Objective: Transarterial chemoembolization (TACE) is recommended as a first-line therapy for hepatocellular carcinoma (HCC) patients ineligible for curative therapy and without portal invasion. The Assessment for Retreatment with TACE (ART) scoring system was recently proposed for identifying patients who would not show sufficient survival benefit from repeated TACE. We reevaluated the performance of ART in HCC patients treated in Japan, where selective TACE is commonly used. Methods: Between 2000 and 2013, 988 patients with HCC underwent TACE at Kinki University Hospital, and 627 received >= 2 sessions of TACE. Seventy-six patients who underwent >= 2 TACE sessions within 90 days were investigated for their performance of the ART score in the context of overall survival (OS). Results: Only 12% (76/627) of patients underwent >= 2 TACE sessions within 90 days. Of those, 52 patients showed a low ART score (0-1.5), and 24 had a high ARTscore (>= 2.5); the median OS was 20.2 and 37.6 months, respectively (p = 0.8207). Conclusion:The ART scoring system did not demonstrate a sufficiently predictive impact on OS among the patients who underwent 2 TACE sessions within 90 days. Application of the ART score should be carefully considered because differences in TACE procedures and post-TACE treatment can affect the results while evaluating OS. (C) 2015 S. Karger AG, Basel
机构:
Baylor Coll Med, Sect Gastroenterol & Hepatol, Michael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Houston Ctr Qual Care & Utilizat Studies, Houston, TX USABaylor Coll Med, Sect Gastroenterol & Hepatol, Michael E DeBakey VA Med Ctr, Houston, TX 77030 USA
机构:
Yonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South KoreaYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
Han, Kwang-Hyub
Kudo, Masatochi
论文数: 0引用数: 0
h-index: 0
机构:
Kinki Univ, Sch Med, Dept Gastroenterol & Hepatol, Osaka 589, JapanYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
Kudo, Masatochi
Ye, Sheng-Long
论文数: 0引用数: 0
h-index: 0
机构:
Zhongshan Hosp, Shanghai, Peoples R ChinaYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
Ye, Sheng-Long
论文数: 引用数:
h-index:
机构:
Choi, Jong Young
Poon, Roonni Tung-Ping
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hong Kong, Queen Mary Hosp, Dept Surg, Hong Kong, Hong Kong, Peoples R ChinaYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
Poon, Roonni Tung-Ping
Seong, Jinsil
论文数: 0引用数: 0
h-index: 0
机构:
Yonsei Univ, Coll Med, Dept Radiat Oncol, Seoul 120752, South KoreaYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
Seong, Jinsil
Park, Joong-Won
论文数: 0引用数: 0
h-index: 0
机构:
Natl Canc Ctr, Res Inst & Hosp, Ctr Liver Canc, Goyang Si, South KoreaYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
Park, Joong-Won
论文数: 引用数:
h-index:
机构:
Ichida, Takafumi
Chung, Jin Wook
论文数: 0引用数: 0
h-index: 0
机构:
Seoul Natl Univ, Coll Med, Dept Radiol, Seoul, South Korea
Seoul Natl Univ, Coll Med, Inst Radiat Med, Seoul, South KoreaYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
Chung, Jin Wook
Chow, Pierce
论文数: 0引用数: 0
h-index: 0
机构:
Singapore Gen Hosp, Dept Gen Surg, Singapore 0316, SingaporeYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
Chow, Pierce
Cheng, Ann-Lii
论文数: 0引用数: 0
h-index: 0
机构:
Natl Taiwan Univ Hosp, Dept Oncol, Taipei, TaiwanYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
机构:
Baylor Coll Med, Sect Gastroenterol & Hepatol, Michael E DeBakey VA Med Ctr, Houston, TX 77030 USA
Houston Ctr Qual Care & Utilizat Studies, Houston, TX USABaylor Coll Med, Sect Gastroenterol & Hepatol, Michael E DeBakey VA Med Ctr, Houston, TX 77030 USA
机构:
Yonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South KoreaYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
Han, Kwang-Hyub
Kudo, Masatochi
论文数: 0引用数: 0
h-index: 0
机构:
Kinki Univ, Sch Med, Dept Gastroenterol & Hepatol, Osaka 589, JapanYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
Kudo, Masatochi
Ye, Sheng-Long
论文数: 0引用数: 0
h-index: 0
机构:
Zhongshan Hosp, Shanghai, Peoples R ChinaYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
Ye, Sheng-Long
论文数: 引用数:
h-index:
机构:
Choi, Jong Young
Poon, Roonni Tung-Ping
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hong Kong, Queen Mary Hosp, Dept Surg, Hong Kong, Hong Kong, Peoples R ChinaYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
Poon, Roonni Tung-Ping
Seong, Jinsil
论文数: 0引用数: 0
h-index: 0
机构:
Yonsei Univ, Coll Med, Dept Radiat Oncol, Seoul 120752, South KoreaYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
Seong, Jinsil
Park, Joong-Won
论文数: 0引用数: 0
h-index: 0
机构:
Natl Canc Ctr, Res Inst & Hosp, Ctr Liver Canc, Goyang Si, South KoreaYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
Park, Joong-Won
论文数: 引用数:
h-index:
机构:
Ichida, Takafumi
Chung, Jin Wook
论文数: 0引用数: 0
h-index: 0
机构:
Seoul Natl Univ, Coll Med, Dept Radiol, Seoul, South Korea
Seoul Natl Univ, Coll Med, Inst Radiat Med, Seoul, South KoreaYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
Chung, Jin Wook
Chow, Pierce
论文数: 0引用数: 0
h-index: 0
机构:
Singapore Gen Hosp, Dept Gen Surg, Singapore 0316, SingaporeYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea
Chow, Pierce
Cheng, Ann-Lii
论文数: 0引用数: 0
h-index: 0
机构:
Natl Taiwan Univ Hosp, Dept Oncol, Taipei, TaiwanYonsei Univ, Coll Med, Dept Internal Med, Seoul 120752, South Korea