Evidence map›Paper›PMID 36643048›Full record

ArticleJournal of clinical and translational hepatology2023

New Staging Model for Radiation-based Hepatocellular Carcinoma Treatment: A National Multicenter Study.

Ting-Shi Su, Shi-Xiong Liang, Li-Qing Li, Qiu-Hua Liu, Xue-Zhang Duan, Jing Sun, Hai Zeng, Hai-Sheng Zhu, Jian-Xu Li, Xiao-Fei Zhu and 3 more

Abstract read
In one paragraph

Article in Journal of clinical and translational hepatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. [Construction of a prognostic model for hepatocellular carcinoma based on pyroptosis-related genes].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2023
    Article
  5. 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

13 authors.

Ting-Shi SuDepartment of Radiation Oncology, Guangxi Medical University Cancer Hospital, Nanning, Guangxi, China.ORCID https://orcid.org/0000-0003-3097-4394
Shi-Xiong LiangDepartment of Radiation Oncology, Guangxi Medical University Cancer Hospital, Nanning, Guangxi, China.
Li-Qing LiDepartment of Radiation Oncology, Guangxi Medical University Cancer Hospital, Nanning, Guangxi, China.
Qiu-Hua LiuDepartment of Radiation Oncology, Ruikang Hospital, Nanning, Guangxi, China.
Xue-Zhang DuanRadiation Oncology Department, The Fifth Medical Center of PLA General Hospital, Beijing, China.
Jing SunRadiation Oncology Department, The Fifth Medical Center of PLA General Hospital, Beijing, China.
Hai ZengDepartment of Oncology, First Affiliated Hospital of Yangtze University, Jingzhou, Hubei, China.
Hai-Sheng ZhuDepartment of Oncology, Sixth Affiliated Hospital of Guangxi Medical University, First People's Hospital of Yulin, Yulin, Guangxi, China.
Jian-Xu LiDepartment of Radiation Oncology, Guangxi Medical University Cancer Hospital, Nanning, Guangxi, China.
Xiao-Fei ZhuDepartment of Radiation Oncology, Changhai Hospital Affiliated to Navy Medical University, Shanghai, China.
Hong-Qing ZhuangDepartment of Radiation Oncology, Peking University Third Hospital, Beijing, China.
Ping LiangDepartment of Radiation Oncology, Ruikang Hospital, Nanning, Guangxi, China.
Yong HuangDepartment of Radiation Oncology, Ruikang Hospital, Nanning, Guangxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: The study aimed to create a new staging model for radiotherapy-based treatment for prognostic hepatocellular carcinoma (HCC) classification. Methods: The training cohort comprised 658 patients receiving stereotactic body radiotherapy and external validation cohort comprised 533 patients receiving three-dimensional conformal radiotherapy and intensity-modulated radiotherapy. We established a modified staging system as follows: stage I, solitary nodule without macrovascular invasion, or 2-3 nodules no more than 3.0 cm apart, and performance status (PS) 0-2 (Ia: ALBI-1 grade; Ib: ALBI-2 or 3 grade); stage II: 2-3 nodules with any one nodule more than 3.0-cm apart, or ≥4 nodules, and performance status 0-2 (IIa: ALBI-1 grade; IIb: ALBI-2 grade); stage III: macrovascular invasion, regional lymph node metastasis or distant metastasis, and performance status 0-2 (IIIa: ALBI-1 grade; IIIb: ALBI-2 grade); stage IV: performance status 3-4, or performance status 0-2 with ALBI-3 grade. We analyzed long-term overall survival based on different stages. Results: The staging model showed an excellent ability to discriminate patients according to four stages and seven substages with notably different curves in the training and validation cohort. The median survival decreased from stages I to IV with 63.0 months in stage I (not reached in Ia, and 53.0 months in Ib), 24.0 months in stage II (28.0 months in IIa, and 22.0 months in IIb), 11.0 months in stage III (18.0 months in IIIa, and 9.0 months in IIIb), and less than 9.0 months in stage IV in the training cohort. Conclusions: The modified staging model may provide an alternative for clinical radiation oncologists.

Indexed as

Hepatocellular carcinomaOverall survivalRadiotherapyStaging systemStereotactic body radiotherapy

Identifiers

PMID36643048
PMCPMC9817045

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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.