Evidence map›Paper›PMID 41970939›Full record

ArticleTherapeutic advances in medical oncology2026

Low-level HBV viremia independently predicts poor outcomes in patients with intermediate-to-advanced HBV-related hepatocellular carcinoma receiving systemic therapy: a multicenter retrospective study.

Jin Lei, Huaxing Ma, Xiong Chen, Ling Lin, Zhipeng Liang, Guangling Ou, Jiliang Jin, Hongyuan Dai, Ya Zhang, Mei Liu and 2 more

Abstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 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.

Jin LeiDepartment of Hepatobiliary Surgery, The Affiliated Hospital of Guizhou Medical University, Guiyang, 550004, China.ORCID https://orcid.org/0000-0002-7138-4158
Huaxing MaDepartment of Gastrointestinal Surgery, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Xiong ChenGuizhou Medical University, Guiyang, China.
Ling LinSchool of Medicine, Jianghan University, Wuhan, China.
Zhipeng LiangGuizhou Medical University, Guiyang, China.
Guangling OuDepartment of Hepatobiliary Surgery, The Affiliated Hospital of Guizhou Medical University, Guiyang, 550004, China.
Jiliang JinDepartment of Hepatobiliary Surgery, The Affiliated Hospital of Guizhou Medical University, Guiyang, 550004, China.
Hongyuan DaiGuizhou Medical University, Guiyang, China.
Ya ZhangGuizhou Medical University, Guiyang, China.
Mei LiuDepartment of Oncology, Beijing You' a Hospital, Capital Medical University. Beijing, 100069, China.
Haiyang LiDepartment of Hepatobiliary Surgery, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Yinying LuGuizhou Medical University, Guiyang, 550004, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Low-level hepatitis B viremia is recognized as a potential driver of hepatocarcinogenesis; however, its prognostic impact on patients with advanced hepatocellular carcinoma (HCC) receiving systemic therapy remains poorly defined. Objective: To determine the independent prognostic impact of low-level viremia (LLV; HBV DNA 20-2000 IU/mL) compared with maintained virologic response (MVR; HBV DNA < 20 IU/mL) in patients with intermediate-to-advanced HBV-related HCC undergoing systemic therapy, and to evaluate whether on-treatment viral status serves as a superior predictor to baseline HBV DNA levels. Design: This was a multicenter retrospective cohort study. Methods: A total of 1814 patients treated at three centers between 2020 and 2024 were retrospectively enrolled. After ⩾4 months of follow-up, patients were classified into LLV ( Results: Multifactorial analysis identified HBeAg positivity (OR 1.971, 95% CI 1.53-2.541, Conclusion: LLV is a robust, independent indicator of poor prognosis in systemic-treated intermediate-to-advanced HBV-HCC and should be preferred to baseline HBV DNA load for risk stratification and to guide intensified antitumor therapy.

Indexed as

hepatitis B virushepatocellular carcinomalow-level viremiamaintained virologic responsesystemic antitumor therapy

Identifiers

PMID41970939
PMCPMC13065269

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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.