Evidence map›Paper›PMID 36534162›Full record

ArticleSurgical endoscopy2023

Liver resection versus radiofrequency ablation in octogenarian patients for hepatocellular carcinoma: a propensity score multicenter analysis.

Rosalinda Filippo, Maria Conticchio, Francesca Ratti, Riccardo Inchingolo, Maximiliano Gelli, Ferdinando Massimiliano Anelli, Alexis Laurent, Giulio Cesare Vitali, Paolo Magistri, Giacomo Assirati and 12 more

Open access · greenAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 34% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. [Guidelines for image-guided ablation of primary liver cancer (2023 version)].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024
    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

22 authors at 11 institutions in 4 countries.

Rosalinda FilippoDivision of Hepato-Pancreato-Biliary Surgery, "F. Miulli" General Hospital, Acquaviva delle Fonti, Bari, Italy.
Maria ConticchioDivision of Hepato-Pancreato-Biliary Surgery, "F. Miulli" General Hospital, Acquaviva delle Fonti, Bari, Italy. maria_cont@hotmail.it.ORCID 0000-0003-3177-5274
Francesca RattiHepatobiliary Surgery, San Raffaele Hospital, Milan, Italy.
Riccardo InchingoloInterventional Radiology Unit, "F. Miulli" Regional General Hospital, Acquaviva Delle Fonti, Bari, Italy.
Maximiliano GelliDépartement de Chirurgie Viscérale, Gustave Roussy Cancer Campus Grand Paris, Villejuif, France.
Ferdinando Massimiliano AnelliUnit of Oncologic and Pancreatic Surgery, Hospital University Reina Sofía, Córdoba, Spain.
Alexis LaurentDepartment of Digestive and Hepatobiliary Surgery, Centre Hospitalier Universitaire Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France.
Giulio Cesare VitaliService of Abdominal Surgery, Geneva University Hospitals and Medical School, Geneva, Switzerland.
Paolo MagistriHepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University of Modena and Reggio Emilia, Modena, MO, Italy.
Giacomo AssiratiHepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University of Modena and Reggio Emilia, Modena, MO, Italy.
Emanuele FelliInstitut de Recherche Contre les Cancers de L'Appareil Digestif (IRCAD), Strasbourg, France.
Taiga WakabayashiInstitut de Recherche Contre les Cancers de L'Appareil Digestif (IRCAD), Strasbourg, France.
Patrick PessauxInstitut de Recherche Contre les Cancers de L'Appareil Digestif (IRCAD), Strasbourg, France.
Tullio PiardiDepartment of Surgery, Hôpital Robert Debré, Reims, France.
Fabrizio Di BenedettoHepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University of Modena and Reggio Emilia, Modena, MO, Italy.
Nicola de'AngelisDepartment of Digestive and Hepatobiliary Surgery, Centre Hospitalier Universitaire Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France.
Delgado Francisco Javier BricenoUnit of Oncologic and Pancreatic Surgery, Hospital University Reina Sofía, Córdoba, Spain.
Antonio Gaetano RampoldiInterventional Radiology Unit, Niguarda Hospital, Milan, Italy.
Renè AdamDepartment of Surgery, Centre Hepatobiliaire, Hopital Paul Brousse, Villejuif, France.
Daniel CherquiDepartment of Surgery, Centre Hepatobiliaire, Hopital Paul Brousse, Villejuif, France.
Luca AldrighettiHepatobiliary Surgery, San Raffaele Hospital, Milan, Italy.
Riccardo MemeoDivision of Hepato-Pancreato-Biliary Surgery, "F. Miulli" General Hospital, Acquaviva delle Fonti, Bari, Italy.
Ospedale Generale Regionale Francesco Miulli · ITInstitut de Recherche contre les Cancers de l’Appareil Digestif · FRUniversity of Modena and Reggio Emilia · ITCentre Hospitalier Universitaire Henri-Mondor · FRHôpital Paul-Brousse · FRHospital Universitario Reina Sofía · ESVita-Salute San Raffaele University · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITCentre Hospitalier Universitaire de Reims · FRInstitut Gustave Roussy · FRUniversity Hospital of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiver resection (LR) and radiofrequency ablation (RFA) are considered curative options for hepatocellular carcinoma (HCC). The aim of this study was to compare outcomes after LR and RFA in octogenarian patients with HCC. MATERIALS AND

methodsThis multicenter retrospective study included 102 elderly patients (> 80 years old) treated between January 2009 and January 2019, who underwent LR or RFA for HCC (65 and 37 with, respectively).

resultsAfter Propensity Score Matching, the postoperative course of LR was burdened by a higher rate of complications than RFA group (64% vs 14%, respectively, p: 0.001). The LR group had also significantly longer operative time (207 ± 85 min vs 33 ± 49 min, p < 0.001) and postoperative hospital stays than the RFA group (7 d vs 2 d, p = 0.019). Overall survival at 1-, 2-, and 3-year were 86%, 86%, and 70% for the LR group and 82%, 64%, and 52% for the RFA group (p = 0.380). Disease-free survival at 1-, 2-, and 3-year were 89%, 74%, and 56% for the LR group, and 51%, 40%, and 40% for the RFA group (p = 0.037).

conclusionDespite a higher rate of Dindo-Clavien I-II post-operative complications, a longer operative time and length of hospital stay, LR in octogenarian patients can provide comparable 90d mortality than RFA and better long-term outcomes.

Indexed as

Carcinoma, HepatocellularCatheter AblationLiver NeoplasmsRadiofrequency AblationAgedAged, 80 and overHepatectomyHumansOctogenariansPropensity ScoreRetrospective StudiesTreatment OutcomeHepatocellular carcinoma (HCC)Octogenarian patientsPropensity score matchingRadiofrequency ablation (RFA)Surgical resection

Identifiers

PMID36534162
OpenAlexW4311930824

What OpenQuestion holds

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Registered trials

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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.