Evidence map›Paper›PMID 37965538›Full record

ArticleJournal of surgical case reports2023

Importance of optimizing duration of adjuvant immune checkpoint inhibitor therapy to treat postoperative hepatocellular carcinoma after conversion therapy: a case report.

Jian-Rong Li, Da-Long Yang, Jin-Ming Wang, Wei Tian, Wei Wei, Cheng-Piao Luo, Lu-Nan Qi, Liang Ma, Jian-Hong Zhong

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2023. 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 35% 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, 2 citations in OpenAlex.

  1. Review
  2. Review
  3. 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

9 authors at 1 institution in 1 country.

Jian-Rong LiHepatobiliary Surgery Department, Guangxi Medical University Cancer Hospital, Nanning 530021, China.
Da-Long YangHepatobiliary Surgery Department, Guangxi Medical University Cancer Hospital, Nanning 530021, China.
Jin-Ming WangHepatobiliary Surgery Department, Guangxi Medical University Cancer Hospital, Nanning 530021, China.
Wei TianHepatobiliary Surgery Department, Guangxi Medical University Cancer Hospital, Nanning 530021, China.
Wei WeiRadiology Department, Guangxi Medical University Cancer Hospital, Nanning 530021, China.
Cheng-Piao LuoPathology Department, Guangxi Medical University Cancer Hospital, Nanning 530021, China.
Lu-Nan QiHepatobiliary Surgery Department, Guangxi Medical University Cancer Hospital, Nanning 530021, China.
Liang MaHepatobiliary Surgery Department, Guangxi Medical University Cancer Hospital, Nanning 530021, China.
Jian-Hong ZhongHepatobiliary Surgery Department, Guangxi Medical University Cancer Hospital, Nanning 530021, China.ORCID https://orcid.org/0000-0002-1494-6396
Guangxi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with hepatocellular carcinoma at high risk of recurrence after hepatic resection or local ablation often undergo adjuvant immunotherapy with immune checkpoint inhibitors for 1 year in randomized controlled trials, but the appropriateness of this duration is controversial, especially given the risk of adverse events. Here we report the case of a 52-year-old Chinese man with initially unresectable multinodular recurrent hepatocellular carcinoma who underwent two cycles of transarterial chemoembolization, followed by hepatic resection and 24 months of adjuvant therapy with the PD-1 inhibitor tislelizumab. The patient achieved a recurrence-free survival time of 24 months, but he experienced elevated alpha fetoprotein, Grade 2 hypothyroidism and pruritus while on adjuvant therapy. This case highlights the need to optimize the duration of adjuvant immunotherapy after curative treatment for hepatocellular carcinoma in order to minimize risk of not only recurrence but also adverse events.

Indexed as

adjuvanthepatocellular carcinomaimmune checkpoint inhibitortislelizumabtreatment duration

Identifiers

PMID37965538
PMCPMC10641292
OpenAlexW4388639477

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.