Evidence map›Paper›PMID 24247262›Full record

ReviewNature reviews. Gastroenterology & hepatology2014

Management of patients with hepatitis B who require immunosuppressive therapy.

Jessica P Hwang, Anna S-F Lok

Open access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Gastroenterology & hepatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 7 pooled it
12.0field-weighted citation impact, top 1% 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

93 citing papers in PubMed, 7 syntheses or guidelines pooled it, 230 citations in OpenAlex.

  1. Pooled it
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  17. Acute liver failure: A practical update.JHEP reports : innovation in hepatology · 2024
    Review
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  20. Review

33 more citing papers are in PubMed but not listed here.

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

2 authors at 1 institution in 1 country.

Jessica P HwangDepartment of General Internal Medicine, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Houston, TX 77030, USA.
Anna S-F LokDepartment of Internal Medicine and Gastroenterology, A. Alfred Taubman Health Care Center, University of Michigan, 1500 East Medical Center Drive, Room 3912, Ann Arbor, MI 48109-5362, USA.
General Department of Preventive Medicine · VN

Funding

Hepatitis B Clinical Research Network Clinical Center: Michigan - Hawaii ConsortiumU01DK082863 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LOK, ANNA S.F. · 2008 to 2020
$3.7M
HBV reactivation among cancer patients receiving chemotherapyK07CA132955 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HWANG, JESSICA PARK · 2010 to 2014
$702k
Widespread vs Selective Screening for Hepatitis B Infection Prior to ChemotherapyR21CA167202 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HWANG, JESSICA PARK · 2013 to 2014
$372k
NCI NIH HHS K07 CA132955NCI NIH HHS R21 CA167202NIDDK NIH HHS U01DK082863
6 · The paper itself

Abstract

Patients with chronic HBV infection are at risk of reactivation of HBV should they require immunosuppressive therapies for a variety of clinical settings, including chemotherapy for patients with cancer, immunosuppression for solid organ and stem cell transplant recipients, and use of anti-CD20 antibodies, TNF inhibitors, or corticosteroids in patients with oncological, gastrointestinal, rheumatological or dermatological conditions. The key to preventing HBV reactivation is the identification of patients with HBV infection prior to immunosuppressive therapy, initiation of prophylactic antiviral therapy in patients at moderate or high risk of HBV reactivation, and close monitoring of other patients so that antiviral therapy can be initiated at the first sign of HBV reactivation. Unfortunately, many patients infected with HBV are unaware of their infection or risk factors, and physicians often do not have sufficient time to systematically assess patients for risk factors for HBV prior to starting immunosuppressive therapy. In this article, we review the incidence, risk factors and outcomes of HBV reactivation, and the efficacy of antiviral therapy in preventing its occurrence. We also propose an algorithm for managing patients with HBV infection who require immunosuppressive therapy.

Indexed as

AlgorithmsAntiviral AgentsGastrointestinal DiseasesGraft RejectionHepatitis B, ChronicHumansImmunosuppressive AgentsIncidenceRheumatic DiseasesRisk FactorsTreatment OutcomeAntiviral AgentsImmunosuppressive Agents

Identifiers

PMID24247262
PMCPMC4170710
OpenAlexW2104098378

What OpenQuestion holds

Textmetadata
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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.