PMID- 30197797 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220321 IS - 2095-3941 (Print) IS - 2095-3941 (Linking) VI - 15 IP - 3 DP - 2018 Aug TI - Yttrium-90 transarterial radioembolization versus conventional transarterial chemoembolization for patients with hepatocellular carcinoma: a systematic review and meta-analysis. PG - 299-310 LID - 10.20892/j.issn.2095-3941.2017.0177 [doi] AB - OBJECTIVE: To compare the effects and safety of conventional transarterial chemoembolization (cTACE) and yttrium-90 transarterial radioembolization [TARE (90Y)] for hepatocellular carcinoma (HCC). METHODS: Nine high-quality observational studies, one low bias-risk randomized controlled trial (RCT), and one moderate bias-risk RCT included 1,652 patients [cTACE, 1,124; TARE (90Y), 528], from whom data were extracted for this systematic review and meta-analysis. RESULTS: The extracted study outcomes included 1-year and 2-year overall survival (OS) rates, objective responses (ORs), and serious adverse events (AEs). 1-year OS rates: OR = 0.939, 95 % CI: 0.705-1.251, P = 0.66. 2-year OS rates: overall pooled OR = 0.641, 95% CI: 0.382-1.075, P = 0.092; observational study subgroup OR = 0.575, 95% CI: 0.336-0.984, P = 0.043; RCT subgroup OR* = 0.641, 95% CI: 0.382-1.075, P = 0.346. OR: overall pooled OR = 0.781, 95% CI: 0.454-1.343, P = 0.371; mRECIST subgroup OR = 0.584, 95 % CI: 0.349-0.976, P = 0.040; WHO subgroup OR = 1.065; 95% CI: 0.500-2.268, P = 0.870. Serious AEs: overall pooled RR = 1.477, 95% CI: 0.864-2.526, P = 0.154; RCT subgroup RR = 0.680, 95% CI: 0.325-1.423, P = 0.306; observational study subgroup RR = 1.925; 95 % CI: 0.978-3.788, P = 0.058. CONCLUSIONS: TARE (90Y) increased 2-year OS rates in the observational subgroup and resulted in better OR rates, according to mRECIST criteria, in comparison with cTACE. Furthermore, a lower risk of AEs was observed for TARE (90Y) than for cTACE. FAU - Yang, Yi AU - Yang Y AD - School of Medical Imaging, Tianjin Medical University, Tianjin 300203, China. AD - Department of Interventional Therapy, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer; Key Laboratory of Cancer Prevention and Therapy, Tianjin; Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China. FAU - Si, Tongguo AU - Si T AD - Department of Interventional Therapy, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer; Key Laboratory of Cancer Prevention and Therapy, Tianjin; Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China. LA - eng PT - Journal Article PL - China TA - Cancer Biol Med JT - Cancer biology & medicine JID - 101588850 PMC - PMC6121048 OTO - NOTNLM OT - Hepatocellular carcinoma OT - conventional transarterial chemoembolization OT - transarterial radioembolization OT - yttrium-90 EDAT- 2018/09/11 06:00 MHDA- 2018/09/11 06:01 PMCR- 2018/08/01 CRDT- 2018/09/11 06:00 PHST- 2018/09/11 06:00 [entrez] PHST- 2018/09/11 06:00 [pubmed] PHST- 2018/09/11 06:01 [medline] PHST- 2018/08/01 00:00 [pmc-release] AID - cbm-15-3-299 [pii] AID - 10.20892/j.issn.2095-3941.2017.0177 [doi] PST - ppublish SO - Cancer Biol Med. 2018 Aug;15(3):299-310. doi: 10.20892/j.issn.2095-3941.2017.0177.