Evidence map›Paper›PMID 40196745›Full record

ArticleCancer innovation2025

A Survey of Clinical Practices for Hepatocellular Carcinoma Among Experts at Tertiary Hospitals in China From 2020 to 2021.

Hong Zhao, Yilei Mao, Hongguang Wang, Aiping Zhou, Zhengqiang Yang, Yue Han, Gong Li, Xinyu Bi, Chunyi Hao, Xiaodong Wang and 29 more

Abstract read
In one paragraph

Article in Cancer innovation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

39 authors.

Hong ZhaoDepartment of Hepatobiliary Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.ORCID 0000-0002-6063-2099
Yilei MaoDepartment of Liver Surgery, Peking Union Medical College (PUMC) Hospital PUMC and Chinese Academy of Medical Sciences (CAMS) Beijing China.
Hongguang WangDepartment of Hepatobiliary Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Aiping ZhouDepartment of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Zhengqiang YangDepartment of Interventional Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Yue HanDepartment of Interventional Radiology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Gong LiDepartment of Radiation Oncology, Beijing Tsinghua Changgung Hospital (BTCH) School of Clinical Medicine, Tsinghua University Beijing China.
Xinyu BiDepartment of Hepatobiliary Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Chunyi HaoKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Sarcoma Center Peking University Cancer Hospital & Institute Beijing China.
Xiaodong WangDepartments of Interventional Oncology Peking University Cancer Hospital & Institute Beijing China.
Jun ZhouDepartment of Medical Oncology Peking University Cancer Hospital & Institute Beijing China.
Chaoliu DaiDepartment of General Surgery Shengjing Hospital of China Medical University Shenyang Liaoning China.
Feng WenDepartment of Radiology Shengjing Hospital of China Medical University Shenyang Liaoning China.
Jingdong ZhangMedical Oncology Department of Gastrointestinal Cancer Liaoning Cancer Hospital & Institute, Cancer Hospital of China Medical University Shenyang Liaoning China.
Ruibao LiuInterventional Radiological Department Harbin Medical University Cancer Hospital Harbin Heilongjiang China.
Tao LiDepartment of General Surgery, Qilu Hospital The Second Hospital of Shandong University Jinan Shandong China.
Lei ZhaoDepartment of Hepatobiliary Surgery Shandong Cancer Hospital Affiliated to Shandong First Medical University and Shandong Academy of Medical Science Jinan Shandong China.
Zuoxing NiuDepartment of Gastroenterology, Ward 2, Shandong Cancer Hospital and Institute Shandong First Medical University Jinan Shandong China.
Tianfu WenDepartment of Liver Surgery, West China Hospital Sichuan University Chengdu Sichuan China.
Qiu LiCancer Center, West China Hospital Sichuan University Chengdu Sichuan China.
Hongmei ZhangDepartment of Clinical Oncology, Xijing Hospital The Air Force Military Medical University Xi'an Shaanxi China.
Xiaoming ChenDepartment of Interventional Radiology Guangdong Provincial People's Hospital Guangzhou Guangdong China.
Minshan ChenDepartment of Liver Surgery Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine Guangzhou Guangdong China.
Ming ZhaoDepartment of Minimally Invasive Interventional Therapy, Liver Cancer Study and Service Group Sun Yat-sen University Cancer Center Guangzhou Guangdong China.
Yajin ChenDepartment of Hepatobiliary Surgery, Sun Yat-sen Memorial Hospital Sun Yat-sen University Guangzhou Guangdong China.
Jun YuDepartment of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital Zhejiang University School of Medicine Hangzhou Zhejiang China.
Jie ShenDepartment of Oncology The Affiliated Drum Tower Hospital of Nanjing University Medical School Nanjing Jiangsu China.
Xiangchen LiHepatobiliary Center The First Affiliated Hospital of Nanjing Medical University Nanjing Jiangsu China.
Lianxin LiuDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine University of Science and Technology of China Hefei Anhui China.
Zhiyong HuangHepatic Surgery Center, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China.
Wei ZhangHepatic Surgery Center, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China.
Feng ShenDepartment of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital Second Military Medical University (Naval Medical University) Shanghai China.
Weiping ZhouDepartment of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital Second Military Medical University (Naval Medical University) Shanghai China.
Zhengang YuanDepartment of Oncology, Eastern Hepatobiliary Surgery Hospital Second Military Medical University Shanghai China.
Jian ZhaiDepartment II of Interventional Radiology Eastern Hepatobiliary Surgery Hospital Shanghai China.
Ningling GeDepartment of Hepatic Oncology, Zhongshan Hospital, Liver Cancer Institute and Key Laboratory of Carcinogenesis and Cancer Invasion Fudan University Shanghai China.
Yongjun ChenDepartment of General Surgery, Ruijin Hospital Shanghai Jiao Tong University School of Medicine Shanghai China.
Huichuan SunDepartment of Liver Surgery and Transplantation, Liver Cancer Institute and Zhongshan Hospital Fudan University Shanghai China.
Jianqiang CaiDepartment of Hepatobiliary Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hepatocellular carcinoma (HCC) is the second leading cause of cancer-related death in China. The rapid progress in systemic therapies has led to the approval of many therapeutic methods that have quickly changed clinical guidelines and practices. Because of the high heterogeneity of HCC, there are still some gaps between the guidelines and real-world clinical practice. The present study surveyed experts in China to investigate the current treatment concepts and clinical practice regarding HCC. Methods: A questionnaire survey on the treatment concepts and clinical practice of HCC was administered to 310 experts with senior professional titles in 2020 and 312 experts in 2021. The results were analyzed and compared. Results: For treating patients with resectable HCC, 28% of hepatobiliary surgeons indicated neoadjuvant therapy, and 7% chose systemic therapy ± locoregional therapy as 1 L therapy in 2021 compared with 20% and 1% in 2020. More experts chose adjuvant treatment within 1 month in 2021 compared with 2020, and 6 months and 12 months were the leading choices for the duration of adjuvant treatment. In 2021, 79% of surgeons and 19% of interventionalists were willing to conduct downstaging/conversion therapy for patients with potentially resectable HCC, and 78% chose tyrosine kinase inhibitors (TKI) + immunotherapy (IO) + locoregional therapy for cases in which R0 resection could not be achieved. For completely unresectable HCC, more experts preferred TKI + IO-based therapy as 1 L therapy in 2021 compared with 2020 (78% vs. 55%). The proportion of experts who indicated TKI + IO-based therapy as 2 L therapy increased from 32% in 2020 to 40% in 2021. Conclusion: The survey results indicated that in 2021, compared with 2020, more experts opted to administer IO + TKI for the treatment of liver cancer, and more experts and patients were willing to participate in clinical research.

Indexed as

adjuvant therapydownstaging/conversion therapyimmunotherapyneoadjuvant therapyTKI

Identifiers

PMID40196745
PMCPMC11975463

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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.