Piotr Domagala

Dr. Piotr Domagala


Research Focus & Metrics

Academic Career Length

3Years (2024-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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18 November 2024 in Cancers
Verified
Journal Article
Open access
PDF file
PTPaweł Topolewski
Paweł Topolewski
DLDariusz Laski
Dariusz Laski
MŁMartyna Halszka Łukasiewicz
Martyna Halszka Łukasiewicz
PDPiotr Domagala
Piotr Domagala
Roeland Frederik de WildeRoeland Frederik de Wilde
Roeland Frederik de Wilde
Wojciech G. Transplant PolakWojciech G. Transplant Polak
Wojciech G. Transplant Polak
Liver transplantation (LT) is one of the most effective treatments for hepatocellular carcinoma (HCC) in cirrhotic livers. Neoadjuvant bridging treatment in patients qualifying and listed for LT is advised but is still debatable owing to the low level of evidence. The aim of this study was to perform a systematic review to assess the prognostic value of bridging therapy, in terms of radiological and histopathological examination outcomes, for survival after LT. The systematic review was performed according to the PRISMA 2020 guidelines. The MEDLINE and Web of Science databases were searched. In total, five studies were included. An evaluation with the ROBINS-I resulted in studies classified as the following: moderate risk of bias (n = 1) and serious risk of bias (n = 4). The results of the analysis indicated that favorable LT outcomes were most common with complete response or partial radiological response. Poor radiological response or progressive disease during bridging treatment was generally associated with worse overall LT survival. There were not enough data to support the use of this approach to achieve a complete pathologic response. Radiological, pathological, histological, cellular, and molecular tumor features should be included in future LT qualification models.