Evidence map›Paper›PMID 37254488›Full record

ArticleClinical and molecular hepatology2023

Transarterial radioembolization versus tyrosine kinase inhibitor in hepatocellular carcinoma with portal vein thrombosis.

Moon Haeng Hur, Yuri Cho, Do Young Kim, Jae Seung Lee, Gyoung Min Kim, Hyo-Cheol Kim, Dong Hyun Sinn, Dongho Hyun, Han Ah Lee, Yeon Seok Seo and 3 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Clinical and molecular hepatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
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

18 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
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  3. LaparoscopicAnnals of surgical treatment and research · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 1 country.

Moon Haeng HurDepartment of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Yuri ChoCenter for Liver and Pancreatobiliary Cancer, National Cancer Center, Goyang, Korea.
Do Young KimDepartment of Internal Medicine and Yonsei Liver Center, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Jae Seung LeeDepartment of Internal Medicine and Yonsei Liver Center, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Gyoung Min KimDepartment of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Hyo-Cheol KimDepartment of Radiology, Seoul National University College of Medicine, Seoul, Korea.
Dong Hyun SinnDepartment of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Dongho HyunDepartment of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Han Ah LeeDepartment of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea.
Yeon Seok SeoDepartment of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
In Joon LeeDepartment of Radiology, National Cancer Center, Goyang, Korea.
Joong-Won ParkCenter for Liver and Pancreatobiliary Cancer, National Cancer Center, Goyang, Korea.
Yoon Jun KimDepartment of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Seoul National University · KRNational Cancer Center · KRSamsung Medical Center · KRYonsei University · KREwha Womans University · KRKorea University · KR

Funding

Korean Association for Study of the LiverKorean Liver FoundationKorea Radioembolization AssociationSirtex Technology PTY LTD
6 · The paper itself

Abstract

BACKGROUND/

aimsTransarterial radioembolization (TARE) has shown promising results in treating advanced hepatocellular carcinoma (HCC) with portal vein tumor thrombosis (PVTT). However, whether TARE can provide superior or comparable outcomes to tyrosine kinase inhibitor (TKI) in patients with HCC and PVTT remains unclear. We compared the outcomes of TARE and TKI therapy in treatment-naïve patients with locally advanced HCC and segmental or lobar PVTT.

methodsThis multicenter study included 216 patients initially treated with TARE (n=124) or TKI (sorafenib or lenvatinib; n=92) between 2011 and 2021. Baseline characteristics were balanced using propensity score matching (PSM) or inverse probability of treatment weighting (IPTW). The primary outcome was overall survival (OS). The secondary outcomes included progression-free survival (PFS) and objective response rate (ORR).

resultsIn the unmatched cohort, the median OS of the TARE and TKI groups were 28.2 and 7.2 months, respectively (p<0.001), and the TARE group experienced significantly and independently longer OS compared to the TKI group (adjusted hazard ratio=0.41, 95% confidence interval=0.28-0.60, p<0.001). Similar results were observed in the study cohorts balanced with IPTW (p=0.003) or PSM (p=0.004). Although PFS was comparable between the two groups, the TARE group showed a trend of prolonged PFS in a subpopulation of patients with Vp1 or Vp2 PVTT (p=0.052). In the matched cohorts, the ORR of the TARE group was 53.0-56.7%, whereas that of the TKI group was 12.3-15.0%.

conclusionFor patients with advanced HCC with segmental or lobar PVTT and well-preserved liver function, TARE may provide superior OS compared to sorafenib or lenvatinib.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsThrombosisHumansPhenylurea CompoundsPortal VeinProtein Kinase InhibitorsQuinolinesRetrospective StudiesSorafenibTreatment OutcomeTyrosine Kinase InhibitorslenvatinibPhenylurea CompoundsProtein Kinase InhibitorsQuinolinesSorafenibTyrosine Kinase InhibitorsHepatocellular carcinomaLenvatinibPortal vein tumor thrombusSorafenibTransarterial radioembolization

Identifiers

PMID37254488
PMCPMC10366806
OpenAlexW4378783019

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.