Evidence map›Paper›PMID 41597423›Full record

ReviewMedicina (Kaunas, Lithuania)2026

Role of Liver Function in the Multiparametric Assessment of Hepatocellular Carcinoma.

Fabio Melandro, Leonardo Centonze, Ciro Celsa, Simone Famularo, Davide Ghinolfi, Silvia Nardelli, Maria Pallozzi, Ludovico Abenavoli, Fabrizio Romano, Francesca Romana Ponziani and 2 more

Abstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2026. 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.

Fabio MelandroDepartment of General and Specialist Surgery, "Sapienza" University of Rome, 00100 Roma, Italy.ORCID 0000-0003-4056-9245
Leonardo CentonzeDepartment of General Surgery and Transplantation, Azienda Socio-Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3, 20162 Milan, Italy; leonardo.centonze@ospedaleniguarda.it .ORCID 0000-0001-9371-7411
Ciro CelsaGastroenterology and Hepatology Unit, Department of Health Promotion, Mother & Child Care, Internal Medicine & Medical Specialties, University of Palermo, 90133 Palermo, Italy; celsaciro@gmail.com .ORCID 0000-0002-5662-2162
Simone FamularoHepatobiliary Surgery Unit, Fondazione Policlinico Universitario Gemelli IRCCS, 00168 Rome, Italy.ORCID 0000-0002-9721-6304
Davide GhinolfiDivision of Hepatic Surgery and Liver Transplantation, University of Pisa Hospital, 56126 Pisa, Italy; dghinolfi@yahoo.it .ORCID 0000-0001-7933-8941
Silvia NardelliDepartment of Translational and Precision Medicine, "Sapienza" University of Rome, 00100 Rome, Italy.
Maria PallozziHepatology Unit, CEMAD Centro Malattie dell'Apparato Digerente, Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Gemelli IRCCS, 00168 Rome, Italy.
Ludovico AbenavoliDepartment of Health Sciences, University of Catanzaro "Magna Graecia", 88100 Catanzaro, Italy; l.abenavoli@unicz.it .ORCID 0000-0002-5922-1524
Fabrizio RomanoSchool of Medicine and Surgery, University of Milan-Bicocca, 20900 Monza, Italy; fabrizio.romano@unimib.it .
Francesca Romana PonzianiHepatology Unit, CEMAD Centro Malattie dell'Apparato Digerente, Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Gemelli IRCCS, 00168 Rome, Italy.ORCID 0000-0002-5924-6238
Francesco Paolo RussoGastroenterology and Multivisceral Transplant Unit, Azienda Ospedale Università di Padova, 35121 Padua, Italy; francescopaolo.russo@unipd.it .ORCID 0000-0003-4127-8941
Quirino LaiDepartment of General and Specialist Surgery, "Sapienza" University of Rome, 00100 Roma, Italy.ORCID 0000-0003-1487-3235

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver function plays a pivotal role in the management of hepatocellular carcinoma (HCC). Consequently, managing HCC requires a dual focus on both tumour staging and liver function assessment to guide therapeutic decisions. Comprehensive liver function evaluation involves clinical tools such as the Child-Pugh classification and the Model for End-Stage Liver Disease (MELD) score. This is supplemented by newer metrics, including the MELD-Na score, the albumin-bilirubin (ALBI) grade and liver stiffness measurements. These assessments are integral to tailoring treatments, ranging from curative approaches such as surgical resection and liver transplantation to locoregional options (percutaneous ablation, transarterial chemoembolisation and radioembolisation), and systemic therapies. This review explores strategies for balancing the aggressiveness of cancer therapy with the need to preserve hepatic function, particularly in patients with advanced liver dysfunction. A multidisciplinary approach, incorporating expertise from hepatology, oncology, radiology and surgery, is essential for optimising outcomes. Advanced imaging techniques and biochemical markers also improve decision-making and ensure individualised care.

Indexed as

Carcinoma, HepatocellularLiverLiver NeoplasmsHumansLiver Function TestsLiver Transplantationhepatocellular carcinomaimmunotherapyliver functionliver transplantationtacetare

Identifiers

PMID41597423
PMCPMC12843378

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.