Evidence map›Paper›PMID 38899335›Full record

ArticleWorld journal of gastroenterology2024

Development of a nomogram for predicting liver transplantation prognosis in hepatocellular carcinoma.

Li He, Wan-Sheng Ji, Hai-Long Jin, Wen-Jing Lu, Yuan-Yuan Zhang, Hua-Guang Wang, Yu-Yu Liu, Shuang Qiu, Meng Xu, Zi-Peng Lei and 3 more

Abstract read
In one paragraph

Article in World journal of gastroenterology, 2024. 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
–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

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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.

  1. 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.

Li HeDepartment of Organ Transplantation, The Third Medical Centre of Chinese PLA General Hospital, Beijing 100039, China.
Wan-Sheng JiClinical Research Center, The Affiliated Hospital of Shandong Second Medical University, Weifang 261053, Shandong Province, China.
Hai-Long JinDepartment of Organ Transplantation, The Third Medical Centre of Chinese PLA General Hospital, Beijing 100039, China.
Wen-Jing LuDepartment of Laboratory Medicine, The Third Medical Centre of Chinese PLA General Hospital, Beijing 100039, China.
Yuan-Yuan ZhangDepartment of Laboratory Medicine, The Third Medical Centre of Chinese PLA General Hospital, Beijing 100039, China.
Hua-Guang WangPhysiatry Department, Naval Aviation University, Yantai 100071, Shandong Province, China.
Yu-Yu LiuDepartment of Organ Transplantation, The Third Medical Centre of Chinese PLA General Hospital, Beijing 100039, China.
Shuang QiuDepartment of Organ Transplantation, The Third Medical Centre of Chinese PLA General Hospital, Beijing 100039, China.
Meng XuDepartment of Organ Transplantation, The Third Medical Centre of Chinese PLA General Hospital, Beijing 100039, China.
Zi-Peng LeiDepartment of Organ Transplantation, The Third Medical Centre of Chinese PLA General Hospital, Beijing 100039, China.
Qian ZhengDepartment of Organ Transplantation, The Third Medical Centre of Chinese PLA General Hospital, Beijing 100039, China.
Xiao-Li YangDepartment of Laboratory Medicine, The Third Medical Centre of Chinese PLA General Hospital, Beijing 100039, China.
Qing ZhangDepartment of Organ Transplantation, The Third Medical Centre of Chinese PLA General Hospital, Beijing 100039, China. zqy6920@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAt present, liver transplantation (LT) is one of the best treatments for hepatocellular carcinoma (HCC). Accurately predicting the survival status after LT can significantly improve the survival rate after LT, and ensure the best way to make rational use of liver organs.

aimTo develop a model for predicting prognosis after LT in patients with HCC.

methodsClinical data and follow-up information of 160 patients with HCC who underwent LT were collected and evaluated. The expression levels of alpha-fetoprotein (AFP), des-gamma-carboxy prothrombin, Golgi protein 73, cytokeratin-18 epitopes M30 and M65 were measured using a fully automated chemiluminescence analyzer. The best cutoff value of biomarkers was determined using the Youden index. Cox regression analysis was used to identify the independent risk factors. A forest model was constructed using the random forest method. We evaluated the accuracy of the nomogram using the area under the curve, using the calibration curve to assess consistency. A decision curve analysis (DCA) was used to evaluate the clinical utility of the nomograms.

resultsThe total tumor diameter (TTD), vascular invasion (VI), AFP, and cytokeratin-18 epitopes M30 (CK18-M30) were identified as important risk factors for outcome after LT. The nomogram had a higher predictive accuracy than the Milan, University of California, San Francisco, and Hangzhou criteria. The calibration curve analyses indicated a good fit. The survival and recurrence-free survival (RFS) of high-risk groups were significantly lower than those of low- and middle-risk groups (

conclusionThe study developed a predictive nomogram based on TTD, VI, AFP, and CK18-M30 that could accurately predict overall survival and RFS after LT. It can screen for patients with better postoperative prognosis, and improve long-term survival for LT patients.

Indexed as

alpha-FetoproteinsBiomarkers, TumorCarcinoma, HepatocellularLiver NeoplasmsLiver TransplantationNomogramsAdultAgedDecision Support TechniquesFemaleHumansKeratin-18MaleMiddle AgedPrognosisRetrospective StudiesAFP protein, humanalpha-FetoproteinsBiomarkers, TumorKeratin-18Hepatocellular carcinomaLiver cancerLiver transplantationNomogramPrognosis

Identifiers

PMID38899335
PMCPMC11185292

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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.