Evidence map›Paper›PMID 36807338›Full record

ArticleBritish journal of cancer2023

'Potentially curative therapies' for hepatocellular carcinoma: how many patients can actually be cured?

Alessandro Cucchetti, Omar Elshaarawy, Guohong Han, Charing C N Chong, Carla Serra, Joanne Marie O'Rourke, Richard Crew, Cristina Felicani, Giorgio Ercolani, Tahir Shah and 3 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  9. Steroids fromMolecular biology research communications · 2026
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  15. Gene targets with therapeutic potential in hepatocellular carcinoma.World journal of gastrointestinal oncology · 2024
    Article
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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

13 authors at 7 institutions in 5 countries.

Alessandro CucchettiDepartment of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Omar ElshaarawyNational Liver Institute, Shebeen El-Kom, Egypt.
Guohong HanDepartment of Liver Disease and Digestive Interventional Radiology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Charing C N ChongDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Ma Liu Shui, Hong Kong SAR.
Carla SerraIRCCS Azienda Ospedaliero-Universitaria di Bologna. S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Joanne Marie O'RourkeThe Liver Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Richard CrewTechnology, Infrastructure & Environment Directorate, Faculty of Health & Life Sciences, University of Liverpool, Liverpool, UK.
Cristina FelicaniIRCCS Azienda Ospedaliero-Universitaria di Bologna. S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Giorgio ErcolaniDepartment of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.ORCID 0000-0003-4334-5167
Tahir ShahThe Liver Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Arndt VogelClinic for Gastroenterology, Hepatology and Endocrinology, Hannover Medical School, Hannover, Germany.ORCID 0000-0003-0560-5538
Paul B S LaiDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Ma Liu Shui, Hong Kong SAR.
Philip J JohnsonDepartment of Molecular and Clinical Cancer Medicine, University of Liverpool, Liverpool, UK. Philip.Johnson@liverpool.ac.uk.ORCID 0000-0003-1404-0209
Chinese University of Hong Kong · HKIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITOspedale G.B. Morgagni - L.Pierantoni · ITUniversity Hospitals Birmingham NHS Foundation Trust · GBUniversity of Liverpool · GBMedizinische Hochschule Hannover · DEXijing Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment of hepatocellular carcinoma (HCC) is predicated on early diagnosis such that 'curative therapies' can be successfully applied. The term 'curative' is, however, poorly quantitated. We aimed to complement our previous work by developing a statistical model to predict cure after ablation and to use this analysis to compare the true curative potential of the various 'curative' therapies.

methodsWe accessed data from 1571 HCC patients treated in 5 centres receiving radiofrequency (RFA) or microwave (MWA) ablation and used flexible parametric modelling to determine the curative fraction. The results of this analysis were then combined with our previous estimations to provide a simple calculator applicable to all patients undergoing potentially curative therapies.

resultsThe cure fraction was 18.3% rising to about 40% in patients with good liver function and very small tumours.

conclusionCure for HCC treated with ablation occurs in the order of 20% to 30%, similar to that achievable by resection but much inferior to transplantation where the analogous figure is >70%. We provide a 'calculator' that permits clinicians to estimate the chance of cure for any individual patient, based on readily available clinical features.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsRadiofrequency TherapyAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedModels, StatisticalRetrospective StudiesTreatment Outcome

Identifiers

PMID36807338
PMCPMC10133312
OpenAlexW4321201843

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.