Evidence map›Paper›PMID 40442090›Full record

ArticleScientific reports2025

Identification of transarterial chemoembolization candidates in advanced hepatocellular carcinoma patients classified solely by performance status 1: a multicenter retrospective study.

Jing Li, Zhexuan Wang, Litian Ma, Jiakun Gou, Yunan Feng, Yanju Lou, Luo Zuo, Tao Wang, Yong Liang, Yongchao Zhang and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Scientific reports, 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

12 authors.

Jing Li *Department of Digestive Diseases, Shanxi Bethune Hospital, Shanxi Academy of Medical Science, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.
Zhexuan Wang *Department of Hepatobiliary Surgery, General Hospital of Eastern Theater Command, Nanjing, China.
Litian Ma *Department of Gastroenterology, Tangdu Hospital, Air Force Medical University, Xi'an, China.
Jiakun GouDepartment of Digestive Diseases, Air Force Hospital of Western Theater Command, No. 1 Gongnongyuan Road, Jinjiang District, ChengduSichuan, 610000, China.
Yunan FengDepartment of Digestive Diseases, Air Force Hospital of Western Theater Command, No. 1 Gongnongyuan Road, Jinjiang District, ChengduSichuan, 610000, China.
Yanju LouDepartment of Orthopedic Surgery, Air Force Hospital of Western Theater Command, Chengdu, China.
Luo ZuoDepartment of Digestive Diseases, The Second Affiliated Hospital of Chengdu Medical College, Chengdu, China.
Tao WangDepartment of Interventional Radiology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China.
Yong LiangDepartment of Neurosurgery, General Hospital of Northern Theater Command, No. 83 Wenhua Road, Shenhe District, Shenyang, 110015, Liaoning, China.
Yongchao ZhangDepartment of Digestive Diseases, Air Force Hospital of Western Theater Command, No. 1 Gongnongyuan Road, Jinjiang District, ChengduSichuan, 610000, China.
Enxin WangDepartment of Digestive Diseases, Air Force Hospital of Western Theater Command, No. 1 Gongnongyuan Road, Jinjiang District, ChengduSichuan, 610000, China. 15129202030@163.com.
Yang BaiDepartment of Neurosurgery, General Hospital of Northern Theater Command, No. 83 Wenhua Road, Shenhe District, Shenyang, 110015, Liaoning, China. sydbaiyang@163.com.

Funding

National Natural Science Foundation of China 82101318
6 · The paper itself

Abstract

The Barcelona Clinic Liver Cancer (BCLC) advanced stage of hepatocellular carcinoma (HCC) includes a heterogeneous population, and new patient-tailored therapeutic indications are needed. Emerging evidence suggest that patients in this stage with mild tumor-related symptoms may benefit from more aggressive treatments including transarterial chemoembolization (TACE) and obtain better outcomes. This study aimed to investigate the effects of TACE on HCC patients with mild tumor-related symptoms and risk-stratify them for selecting potential candidates for TACE. We retrospectively collected data from 745 patients with liver-confined HCC undergoing TACE at 15 different centers from January 2015 to November 2022. The prognostic abilities of performance status (PS score of 0 vs. 1) were separately evaluated in high- and low-risk groups using the Hepatoma Arterial-embolization Prognostic (HAP) scoring model and its variants. PS1 remained an independent prognostic factor for overall survival (OS) in the whole cohort (P = 0.035). Interestingly, it lost its prognostic value for patients in low-risk groups (grade A + B) in all the four HAP models. This population with PS1 alone achieved similar OS to their counterparts with PS0. Risk stratification based on HAP scoring models could discriminate potential candidates from HCC patients in BCLC-C stage with PS1 alone. These patients could be classified into BCLC-B stage and benefit from TACE treatment.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsAgedFemaleHumansMaleMiddle AgedNeoplasm StagingPrognosisRetrospective StudiesTreatment OutcomeHepatocellular carcinomaOverall survivalPerformance statusPrognostic modelRisk stratificationTransarterial chemoembolization

Identifiers

PMID40442090
PMCPMC12122698

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.