Evidence map›Paper›PMID 37465089›Full record

ReviewCureus2023

Evaluation of the Safety and Efficacy of Conventional Transarterial Chemoembolization (cTACE) and Drug-Eluting Bead (DEB)-TACE in the Management of Unresectable Hepatocellular Carcinoma: A Systematic Review.

Javaria Ayyub, Karan Nareshbhai Dabhi, Namra V Gohil, Nida Tanveer, Sally Hussein, Shravya Pingili, Vijaya Krishna Makkena, Arturo P Jaramillo, Babatope L Awosusi, Tuheen Sankar Nath

Abstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
–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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Conventional and drug‑eluting bead transarterial chemoembolization in patients with inoperable intrahepatic cholangiocarcinoma: a meta‑analysis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024
    Pooled it
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  18. Update on the Diagnosis and Treatment of Combined Hepatocellular Cholangiocarcinoma.Journal of clinical and translational hepatology · 2024
    Review
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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

10 authors.

Javaria AyyubInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Karan Nareshbhai DabhiInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Namra V GohilInternal Medicine, Medical College Baroda, Vadodara, IND.
Nida TanveerInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Sally HusseinInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Shravya PingiliMedicine, Kakatiya Medical College, Hyderabad, IND.
Vijaya Krishna MakkenaMedicine, Osmania Medical College, Hyderabad, IND.
Arturo P JaramilloGeneral Practice, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Babatope L AwosusiPathology and Laboratory Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Tuheen Sankar NathSurgical Oncology, Tata Medical Centre, Kolkata, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transarterial chemoembolization (TACE) is considered the preferred loco-regional treatment option for hepatocellular carcinoma (HCC) not amenable to resection due to its distinctive blend of precise drug administration, localized tumor management, and reduced systemic adverse effects, setting it apart from the plethora of alternative treatments available. There is an ongoing debate regarding the optimal choice for managing HCC using TACE, particularly between its two major types: conventional TACE (cTACE) and drug-eluting bead TACE (DEB-TACE). The medical community remains divided on which approach offers superior safety and efficacy, with conflicting evidence and varied outcomes adding to the complexity of this nuanced decision. Given the lack of consensus surrounding the preferred TACE technique in treatment-naive patients for HCC, we conducted a rigorous systematic review to assess and contrast the relative safety and efficacy of cTACE versus DEB-TACE in patients diagnosed with HCC who did not receive any prior treatment for HCC. Our study aimed to provide much-needed clarity on this controversial topic, shedding light on the two approaches' comparative safety and efficacy to inform clinical decision-making. After a comprehensive search of databases and search engines and through a methodical screening process, including standardized quality assessments and relevant filter application based on our eligibility criteria, we identified 10 articles pertinent to our research query comprising two randomized controlled trials, one meta-analysis, and seven observational studies. The collective sample size of the studies was 5,288 patients with HCC, of which 2,959 were in the cTACE arm and 2,324 were in the DEB-TACE arm.

Indexed as

conventional transarterial chemoembolizationdrug-eluting bead transarterial chemoembolizationefficacyhepatocellular carcinomahepatomaliver cancersafety

Identifiers

PMID37465089
PMCPMC10351914

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.