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. 2009 Jan 21;2009(1):CD001199. doi: 10.1002/14651858.CD001199.pub2

Yunxue 1999.

Methods Randomised. 
 Generation of the allocation sequence: not clear. 
 Allocation concealment: no. 
 Blinding: no. 
 Follow‐up: adequate. 
 Intention‐to‐treat analysis: yes. 
 Sample size calculations: no.
Participants TACE group: 29 male and 3 female patients with a mean age of 44.2 years. Alpha‐Fetoprotein was > 200ng/ml in 22 patients and < 200 ng/ml in 10 patients. Tumour size was >10 cm in 14 patients, 5 to 10 cm in 14 patients and < 5 cm in 4 patients.
Surgery Alone: 31 male and 4 female patients with a mean age of 46.3 years. Alpha‐Fetoprotein was > 200ng/ml in 25 patients and < 200 ng/ml in 10 patients. Tumour size was >10 cm in 9 patients, 5 to 10 cm in 22 patients and < 5 cm in 4 patients.
Interventions 1. Surgery: 35 patients were operated.
2. Adjuvant: 32 patients were given preoperative transcatheter hepatic arterial chemoembolisation with MMC1‐10mg, 5Fu50 to 2000mg, EPIR 6 to 10mg, Carboplatin 300 to 500 mg; either in combination of 2 or 3 treatments.
Outcomes Recurrence at original site; 
 Recurrence at other sites; 
 Time to recurrence; 
 Two‐year survival rate.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear

AFP = alpha‐fetoprotein. 
 CT = computerised tomography. 
 HCFU = 1‐hexylcarbamoyl 5‐fluorouracil. 
 HR ‐ hazard ratio. 
 ICG‐R15 ‐ Indocyanin Green 15 min retention rate. 
 ITT ‐ intention‐to‐treat. 
 TACE ‐ transcatheter arterial chemoembolisation. 
 US ‐ ultrasonography.