Evidence map›Paper›PMID 40369614›Full record

ArticleWorld journal of surgical oncology2025

Anxiety is a risk prognosis factor for hepatocellular carcinoma with portal vein tumor thrombus who underwent hepatic arterial infusion chemotherapy: a propensity score-matching cohort study.

Hao-Yang Tan, Shuang-Quan Liu, Yan-Han Liu, Ling Lu, Jiu-Ling Zheng, Hua-Guo Feng

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Article in World journal of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Hao-Yang Tan *Department of Hepatobiliary Surgery, School of Medicine, The Chongqing University Jiangjin Hospital, Chongqing University, Chongqing, China.
Shuang-Quan Liu *Department of Hepatobiliary Surgery, School of Medicine, The Chongqing University Jiangjin Hospital, Chongqing University, Chongqing, China.
Yan-Han Liu *Department of Radiology, School of Medicine, The Chongqing University Jiangjin Hospital, Chongqing University, Chongqing, China.
Ling LuDepartment of Nephrology, School of Medicine, The Chongqing University Jiangjin Hospital, Chongqing University, Chongqing, China.
Jiu-Ling ZhengDepartment of Hepatobiliary Surgery, School of Medicine, The Chongqing University Jiangjin Hospital, Chongqing University, Chongqing, China. 740605764@qq.com.
Hua-Guo FengDepartment of Hepatobiliary Surgery, School of Medicine, The Chongqing University Jiangjin Hospital, Chongqing University, Chongqing, China. fenghuaguo@126.com.

Funding

Chongqing Jiangjin Guidance Project Y2023015Chongqing Science and Health Joint Traditional Chinese Medicine Project 2025ZYYB017Chongqing University Jiangjin Hospital Internal Cultivation Project 2024LCXM002
6 · The paper itself

Abstract

backgroundIncreasing evidence indicates that psychological factors play a role in tumor progression. This study aims to explore the impact of anxiety disorder on the prognosis of hepatocellular carcinoma (HCC) patients with portal vein tumor thrombus (PVTT) who underwent hepatic arterial infusion chemotherapy (HAIC).

methodsA propensity score-matching cohort study was conducted in 68 HCC patients with PVTT who underwent HAIC between January 2020 and December 2023. The anxiety situation was evaluated using the Hamilton Anxiety Rating Scale before HAIC. The objective response rate, overall survival (OS), progression-free survival, and adverse events were compared between the different anxiety score groups. Using Cox proportional hazards models for univariate and multivariate analysis to explore the risk factors of OS.

resultsNo statistical difference was found in the tumor response, treatment-related adverse events, and PFS between the two groups before and after PSM. Compared with low anxiety scores patients, the OS of obvious anxiety patients was shorter (hazard ratio [HR] = 1.606; 95%CI: 0.868-2.973; P = 0.116). The univariate and multivariate analysis showed that BMI (HR = 1.174, 95%CI: 1.044-1.320; P = 0.007), high anxiety score (HR = 2.769, 95%CI: 1.289-5.947; P = 0.007), and serum ammonia (HR = 1.059; 95%CI: 1.032-1.086; P < 0.001) were independent risk factors of OS.

conclusionsOur study reveals that elevated anxiety scores in HCC patients with PVTT correlated with poor prognosis, indicating that it's a potential prognostic marker. The high anxiety score, BMI, and serum ammonia were independent risk factors of OS.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsAnxietyCarcinoma, HepatocellularLiver NeoplasmsPortal VeinVenous ThrombosisAgedCohort StudiesFemaleFollow-Up StudiesHumansInfusions, Intra-ArterialMaleMiddle AgedPrognosisPropensity ScoreAnxietyHepatic artery infusion chemotherapyHepatocellular carcinomaPrognosisSerum ammonia

Identifiers

PMID40369614
PMCPMC12076914

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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.