Evidence map›Paper›PMID 39272868›Full record

ArticleCancers2024

Initial Trans-Arterial Chemo-Embolisation (TACE) Is Associated with Similar Survival Outcomes as Compared to Upfront Percutaneous Ablation Allowing for Follow-Up Treatment in Those with Single Hepatocellular Carcinoma (HCC) ≤ 3 cm: Results of a Real-World Propensity-Matched Multi-Centre Australian Cohort Study.

Jonathan Abdelmalak, Simone I Strasser, Natalie L Ngu, Claude Dennis, Marie Sinclair, Avik Majumdar, Kate Collins, Katherine Bateman, Anouk Dev, Joshua H Abasszade and 26 more

Abstract read
In one paragraph

Article in Cancers, 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

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.

  1. Article
  2. Article
  3. Article
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

36 authors.

Jonathan AbdelmalakDepartment of Gastroenterology, Alfred Health, Melbourne, VIC 3004, Australia.ORCID 0000-0001-7550-8202
Simone I StrasserAW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Camperdown, NSW 2050, Australia.ORCID 0000-0001-6374-1525
Natalie L NguAW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Camperdown, NSW 2050, Australia.
Claude DennisAW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Camperdown, NSW 2050, Australia.ORCID 0000-0002-5341-0404
Marie SinclairDepartment of Gastroenterology, Austin Hospital, Heidelberg, VIC 3084, Australia.ORCID 0000-0003-0657-3048
Avik MajumdarDepartment of Gastroenterology, Austin Hospital, Heidelberg, VIC 3084, Australia.
Kate CollinsDepartment of Gastroenterology, Austin Hospital, Heidelberg, VIC 3084, Australia.ORCID 0000-0001-6357-3867
Katherine BatemanDepartment of Gastroenterology, Austin Hospital, Heidelberg, VIC 3084, Australia.
Anouk DevDepartment of Gastroenterology, Monash Health, Clayton, VIC 3168, Australia.
Joshua H AbasszadeDepartment of Gastroenterology, Monash Health, Clayton, VIC 3168, Australia.
Zina ValaydonDepartment of Gastroenterology, Western Health, Footscray, VIC 3011, Australia.
Daniel SaittaDepartment of Gastroenterology, Western Health, Footscray, VIC 3011, Australia.
Kathryn GazelakisDepartment of Gastroenterology, Western Health, Footscray, VIC 3011, Australia.
Susan ByersDepartment of Gastroenterology, Western Health, Footscray, VIC 3011, Australia.
Jacinta HolmesDepartment of Gastroenterology, St. Vincent's Hospital Melbourne, Fitzroy, VIC 3065, Australia.
Alexander J ThompsonDepartment of Gastroenterology, St. Vincent's Hospital Melbourne, Fitzroy, VIC 3065, Australia.
Jessica HowellDepartment of Gastroenterology, St. Vincent's Hospital Melbourne, Fitzroy, VIC 3065, Australia.
Dhivya PandiarajaDepartment of Gastroenterology, St. Vincent's Hospital Melbourne, Fitzroy, VIC 3065, Australia.
Steven BollipoDepartment of Gastroenterology, John Hunter Hospital, New Lambton Heights, NSW 2305, Australia.
Suresh SharmaDepartment of Gastroenterology, John Hunter Hospital, New Lambton Heights, NSW 2305, Australia.ORCID 0000-0003-4785-3337
Merlyn JosephDepartment of Gastroenterology, John Hunter Hospital, New Lambton Heights, NSW 2305, Australia.
Rohit SawhneyDepartment of Gastroenterology, Eastern Health, Box Hill, VIC 3128, Australia.ORCID 0000-0002-8131-2182
Amanda NicollDepartment of Gastroenterology, Eastern Health, Box Hill, VIC 3128, Australia.ORCID 0000-0002-1855-2757
Nicholas BattDepartment of Gastroenterology, Eastern Health, Box Hill, VIC 3128, Australia.
Myo J TangDepartment of Gastroenterology, Alfred Health, Melbourne, VIC 3004, Australia.
Stephen RiordanDepartment of Gastroenterology, Prince of Wales Hospital, Randwick, NSW 2031, Australia.
Nicholas HannahDepartment of Gastroenterology, Royal Melbourne Hospital, Parkville, VIC 3052, Australia.
James HaridyDepartment of Gastroenterology, Royal Melbourne Hospital, Parkville, VIC 3052, Australia.ORCID 0000-0002-1534-3466
Siddharth SoodDepartment of Gastroenterology, Royal Melbourne Hospital, Parkville, VIC 3052, Australia.
Eileen LamDepartment of Medicine, School of Translational Medicine, Monash University, Melbourne, VIC 3004, Australia.ORCID 0000-0002-1244-3322
Elysia GreenhillDepartment of Medicine, School of Translational Medicine, Monash University, Melbourne, VIC 3004, Australia.
John LubelDepartment of Gastroenterology, Alfred Health, Melbourne, VIC 3004, Australia.
William KempDepartment of Gastroenterology, Alfred Health, Melbourne, VIC 3004, Australia.ORCID 0000-0002-0787-7273
Ammar MajeedDepartment of Gastroenterology, Alfred Health, Melbourne, VIC 3004, Australia.
John ZalcbergSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia.ORCID 0000-0002-6624-0782
Stuart K RobertsDepartment of Gastroenterology, Alfred Health, Melbourne, VIC 3004, Australia.ORCID 0000-0002-9015-7997

Funding

Eisai (United States) NAIpsen (United States) NARoche (Canada) NA
6 · The paper itself

Abstract

Percutaneous ablation is recommended in Barcelona Clinic Liver Cancer (BCLC) stage 0/A patients with HCC ≤3 cm as a curative treatment modality alongside surgical resection and liver transplantation. However, trans-arterial chemo-embolisation (TACE) is commonly used in the real-world as an initial treatment in patients with single small HCC in contrast to widely accepted clinical practice guidelines which typically describe TACE as a treatment for intermediate-stage HCC. We performed this real-world propensity-matched multi-centre cohort study in patients with single HCC ≤ 3 cm to assess for differences in survival outcomes between those undergoing initial TACE and those receiving upfront ablation. Patients with a new diagnosis of BCLC 0/A HCC with a single tumour ≤3 cm first diagnosed between 1 January 2016 and 31 December 2020 who received initial TACE or ablation were included in the study. A total of 348 patients were included in the study, with 147 patients receiving initial TACE and 201 patients undergoing upfront ablation. After propensity score matching using key covariates, 230 patients were available for analysis with 115 in each group. There were no significant differences in overall survival (log-rank test

Indexed as

ablationearlyhepatocellular carcinomasinglesmallTACE

Identifiers

PMID39272868
PMCPMC11394053

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Registered trials

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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.