and anxiety in HCC are unclear. We aimed to establish the prevalence of depression and anxiety in patients with HCC.

methodsMEDLINE and Embase were searched and original articles reporting prevalence of anxiety or depression in patients with HCC were included. A generalized linear mixed model with Clopper-Pearson intervals was used to obtain the pooled prevalence of depression and anxiety in patients with HCC. Risk factors were analyzed via a fractional-logistic regression model.

resultsSeventeen articles involving 64,247 patients with HCC were included. The pooled prevalence of depression and anxiety in patients with HCC was 24.04% (95% confidence interval [CI], 13.99-38.11%) and 22.20% (95% CI, 10.07-42.09%) respectively. Subgroup analysis determined that the prevalence of depression was lowest in studies where depression was diagnosed via clinician-administered scales (16.07%;95% CI, 4.42-44.20%) and highest in self-reported scales (30.03%; 95% CI, 17.19-47.01%). Depression in patients with HCC was lowest in the Americas (16.44%; 95% CI, 6.37-36.27%) and highest in South-East Asia (66.67%; 95% CI, 56.68-75.35%). Alcohol consumption, cirrhosis, and college education significantly increased risk of depression in patients with HCC.

conclusionOne in four patients with HCC have depression, while one in five have anxiety. Further studies are required to validate these findings, as seen from the wide CIs in certain subgroup analyses. Screening strategies for depression and anxiety should also be developed for patients with HCC.

Indexed as

AnxietyCarcinoma, HepatocellularDepressionLiver NeoplasmsHumansPrevalenceAnxietyDepressionHepatocellular carcinomaMeta-analysisSystematic review

Identifiers

PMID36263668
PMCPMC9597225
OpenAlexW4287147259

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.