Evidence map›Paper›PMID 37858207›Full record

SynthesisBMC cancer2023

Baseline Albumin-Bilirubin grade as a predictor of response and outcome of regorafenib therapy in patients with hepatocellular carcinoma: a systematic review and meta-analysis.

Huilin Xu, Dedong Cao, Dingjie Zhou, Nan Zhao, Xixian Tang, Vishalkumar G Shelat, Hrishikesh Samant, Sanjaya K Satapathy, Francisco Tustumi, Giuseppe Aprile and 3 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Prognostic value of albumin-bilirubin grade in patients with pancreatic cancer: A systematic review and meta-analysis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
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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 9 institutions in 5 countries.

Huilin XuDepartment of Oncology, The Fifth Hospital of Wuhan, #122 Xianzheng Road, Hanyang District, Wuhan, 430000, China. xhlcdd@163.com.
Dedong CaoDepartment of Oncology, Renmin Hospital of Wuhan University, Wuhan, China.
Dingjie ZhouDepartment of Oncology, Renmin Hospital of Wuhan University, Wuhan, China.
Nan ZhaoDepartment of Oncology, Renmin Hospital of Wuhan University, Wuhan, China.
Xixian TangDepartment of Oncology, Renmin Hospital of Wuhan University, Wuhan, China.
Vishalkumar G ShelatDepartment of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
Hrishikesh SamantDivision of Hepatology, Ochsner Multi-Organ Transplant Center, New Orleans, LA, USA.
Sanjaya K SatapathyDivision of Hepatology, Department of Medicine and Northwell Center for Liver Diseases & Transplantation, Northwell Health, Manhasset, NY, USA.
Francisco TustumiDepartment of Gastroenterology, Digestive Surgery Division, University of São Paulo Medical School, Sao Paulo, Brazil.
Giuseppe AprileDepartment of Oncology, San Bortolo General Hospital, Berica, Vicenza, Italy.
Anbing HeDepartment of Oncology, The Fifth Hospital of Wuhan, #122 Xianzheng Road, Hanyang District, Wuhan, 430000, China.
Ximing XuDepartment of Oncology, Renmin Hospital of Wuhan University, Wuhan, China.
Wei GeDepartment of Oncology, Taikang Tongji Hospital of Wuhan, Wuhan, China.
Wuhan University · CNFifth Hospital In Wuhan · CNNorthwell Health · USOrgan Recovery Systems (United States) · USOspedale San Bortolo · ITRenmin Hospital of Wuhan University · CNTan Tock Seng Hospital · SGTongji Hospital · CNUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of regorafenib in the treatment of hepatocellular carcinoma (HCC) is widespread. Albumin-Bilirubin (ALBI) has been shown to be a potential prognostic marker for regorafenib treatment, but its prognostic value remains controversial. Therefore, we conducted a meta-analysis to investigate the value of the baseline ALBI grade in predicting the efficacy and survival outcomes of HCC patients after regorafenib treatment.

methodsPubMed, Embase, Cochrane library, Web of Science, CNKI, Wan Fang Data, and Vip Database were searched from January 2010 to October 2022. Studies treating HCC patients with regorafenib and with ALBI as a categorical variable, overall survival (OS) and progression-free survival (PFS) as outcome indicators were included. After applying Newcastle-Ottawa Scale (NOS) to evaluate the quality of the included studies, Review Manager 5.4 was used to statistically analyze. Chi-square Q test and I

resultsA total of 12 studies, comprising 1,918 patients, were included in the meta-analysis. The included studies were all evaluated as high quality. Compared to the high-grade baseline ALBI group, patients in the low-grade group had a longer survival time after receiving regorafenib and also more suitable for regorafenib treatment [odds ratio (OR) = 6.50, 95% confidence interval (CI): 2.22-18.96, P < 0.01]. The low-grade baseline ALBI group before sorafenib treatment was significantly correlated with better OS [hazard ratio (HR) = 2.36, 95% CI: 1.68-3.31, P < 0.00001] and PFS (HR = 1.56, 95% CI: 1.16-2.08, P = 0.003). Likewise, the low-grade baseline ALBI group before regorafenib was also significantly correlated with better OS (HR = 1.56, 95% CI: 1.15-2.13, P = 0.005) and PFS (HR = 2.06, 95% CI: 1.37-3.11, P = 0.0005). In addition, the ALBI grade was significantly correlated with disease control rate (DCR) (OR = 2.90, 95% CI: 1.45-5.79, P = 0.003), but not the objective response rate (OR = 1.98, 95% CI: 0.71-5.46, P = 0.19).

conclusionsThe baseline ALBI grade could be a valuable prognostic indicator for predicting response and outcomes in HCC patients treated with regorafenib.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsBilirubinHumansPhenylurea CompoundsPrognosisPyridinesRetrospective StudiesSerum AlbuminBilirubinPhenylurea CompoundsPyridinesregorafenibSerum AlbuminAlbumin-bilirubin (ALBI)BiomarkerHepatocellular carcinoma (HCC)RegorafenibSurvival

Identifiers

PMID37858207
PMCPMC10588229
OpenAlexW4387774520

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.