Evidence map›Paper›PMID 23760378›Full record

ArticleThe Indian journal of medical research2013

A study of aetiology of portal hypertension in adults (including the elderly) at a tertiary centre in southern India.

Ashish Goel, Kadiyala Madhu, Uday Zachariah, K G Sajith, Jeyamani Ramachandran, Banumathi Ramakrishna, Sridhar Gibikote, John Jude, George M Chandy, Elwyn Elias and 1 more

Abstract read
In one paragraph

Article in The Indian journal of medical research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 35 citations in OpenAlex.

  1. Management of Portal Hypertension in the Older Patient.Current gastroenterology reports · 2024
    Review
  2. Article
  3. Article
  4. Article
  5. An Update on the Management of Budd-Chiari Syndrome.Digestive diseases and sciences · 2021
    Review
  6. Cirrhotic patients and older people.World journal of hepatology · 2019
    Review
  7. Review
  8. Article
  9. Review
  10. Maintenance zinc therapy after initial penicillamine chelation to treat symptomatic hepatic Wilson's disease in resource constrained setting.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2018
    Article
  11. Current Scenario of Hepatitis B and Its Treatment in India.Journal of clinical and translational hepatology · 2017
    Review
  12. ADAMTS13 missense variants associated with defective activity and secretion of ADAMTS13 in a patient with non-cirrhotic portal hypertension.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2017
    Article
  13. Arsenicosis, possibly from contaminated groundwater, associated with noncirrhotic intrahepatic portal hypertension.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2016
    Article
  14. Article
  15. Investigation into celiac disease in Indian patients with portal hypertension.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2014
    Article
  16. Review
  17. Spectrum of chronic liver disease admitted to a medical college hospital in northern India: is there cause for concern?Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2014
    Article
  18. ADAMTS13 deficiency, despite well-compensated liver functions in patients with noncirrhotic portal hypertension.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2014
    Article
  19. Noncirrhotic intrahepatic portal hypertension: towards a unifying definition and etiology.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2014
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Ashish GoelDepartment of Hepatology, Christian Medical College, Vellore, India.
Kadiyala Madhu
Uday Zachariah
K G Sajith
Jeyamani Ramachandran
Banumathi Ramakrishna
Sridhar Gibikote
John Jude
George M Chandy
Elwyn Elias
C E Eapen
Christian Medical College & Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

objectivesThere are only a few studies on aetiology of portal hypertension among adults presenting to tertiary care centres in India; hence we conducted this study to assess the aetiological reasons for portal hypertension in adult patients attending a tertiary care centre in southern India.

methodsCauses of portal hypertension were studied in consecutive new adult patients with portal hypertension attending department of Hepatatology at a tertiary care centre in south India during July 2009 to July 2010.

resultsA total of 583 adult patients (>18 yr old) were enrolled in the study. After non-invasive testing, commonest causes of portal hypertension were cryptogenic chronic liver disease (35%), chronic liver disease due to alcohol (29%), hepatitis B (17%) or hepatitis C (9%). Of the 203 patients with cryptogenic chronic liver disease, 39 had liver biopsy - amongst the latter, idiopathic non cirrhotic intrahepatic portal hypertension (NCIPH) was seen in 16 patients (41%), while five patients had cirrhosis due to non alcoholic fatty liver disease. Fifty six (10%) adult patients with portal hypertension had vascular liver disorders. Predominant causes of portal hypertension in elderly (>60 yrs; n=83) were cryptogenic chronic liver disease (54%) and alcohol related chronic liver disease (16%). INTERPRETATION &

conclusionsCryptogenic chronic liver disease was the commonest cause of portal hypertension in adults, followed by alcohol or hepatitis B related chronic liver disease. Of patients with cryptogenic chronic liver disease who had liver biopsy, NCIPH was the commonest cause identified. Vascular liver disorders caused portal hypertension in 10 per cent of adult patients. Cryptogenic chronic liver disease was also the commonest cause in elderly patients.

Indexed as

AdultAgedBiopsyEnd Stage Liver DiseaseFemaleHepatitis BHepatitis CHepatitis, ChronicHumansHypertension, PortalIndiaLiverMaleMiddle AgedTertiary Care Centers

Identifiers

PMID23760378
PMCPMC3734684
OpenAlexW2107750075

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.