Table 1.
Study | Design | Location | HCC patients, n |
Patients characteristics |
Tumors characteristics |
Main findings | |||
total | BCLC-B* | age, years | gender, male, % | n | size, cm | ||||
---|---|---|---|---|---|---|---|---|---|
Ho et al. [28], 2009 | NRCT | Taipei, Taiwan | 1,065 | 285 | 59±12 | 81 | ≥2: 100% | 5–7 | OS at 1-, 3-, 5-year, PH 77, 52, 37% vs. TACE = 63, 25, 11% [HR 1.61; 95% CI 1.30–2.01 p < 0.001] |
Zhonget al. [29], 2013 | NRCT | Guangxi, China | 392 | 89 | 48±12 | 92 | >1: 23% | 9 | OS at 1-, 3-, 5-year, PH 84, 59, 37% vs. TACE = 69, 29, 14% [HR 2.15; 95% CI 1.59–2.90 p < 0.001] |
Jianyong et al. [30], 2014 | NRCT | Chengdu, China | 923 | 562 | 53±10 | 72 | 2–3: 38% >3: 23% |
7 | OS at 1-, 3-, 5-year, PH 84, 71, 61% vs. TACE = 85, 62, 45% [HR 2.22; 95% CI 1.78–3.02 p < 0.001) |
Yin et al. [11], 2014 | RCT | Shangai, China | 173 | 173 | 53±9 | 93 | 2: 60% >2: 40% |
10 | OS at 1-, 3-, 5-year, PH 76, 64, 52% vs. TACE = 52, 35, 18% [HR 2.32; 95% CI 1.56–3.45 p < 0.001) |
Ciria et al. [31], 2015 | NRCT | Cordoba, Spain | 80 | 80 | 66±10 | 76 | 2 | 6.9 | OS at 1-, 3-, 5-year, PH 83, 53, 44% vs. TACE = 68, 48, 39% No difference in 5-years OS (p = 0.229) |
Kim et al. [32], 2016 | NRCT | Seoul, Korea | 277 | 277 | 57–58 | 87 | 2: 48% >2: 52% |
<5: 54% >5: 46% | OS at 1-, 3-, 5-year, PH 92, 65, 52% vs. TACE = 78, 39, 28% [HR 1.64; 95% CI 1.07–2.50 p = 0.021) |
Tada et al. [12], 2017 | PSM-NRCT | Multicenter, Japan | 264 | 264 | 69±6 | 83 | 2–3 | 4–4.6 | OS at 3-, 5-, 7-year, PH 63, 53, 38% vs. TACE = 53, 34, 25% [HR 1.10; 95% CI 1.10–2.86; p = 0.012) |
Overall | 1 RCT 1 PSM-NRCT 5 NRCT |
Asia: 6 Europe: 1 |
3,174 | 1,730 | 48–69 | 72–93 | na | 5–10 | Consistent increased survival rates after PH, compared to TACE |
Patients included in the present meta-analysis. AFP, alpha-fetoprotein; BCLC, Barcelona Clinic Liver Cancer; HBV, hepatitis B virus; HCC, hepatocellular carcinoma; HR, hazard ratio; na, not available; NRCT, nonrandomized controlled trial; OS, overall survival; PH, partial hepatectomy; PSM, propensity score matching; RCT, randomized controlled trial; TACE, transarterial chemoembolization.