Evidence map›Paper›PMID 39609726›Full record

ArticleBMC cancer2024

Effectiveness of sorafenib in treating intermediate-stage hepatocellular carcinoma patients refractory to transarterial chemoembolization.

Reham Ashour, Eman Rewisha, Mohamed Akl Rady, Sally Waheed Elkhadry, Heba Abdelhalim, Mohamed Atef

Abstract read
In one paragraph

Article in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Guideline
  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

6 authors.

Reham AshourDepartment of Hepatology and Gastroenterology, National Liver Institute, Menoufia University, Shibin El-Kom, 32511, Egypt.ORCID http://orcid.org/0009-0007-5470-5531
Eman RewishaDepartment of Hepatology and Gastroenterology, National Liver Institute, Menoufia University, Shibin El-Kom, 32511, Egypt.
Mohamed Akl RadyDepartment of Hepatology and Gastroenterology, National Liver Institute, Menoufia University, Shibin El-Kom, 32511, Egypt.ORCID http://orcid.org/0000-0002-7224-4165
Sally Waheed ElkhadryDepartment of Epidemiology and Preventive Medicine, National Liver Institute, Menoufia University, Menoufia, Shibin El Kom City, 32511, Egypt. drsallywaheed@liver.menofia.edu.eg.ORCID http://orcid.org/0000-0001-9305-3045
Heba AbdelhalimDepartment of Diagnostic Medical Imaging and Interventional Radiology, National Liver Institute, Menoufia University, Shibin El-Kom, 32511, Egypt.ORCID http://orcid.org/0000-0002-4765-7400
Mohamed AtefDepartment of Hepatology and Gastroenterology, National Liver Institute, Menoufia University, Shibin El-Kom, 32511, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSwitching to systemic therapy after transarterial chemoembolization (TACE) refractoriness is more inclined to preserve liver function and decrease disease progression. Hence, we conducted a comparison between the advantages of sorafenib therapy and the continuation of TACE in patients with intermediate-stage hepatocellular carcinoma (HCC) who developed TACE refractoriness.

methodsThis retrospective cohort work involved 1,200 patients with HCC who received TACE therapy at our institution between January 2018 and December 2022. Out of these, a total of 436 participants were determined to be resistant to TACE treatment throughout their clinical progression. Out of them, 271 were finally included and categorized into two groups: (1) patients who shifted from TACE to sorafenib, and (2) patients who maintained TACE treatment. The study assessed the overall survival (OS) and time to disease progression (TTDP) of patients who were resistant to TACE, comparing both groups based on when they achieved Child-Pugh C or acquired advanced-stage HCC.

resultsFollowing confirmation of refractoriness to TACE therapy, 163 opted to continue with TACE (TACE group), whereas 108 shifted to sorafenib treatment (sorafenib group). The median TTDP was 23.36 months, while the median OS was 25.3 months, in the sorafenib group, and 11.6 and 14.2 months, correspondingly, in the TACE group (p = 0.0001).

conclusionSwitching to sorafenib treatment significantly improved OS and TTDP in patients with intermediate-stage HCC who were refractory to TACE. These finding highlights sorafenib's potential as an effective alternative for managing disease progression in patients unresponsive to TACE, offering a valuable treatment option in this challenging clinical scenario.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsSorafenibAdultAgedAntineoplastic AgentsDisease ProgressionDrug Resistance, NeoplasmFemaleHumansMaleMiddle AgedNeoplasm StagingRetrospective StudiesTreatment OutcomeAntineoplastic AgentsSorafenibHepatocellular carcinomaIntermediate-stage patientsRefractornessSorafenibTransarterial chemoembolization

Identifiers

PMID39609726
PMCPMC11603851

What OpenQuestion holds

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LicenceCC BY
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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.