Evidence map›Paper›PMID 40782167›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2026

Real-world management and outcomes of patients with hepatocellular carcinoma treated with systemic therapy in Spain: a patient cohort from the RETUD gastrointestinal registry.

Carlos López-López, Eva Martínez de Castro, Ana Fernández Montes, Encarnación Jiménez Orozco, Sandra López Peraita, Ruth Vera, Paula Cerdá, Mariona Calvo, Beatriz García Paredes, Miriam Lobo de Mena and 10 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06711211 (A Descriptive, Multicentre, Observational Epidemiological Study on Digestive Tumours), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT06711211 recruitingnot on this map

A Descriptive, Multicentre, Observational Epidemiological Study on Digestive Tumours

Typeobservational_patient_registrySponsorSpanish Cooperative Group for the Treatment of Digestive Tumours (TTD)Ran2020 to 2030Enrolled20,000ConditionsDigestive Cancers, Bile Duct Cancer, Hepatocellular Cancer (HCC), Colorectal Cancer (CRC)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

20 authors.

Carlos López-LópezDepartment of Medical Oncology, Hospital Universitario Marqués de Valdecilla, IDIVAL, UNICAN, Santander, Spain. carlos.lopez@scsalud.es.ORCID http://orcid.org/0000-0003-2733-5436
Eva Martínez de CastroDepartment of Medical Oncology, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain.ORCID http://orcid.org/0000-0002-5772-0741
Ana Fernández MontesDepartment of Medical Oncology, Complejo Hospitalario Universitario de Ourense, Ourense, Spain.ORCID http://orcid.org/0000-0003-4630-5830
Encarnación Jiménez OrozcoDepartment of Medical Oncology, Hospital Universitario de Jerez, Jerez, Spain.ORCID http://orcid.org/0000-0002-3392-9321
Sandra López PeraitaDepartment of Medical Oncology, Hospital Universitario de Burgos, Burgos, Spain.ORCID http://orcid.org/0000-0002-7426-109X
Ruth VeraDepartment of Medical Oncology, Hospital Universitario de Navarra, Instituto de Investigación de Navarra (IdISNA), Pamplona, Spain.ORCID http://orcid.org/0000-0003-1524-3147
Paula CerdáMedical Oncology Department, Hospital de La Santa Creu I Sant Pau, Institut de Recerca Sant Pau (IR, SANT PAU), Universitat Autònoma Barcelona, Barcelona, Spain.ORCID http://orcid.org/0000-0003-0101-188X
Mariona CalvoMedical Oncology Department, Catalan Institute of Oncology, ICO-Hospitalet. Biomedical Research Institute (IDIBELL), Hospitalet de Llobregat, Barcelona, Spain.ORCID http://orcid.org/0000-0001-6242-0500
Beatriz García ParedesDepartment of Medical Oncology, Hospital Clínico San Carlos, Instituto de Investigación Hospital Clínico San Carlos (IdISSC), Universidad Complutense, Madrid, Spain.ORCID http://orcid.org/0000-0003-3562-1600
Miriam Lobo de MenaDepartment of Medical Oncology, Consorcio Hospital General Universitario de Valencia, Valencia, Spain.ORCID http://orcid.org/0000-0002-8249-7721
Adelaida La CastaDepartment of Medical Oncology, UGC Oncología Guipúzcoa, Guipúzcoa, Spain.ORCID http://orcid.org/0000-0002-7235-6378
Javier GallegoDepartment of Medical Oncology, Elche University Hospital, Elche (Alicante), Spain.ORCID http://orcid.org/0000-0002-0584-1242
Jorge AdevaMedical Oncology Department, Hospital Universitario 12 de Octubre, Imas12, UCM, Madrid, Spain.ORCID http://orcid.org/0000-0002-3959-4120
Juana Mª Cano CanoDepartment of Medical Oncology, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain.ORCID http://orcid.org/0000-0002-2493-0988
Ana Ruiz-CasadoDepartment of Medical Oncology, Hospital Universitario Puerta de Hierro, Majadahonda. IDIPHISA, Madrid, Spain.ORCID http://orcid.org/0000-0002-7672-2638
Rosario Vidal-TocinoDepartment of Medical Oncology, Instituto de Investigación Biomédica de Salamanca (IBSAL), Hospital Universitario de Salamanca, Salamanca, Spain.ORCID http://orcid.org/0000-0002-0588-2001
Teresa García-GarcíaDepartment of Medical Oncology, Hospital General Universitario Santa Lucía, Cartagena, Spain.ORCID http://orcid.org/0000-0003-0110-8016
Roberto Pazo-CidDepartment of Medical Oncology, Department of Medical Oncology, Aragon Institute of Biomedical Research (IISA), Miguel Servet University Hospital, Saragossa, Spain.ORCID http://orcid.org/0000-0002-8026-7391
Mercedes Rodríguez GarroteDepartment of Medical Oncology, IRYCIS, CIBERONC, Ramon y Cajal University Hospital, Madrid, Spain.ORCID http://orcid.org/0000-0003-0486-6760
Javier SastreDepartment of Medical Oncology, Hospital Clínico San Carlos, Instituto de Investigación Hospital Clínico San Carlos (IdISSC), Universidad Complutense, Madrid, Spain.ORCID http://orcid.org/0000-0001-6538-0065

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCharacterization of the management and outcomes of patients diagnosed with hepatocellular carcinoma (HCC) and treated with systemic therapy who were included in the Spanish gastrointestinal RETUD registry. METHODS/PATIENTS: This is a retrospective, registry-based, non-interventional, multicenter study conducted in Spain (NCT06711211, retrospectively registered in Dec-2024). This cohort from the RETUD registry includes adult patients diagnosed with HCC and treated with systemic therapy between Jan-2017 and Feb-2024. Sociodemographic, clinical, therapeutic and survival data are analyzed descriptively.

resultsFour hundred and sixty nine patients were included (median age: 65.8 years; 90.2% males; 98.1% Caucasian). At diagnosis, 51.8% presented a clinical stage of Barcelona Clinic Liver Cancer (BCLC)-C. At the start of systemic treatment, 34.5% and 30.3% of the patients showed extrahepatic spread of the disease and main portal vein invasion, respectively. The most frequently administered first-line systemic therapies were sorafenib (57.1%), atezolizumab/bevacizumab (27.7%) and lenvatinib (7.5%). More than a third of the cohort (37.1%) received locoregional treatment at any time (before, concurrent and/or after systemic treatment). Overall, the median progression-free survival (PFS) and overall survival (OS) were 5.1 and 9.8 months, respectively. Patients receiving atezolizumab/bevacizumab showed the longest PFS (10.6 months) and OS (14.0 months) of all treatment groups and a numerically higher objective response rate (ORR) compared to the overall population (31.0% vs 12.5%).

conclusionsThis study offers valuable insights into the clinical characteristics, management, and outcomes of HCC patients in Spain in a real-world setting. Our results suggest potential benefits of immunotherapy-based combinations over other available alternatives, supporting findings from interventional and real-world studies.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, HepatocellularLiver NeoplasmsAgedAged, 80 and overAntibodies, Monoclonal, HumanizedBevacizumabFemaleHumansMaleMiddle AgedPhenylurea CompoundsRegistriesRetrospective StudiesSorafenibSpainAntibodies, Monoclonal, HumanizedatezolizumabBevacizumabPhenylurea CompoundsSorafenibHepatocellular carcinomaLiver cancerReal-World Evidence (RWE)SpainSystemic therapyTumor registry

Identifiers

PMID40782167
PMCPMC12855317

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Registered trials

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.