Role of local treatment including radiotherapy in Barcelona Clinic of Liver Cancer stage C patients: a nationwide cohort analysis in South Korea
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, Jeongshim | - |
dc.contributor.author | Yoon, Won Sup | - |
dc.contributor.author | Koom, Woong Sub | - |
dc.contributor.author | Rim, Chai Hong | - |
dc.date.accessioned | 2021-09-01T22:38:18Z | - |
dc.date.available | 2021-09-01T22:38:18Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 1179-1322 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/68859 | - |
dc.description.abstract | Purpose: Sorafenib is recommended as the standard treatment for hepatocellular carcinoma (HCC) of Barcelona Clinic of Liver Cancer stage C (BCLC C). However, local treatment including radiation therapy (LRT) is also widely administered in practice. The aim of our study was to define the role of LRT among BCLC C patients. Patients and methods: Of the patients with HCC enrolled the Korean Central Cancer Registry from 2008 to 2014, the Korean Liver Cancer Study Group randomly extracted 10,580 patient data from similar to 50 hospitals nationwide. Among them, 3,401 patients were categorized to have BCLC C HCC. Among them, patients with information on initial treatments, defined as the first and secondary treatment within 60 days after the first treatment, were selected and classified into three initial treatment groups: LRT, sorafenib, and no treatment. Results: Among 3,401 BCLC C HCC patients, 1,486 were included in the study and the remaining patients were excluded as they did not meet the criteria (eg, underwent local treatments without radiotherapy [RT] or received chemotherapy other than sorafenib). Of these, 266 were assigned to LRT (17.9%), 316 to sorafenib (21.3%), and 904 to no treatment group (60.8%). Median survival time of the sorafenib group was shorter than that of the LRT group (3.8 vs 7.6 months, P<0.001). In multivariable analysis, sorafenib group showed significantly higher risk related to mortality compared to LRT group, not only among all patients (HR: 1.50, 95% CI: 1.23-1.84) but also between subgroup cohorts with portal invasions (1.55, 1.23-1.84), with lymph node metastases (2.42, 1.53-3.83), without distant metastases (1.43, 1.10-1.87), and with distant metastases (1.57, 1.13-2.19). Additionally, no treatment group showed the worst survival among the three treatment groups not only in all patients, but also in all subgroups of patients (P<0.001 in all). Conclusion: LRT as an initial treatment showed survival benefit as compared to sorafenib in HCC patients of BCLC C. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | DOVE MEDICAL PRESS LTD | - |
dc.subject | PORTAL-VEIN-THROMBOSIS | - |
dc.subject | LYMPH-NODE METASTASES | - |
dc.subject | HEPATOCELLULAR-CARCINOMA | - |
dc.subject | RADIATION-THERAPY | - |
dc.subject | METAANALYSIS | - |
dc.subject | SORAFENIB | - |
dc.subject | STRATEGY | - |
dc.title | Role of local treatment including radiotherapy in Barcelona Clinic of Liver Cancer stage C patients: a nationwide cohort analysis in South Korea | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Yoon, Won Sup | - |
dc.contributor.affiliatedAuthor | Rim, Chai Hong | - |
dc.identifier.doi | 10.2147/CMAR.S193761 | - |
dc.identifier.scopusid | 2-s2.0-85062370702 | - |
dc.identifier.wosid | 000458320600003 | - |
dc.identifier.bibliographicCitation | CANCER MANAGEMENT AND RESEARCH, v.11, pp.1373 - 1382 | - |
dc.relation.isPartOf | CANCER MANAGEMENT AND RESEARCH | - |
dc.citation.title | CANCER MANAGEMENT AND RESEARCH | - |
dc.citation.volume | 11 | - |
dc.citation.startPage | 1373 | - |
dc.citation.endPage | 1382 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Oncology | - |
dc.relation.journalWebOfScienceCategory | Oncology | - |
dc.subject.keywordPlus | PORTAL-VEIN-THROMBOSIS | - |
dc.subject.keywordPlus | LYMPH-NODE METASTASES | - |
dc.subject.keywordPlus | HEPATOCELLULAR-CARCINOMA | - |
dc.subject.keywordPlus | RADIATION-THERAPY | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | SORAFENIB | - |
dc.subject.keywordPlus | STRATEGY | - |
dc.subject.keywordAuthor | hepatocellular carcinoma | - |
dc.subject.keywordAuthor | BCLC C | - |
dc.subject.keywordAuthor | sorafenib | - |
dc.subject.keywordAuthor | radiation therapy | - |
dc.subject.keywordAuthor | survival | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(02841) 서울특별시 성북구 안암로 14502-3290-1114
COPYRIGHT © 2021 Korea University. All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.