Impact of preoperative transcatheter arterial chemoembolization (TACE) on postoperative long-term survival in patients with nonsmall hepatocellular carcinoma: a propensity score matching analysis

作者全名："Hu, Run; Xu, Jie; Wang, Hongxiang; Wang, Jiaguo; Lei, Kai; Zhao, Xiaoping; Zhang, Huizhi; You, Ke; Liu, Zuojin"

作者地址："[Hu, Run; Xu, Jie; Wang, Hongxiang; Wang, Jiaguo; Lei, Kai; Zhao, Xiaoping; Zhang, Huizhi; You, Ke; Liu, Zuojin] Chongqing Med Univ, Affiliated Hosp 2, 74 Linjiang Rd, Chongqing 400000, Peoples R China"

通信作者："Liu, ZJ (通讯作者)，Chongqing Med Univ, Affiliated Hosp 2, 74 Linjiang Rd, Chongqing 400000, Peoples R China."

来源：BMC CANCER

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001160940400002

JCR分区：Q2

影响因子：3.4

年份：2024

卷号：24

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Nonsmall hepatocellular carcinoma; Hepatectomy; Transcatheter arterial chemoembolization; Progression-free survival; Overall survival; Propensity score matching

摘要："Background The purpose of this propensity score matching (PSM) analysis was to compare the effects of preoperative transcatheter arterial chemoembolization (TACE) and non-TACE on the long-term survival of patients who undergo radical hepatectomy. Methods PSM analysis was performed for 387 patients with hepatocellular carcinoma (HCC) (single > 3 cm or multiple) who underwent radical resection of HCC at our centre from January 2011 to June 2018. The patients were allocated to a preoperative TACE group (n = 77) and a non-TACE group (n = 310). The main outcome measures were progression-free survival (PFS) and overall survival (OS) since the treatment date. Results After PSM, 67 patients were included in each of the TACE and non-TACE groups. The median PFS times in the preoperative TACE and non-TACE groups were 24.0 and 11.3 months, respectively (p = 0.0117). The median OS times in the preoperative TACE and non-TACE groups were 41.5 and 29.0 months, respectively (p = 0.0114). Multivariate Cox proportional hazard regression analysis revealed that preoperative TACE (hazard ratio, 1.733; 95% CI, 1.168-2.570) and tumour thrombosis (hazard ratio, 0.323; 95% CI, 0.141-0.742) were independent risk factors significantly associated with OS. Conclusions Preoperative TACE is related to improving PFS and OS after resection of HCC. Preoperative TACE and tumour thrombus volume were also found to be independent risk factors associated with OS."

基金机构：National Natural Science Foundation of China [82070678]; Chongqing Medical University Program for Youth Innovation in Future Medicine [W0084]

基金资助正文：This work was supported by the National Natural Science Foundation of China (No. 82070678) and the Chongqing Medical University Program for Youth Innovation in Future Medicine (grant number W0084).