Evidence map›Paper›PMID 26025064›Full record

Observational studyInternational urology and nephrology2015

Serum hyaluronic acid in chronic viral hepatitis B and C: a biomarker for assessing liver fibrosis in chronic hemodialysis patients.

Olga Hilda Orăşan, Mădălina Sava, Mihaela Iancu, Angela Cozma, Aniela Saplonţai-Pop, Simina Sarlea Ţărmure, Corneliu Lungoci, Remus Aurel Orăşan, Ioan Mihai Patiu, Dan Lucian Dumitraşcu

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in International urology and nephrology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Hyaluronidases in Human Diseases.International journal of molecular sciences · 2021
    Review
  3. Article
  4. Article
  5. Article
  6. Review
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

10 authors at 3 institutions in 2 countries.

Olga Hilda Orăşan4th Medical Department, University of Medicine and Pharmacy, Cluj-Napoca, Romania, olgaorasan@yahoo.com.
Mădălina Sava
Mihaela Iancu
Angela Cozma
Aniela Saplonţai-Pop
Simina Sarlea Ţărmure
Corneliu Lungoci
Remus Aurel Orăşan
Ioan Mihai Patiu
Dan Lucian Dumitraşcu
Hai phong University Of Medicine and Pharmacy · VNUniversity of Agricultural Sciences and Veterinary Medicine of Cluj-Napoca · ROSpitalul Clinic Județean de Urgență Cluj-Napoca · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSerum hyaluronic acid (sHA) is studied as a noninvasive marker of liver fibrosis (F) in chronic B and C viral hepatitis in general population but less in end-stage renal disease patients undergoing hemodialysis.

methodsWe evaluated sHA as a noninvasive biomarker of F in a multicenter prospective, transversal, and observational study which included 52 end-stage renal disease patients with chronic B (14) and C (38) viral hepatitis (age 55.57 ± 14.46 years, dialysis vintage 132.59 ± 86.02 months).

resultsOf the noninvasive tests analyzed, only sHA, APRI, and FIB4 index were able to differentiate patients with F1 (sHA p = 0.006; APRI p = 0.031; FIB4 p = 0.016). No statistically significant differences were found between sHA and APRI, ASAT/ALAT ratio, and FIB4 index in detecting F1 a (p > 0.02). sHA seemed to be more efficient than APRI, ASAT/ALAT ratio, and FIB4 index, having the highest estimated AUC value. The sHA threshold value for F1 was equal to 33.46 ng/mL, with the following estimated values of the performance indicators: Se 88.46 % and Sp 50 %. sHA was the only noninvasive test of the studied tests that could determine F2 (p = 0.002), with a threshold value of 80.24 ng/mL (Se 63 %, Sp 88 %), and F3 (p = 0.008), with a threshold value of 88.54 ng/mL (Se 60 %, Sp 84 %). None of the studied noninvasive tests could determine F4.

conclusionsIn patients with chronic B and C viral hepatitis undergoing hemodialysis, sHA may be a useful biomarker for the liver fibrosis grades: F1-mild, F2-moderate, and F3-severe, but it does not differentiate between chronic hepatitis (F1-F3) and liver cirrhosis (F4).

Indexed as

Hepatitis B, ChronicHepatitis C, ChronicKidney Failure, ChronicLiver CirrhosisAdultAgedAlanine TransaminaseAspartate AminotransferasesBiomarkersDiagnosis, DifferentialFemaleHumansHyaluronic AcidMaleMiddle AgedPatient AcuityAlanine TransaminaseAspartate AminotransferasesBiomarkersHyaluronic Acid

Identifiers

PMID26025064
OpenAlexW432135832

What OpenQuestion holds

Textmetadata
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.