Evidence map›Paper›PMID 39590176›Full record

SynthesisCurrent oncology (Toronto, Ont.)2024

Electrochemotherapy in the Locoregional Treatment of Metastatic Colorectal Liver Metastases: A Systematic Review.

Pierluigi Barbieri, Alessandro Posa, Valentina Lancellotta, David C Madoff, Alessandro Maresca, Patrizia Cornacchione, Luca Tagliaferri, Roberto Iezzi

Abstract readSystematic Review
In one paragraph

Synthesis in Current oncology (Toronto, Ont.), 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. 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

8 authors.

Pierluigi BarbieriDepartment of Diagnostic Imaging and Oncologic Radiotherapy-Emergency and Interventional Radiology Unit, Fondazione Policlinico Universitario "Agostino Gemelli"-IRCCS, 00168 Rome, Italy.ORCID 0000-0002-7568-7180
Alessandro PosaDepartment of Diagnostic Imaging and Oncologic Radiotherapy-Emergency and Interventional Radiology Unit, Fondazione Policlinico Universitario "Agostino Gemelli"-IRCCS, 00168 Rome, Italy.ORCID 0000-0001-9617-3413
Valentina LancellottaDepartment of Diagnostic Imaging and Oncological Radiotherapy-Gemelli ART (Advanced Radiation Therapy), Interventional Oncology Center (IOC), Fondazione Policlinico Universitario "Agostino Gemelli"-IRCCS, 00168 Rome, Italy.ORCID 0000-0003-3507-7051
David C MadoffDepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT 06520, USA.
Alessandro MarescaDepartment of Diagnostic Imaging and Oncologic Radiotherapy-Emergency and Interventional Radiology Unit, Fondazione Policlinico Universitario "Agostino Gemelli"-IRCCS, 00168 Rome, Italy.ORCID 0009-0007-3201-3198
Patrizia CornacchioneDepartment of Diagnostic Imaging and Oncological Radiotherapy-Gemelli ART (Advanced Radiation Therapy), Interventional Oncology Center (IOC), Fondazione Policlinico Universitario "Agostino Gemelli"-IRCCS, 00168 Rome, Italy.ORCID 0000-0002-5573-6352
Luca TagliaferriDepartment of Diagnostic Imaging and Oncological Radiotherapy-Gemelli ART (Advanced Radiation Therapy), Interventional Oncology Center (IOC), Fondazione Policlinico Universitario "Agostino Gemelli"-IRCCS, 00168 Rome, Italy.ORCID 0000-0003-2308-0982
Roberto IezziDepartment of Diagnostic Imaging and Oncologic Radiotherapy-Emergency and Interventional Radiology Unit, Fondazione Policlinico Universitario "Agostino Gemelli"-IRCCS, 00168 Rome, Italy.ORCID 0000-0002-2791-481X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global incidence of secondary liver cancer is rising due to multiple risk factors, presenting significant challenges in public health. Similarly, colorectal cancer (CRC) remains a leading cause of cancer-related mortality with the development of frequent liver metastases. Surgical resection of CRC liver metastases is only suitable for a limited subset of patients, necessitating alternative nonsurgical treatments such as electrochemotherapy (ECT); Methods: This review adhered to the S.P.I.D.E.R. FRAMEWORK: Systematic searches of PubMed, Cochrane, and Scopus databases were conducted for studies published between 2003 and 2023, following PRISMA guidelines. Inclusion criteria were full-text clinical studies in English focusing on ECT-treated CRC liver metastases, excluding reviews, editorials, and non-clinical papers. The GRADE approach was utilized to assess evidence quality, considering study limitations, consistency, and other factors; Results: From 38 identified articles, 4 met the inclusion criteria, encompassing 78 patients and 128 treated lesions. The studies demonstrated variability in design and follow-up duration (3-11 months). Complete response (CR) rates ranged from 33.3% to 63.0%, while progression disease (PD) rates were high, ranging from 23.0% to 55.6%. Median overall survival (OS) spanned 11.3 to 29.0 months. No severe ECT-related complications were reported.

conclusionsECT appears to be a safe and effective modality for the treatment of CRC liver metastases, especially for lesions unsuitable for other ablative techniques. Further prospective and randomized studies are essential to better define the role of ECT in managing CRC liver metastases and to compare its efficacy with other ablative methods.

Indexed as

Colorectal NeoplasmsElectrochemotherapyLiver NeoplasmsHumanscolorectal cancerelectrochemotherapyliver metastaseslocoregional therapy

Identifiers

PMID39590176
PMCPMC11592455

What OpenQuestion holds

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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.