Evidence map›Paper›PMID 36567797›Full record

ArticleJournal of hepatocellular carcinoma2022

Advanced Hepatocellular Carcinoma in Adults Without Cirrhosis: A Single-Institution Retrospective Review.

Ellery Altshuler, Raymond Richhart, Mahmoud Aryan, William King, Kelsey Pan, Akash Mathavan, Akshay Mathavan, Diana Rodriguez, Bishal Paudel, Nathan Northern and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of hepatocellular carcinoma, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 38% 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, 3 citations in OpenAlex.

  1. Article
  2. Hepatocellular carcinoma in patients without cirrhosis.World journal of gastroenterology · 2025
    Review
  3. HBV-Induced Carcinogenesis: Mechanisms, Correlation With Viral Suppression, and Implications for Treatment.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Review
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 2 institutions in 1 country.

Ellery AltshulerDepartment of Internal Medicine, University of Florida College of Medicine, Gainesville, FL, USA.ORCID 0000-0003-1811-317X
Raymond RichhartDepartment of Internal Medicine, University of Florida College of Medicine, Gainesville, FL, USA.
Mahmoud AryanDepartment of Internal Medicine, University of Alabama Birmingham College of Medicine, Birmingham, AL, USA.
William KingDepartment of Internal Medicine, University of Florida College of Medicine, Gainesville, FL, USA.
Kelsey PanDepartment of Internal Medicine, University of Florida College of Medicine, Gainesville, FL, USA.
Akash MathavanDepartment of Internal Medicine, University of Florida College of Medicine, Gainesville, FL, USA.
Akshay MathavanDepartment of Internal Medicine, University of Florida College of Medicine, Gainesville, FL, USA.
Diana RodriguezDepartment of Internal Medicine, University of Florida College of Medicine, Gainesville, FL, USA.
Bishal PaudelDepartment of Internal Medicine, University of Florida College of Medicine, Gainesville, FL, USA.ORCID 0000-0001-5005-3977
Nathan NorthernDepartment of Internal Medicine, University of Florida College of Medicine, Gainesville, FL, USA.
Brian RamnaraignDivision of Hematology and Oncology, University of Florida College of Medicine, Gainesville, FL, USA.
Ilyas SahinDivision of Hematology and Oncology, University of Florida College of Medicine, Gainesville, FL, USA.
Jesus C FabregasDivision of Hematology and Oncology, University of Florida College of Medicine, Gainesville, FL, USA.
University of Florida · USUniversity of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although up to one in five cases of hepatocellular carcinoma (HCC) occurs in patients without cirrhosis, there is scarce literature characterizing non-cirrhotic HCC (NCHCC). Existing NCHCC research is primarily limited to surgical case series and there is a lack of data on unresectable NCHCC. Aim: The purpose of this retrospective review was to compare the characteristics of unresectable NCHCC and cirrhotic hepatocellular carcinoma (CHCC). Methods: A retrospective chart review of adult patients with unresectable HCC treated from 2007 to 2017 was performed at the University of Florida Shands Hospital. The data set was stratified into two cohorts: NCHCC and CHCC. Continuous variables were compared using Wilcoxon-Mann-Whitney tests and Kruskal-Wallis rank-sum tests. Categorical variables were compared using Pearson's Chi-squared tests and Fisher's exact tests. Overall survival was explored utilizing the Kaplan-Meier and log-rank method. Results: There were 1494 adult patients included in the final analysis, including 264 patients (17.7%) with NCHCC and 1230 patients (82.3%) with CHCC. Median age was 61.0 years old and median follow-up time was 30.2 months. NCHCC patients were older than CHCC patients (66.3 years vs 61.9 years; p < 0.0001). NHCC tumors were larger than CHCC tumors (7.92 ± 4.85 vs 4.38 ± 3.12 cm; p < 0.0001) and more likely to be associated with distant metastases (23.35% vs 15.91%; p = 0.0055). There was no difference in overall survival, with a median of 23.5 months in NCHCC and 22.4 months in CHCC (p = 0.9196). Conclusion: Our findings suggest that unresectable NCHCC and CHCC have unique characteristics but similar overall survival. To the best of our knowledge, this is the largest comparison of CHCC and NCHCC.

Indexed as

cirrhosishepatocellular carcinomanon-cirrhotic

Identifiers

PMID36567797
PMCPMC9784459
OpenAlexW4312049285

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.