Evidence map›Paper›PMID 41338565›Full record

ArticleCancer medicine2025

Association Between Discharge Medications and Oncologic Post-Embolization-Syndrome-Related Outcomes.

Hanzhou Li, John Moon, Nathan Sim, Michal Horný, Nicholas Lima, Menelaos Konstantinidis, Deepak Iyer, Sonia Benenati, Judy Gichoya, Janice Newsome and 1 more

Abstract read
In one paragraph

Article in Cancer medicine, 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

11 authors.

Hanzhou LiDepartment of Radiology and Imaging Sciences, Emory School of Medicine, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0003-1614-5717
John MoonDepartment of Radiology and Imaging Sciences, Emory School of Medicine, Atlanta, Georgia, USA.
Nathan SimDepartment of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Michal HornýDepartment of Radiology and Imaging Sciences, Emory School of Medicine, Atlanta, Georgia, USA.
Nicholas LimaGeisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.ORCID https://orcid.org/0009-0002-1837-6201
Menelaos KonstantinidisUniversity of Toronto, Institute of Health Policy, Management and Evaluation, Toronto, Ontario, Canada.
Deepak IyerDepartment of Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Sonia BenenatiDepartment of Radiology and Imaging Sciences, Emory School of Medicine, Atlanta, Georgia, USA.
Judy GichoyaDepartment of Radiology and Imaging Sciences, Emory School of Medicine, Atlanta, Georgia, USA.
Janice NewsomeDepartment of Radiology and Imaging Sciences, Emory School of Medicine, Atlanta, Georgia, USA.
Zachary BercuDepartment of Radiology and Imaging Sciences, Emory School of Medicine, Atlanta, Georgia, USA.

Funding

Harvey L. Neiman Health Policy Institute UL1TR002378
6 · The paper itself

Abstract

backgroundPost-embolization syndrome after transarterial chemoembolization (TACE) and Yttrium-90 radioembolization (TARE) causes significant morbidity. Understanding whether discharge prescriptions influence short-term outcomes may guide standardized pain-management strategies.

methodsA retrospective cohort study of 3191 patients (3988 procedures) with hepatocellular carcinoma from the Merative MarketScan Databases (2009-2022) was performed. The composite outcome was 7-day drug escalation or hospital readmission. Bivariate logistic regression identified candidate variables (p < 0.10); multivariable logistic regression with patient-clustered robust standard errors estimated adjusted odds ratios (aORs), adjusting for age, sex, and Charlson Comorbidity Index (CCI).

resultsCompared to patients discharged without opioids post-chemoembolization, those prescribed opioids at discharge had 83% lower odds of experiencing drug escalation or readmission (odds ratio [aOR] = 0.17, p < 0.001), and those undergoing radioembolization had 59% lower odds (aOR = 0.41, p < 0.001). Being prescribed antiemetics or steroids was also associated with lower odds of escalation/readmission events, with percentages varying by procedure type.

conclusionsPrescribing opioids, along with antiemetics and steroids, at discharge may reduce the likelihood of post-procedural events, such as drug escalation and readmission, in patients undergoing trans-arterial chemoembolization and radioembolization for hepatocellular carcinoma. These findings highlight the importance of a comprehensive pain management strategy in interventional oncology and warrant consideration in clinical practice guidelines.

Indexed as

Analgesics, OpioidCarcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsPatient DischargeAgedAntiemeticsFemaleHumansMaleMiddle AgedPatient ReadmissionRetrospective StudiesYttrium RadioisotopesAnalgesics, OpioidAntiemeticsYttrium-90Yttrium Radioisotopeschemoembolizationhepatocellular carcinomaopioidspost‐embolization syndromeradioembolizationreadmission

Identifiers

PMID41338565
PMCPMC12674825

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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.