Evidence map›Paper›PMID 40010999›Full record

ArticleIn vivo (Athens, Greece)

Effect of Nutritional Index on Lenvatinib Treatment Retention Rates in Unresectable Hepatocellular Carcinoma.

Ryosuke Wakamatsu, Mizuki Nakayama, Ayaka Wakamatsu, Yuki Yamashita, Hiroo Suto, Miki Katsuragawa, Akio Shibanami, Kazuya Hiura

Abstract read
In one paragraph

Article in In vivo (Athens, Greece). 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.

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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

8 authors.

Ryosuke WakamatsuHospital Pharmacy, Sapporo Kosei General Hospital, Sapporo, Japan.
Mizuki NakayamaDepartment of Clinical Pharmaceutics, Faculty of Pharmaceutical Sciences, Hokkaido University of Science, Sapporo, Japan.
Ayaka WakamatsuHospital Pharmacy, Sapporo Kosei General Hospital, Sapporo, Japan.
Yuki YamashitaHospital Pharmacy, Asahikawa Kosei General Hospital, Asahikawa, Japan.
Hiroo SutoHospital Pharmacy, Sapporo Kosei General Hospital, Sapporo, Japan.
Miki KatsuragawaHospital Pharmacy, Sapporo Kosei General Hospital, Sapporo, Japan.
Akio ShibanamiHospital Pharmacy, Sapporo Kosei General Hospital, Sapporo, Japan.
Kazuya HiuraDepartment of Clinical Pharmaceutics, Faculty of Pharmaceutical Sciences, Hokkaido University of Science, Sapporo, Japan; hiura-k@hus.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimSeveral studies have reported the association between lenvatinib (LEN) treatment and nutritional indices. However, no study has used multiple nutritional indices or reported their changes during treatment. This study aimed to clarify the association between LEN treatment and nutritional status. PATIENTS AND

methodsPatients with hepatocellular carcinoma (n=103) treated with LEN were divided into two groups, namely normal and poor nutritional groups, using the Controlling Nutritional Status (CONUT) score, Onodera-Prognostic Nutritional Index (O-PNI), modified Glasgow Prognostic Score (mGPS), and Geriatric Nutritional Risk Index (GNRI). Treatment retention rates were then compared between the two groups. Additionally, changes in nutritional indices from the start of treatment to the end of the observation period or treatment were analyzed to determine their relationship with treatment continuation.

resultsPatients with normal nutrition according to the CONUT score, O-PNI, mGPS, and GNRI had a significantly higher rate of treatment retention than those with poor nutrition. Furthermore, both a normal CONUT score and mGPS indicated a lower likelihood of discontinuation due to adverse events. Patients in whom treatment was continued were significantly more likely to maintain or improve their CONUT score.

conclusionMaintaining or restoring a normal nutritional status is important to ensure continued treatment with LEN. Both the combination of the CONUT score and mGPS at the start of LEN treatment, and the CONUT score during treatment, are useful indicators of nutritional status.

Indexed as

Antineoplastic AgentsCarcinoma, HepatocellularLiver NeoplasmsNutritional StatusNutrition AssessmentPhenylurea CompoundsQuinolinesAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisTreatment OutcomeAntineoplastic AgentslenvatinibPhenylurea CompoundsQuinolinesCONUT scoreGNRILenvatinibmGPSO-PNI

Identifiers

PMID40010999
PMCPMC11884448

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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.