Evidence map›Paper›PMID 27621571›Full record

ReviewWorld journal of gastroenterology2016

Transient elastography (FibroScan(®)) with controlled attenuation parameter in the assessment of liver steatosis and fibrosis in patients with nonalcoholic fatty liver disease - Where do we stand?

Ivana Mikolasevic, Lidija Orlic, Neven Franjic, Goran Hauser, Davor Stimac, Sandra Milic

3 registry-linked trialsAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 159 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
159citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT02973295 phase4withdrawnnot on this mapstarted 2019, after this paper: background citation

Silymarin® - Efficacy in Treatment of Non-alcoholic Fatty Liver Disease (NAFLD) Controlled by Laboratory and and Elastographic Parameters

TypeinterventionalSponsorUniversity Hospital RijekaRan2019 to 2021Enrolled0ConditionsNon-Alcoholic Fatty Liver DiseaseArmsSilymarin, Placebo Oral Capsule
NCT04861571 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Effect of Very Low-calorie Diet on the Reduction of Liver Steatosis and Fibrosis in Subjects With Obesity and Non-alcoholic Fatty Liver Disease

TypeinterventionalSponsorUniversity of IowaRan2023 to 2026Enrolled20ConditionsNAFLDArmsDietary intervention with very low calorie diet (VLCD), Control Arm
NCT05987748 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The Clock Thickens: Morning or Evening Training for the Treatment of NAFLD? (TikTac Study)

TypeinterventionalSponsorLeiden University Medical CenterRan2023 to 2024Enrolled40ConditionsNon-Alcoholic Fatty Liver DiseaseArmsExercise training
3 · Its place in the literature

Who cites it

159 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  10. Liver fibrosis risk: a silent threat in type 1 diabetes mellitus.Journal of endocrinological investigation · 2026
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99 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

6 authors.

Ivana MikolasevicIvana Mikolasevic, Neven Franjic, Goran Hauser, Davor Stimac, Sandra Milic, Department of Gastroenterology, UHC Rijeka, 51000 Rijeka, Croatia.
Lidija OrlicIvana Mikolasevic, Neven Franjic, Goran Hauser, Davor Stimac, Sandra Milic, Department of Gastroenterology, UHC Rijeka, 51000 Rijeka, Croatia.
Neven FranjicIvana Mikolasevic, Neven Franjic, Goran Hauser, Davor Stimac, Sandra Milic, Department of Gastroenterology, UHC Rijeka, 51000 Rijeka, Croatia.
Goran HauserIvana Mikolasevic, Neven Franjic, Goran Hauser, Davor Stimac, Sandra Milic, Department of Gastroenterology, UHC Rijeka, 51000 Rijeka, Croatia.
Davor StimacIvana Mikolasevic, Neven Franjic, Goran Hauser, Davor Stimac, Sandra Milic, Department of Gastroenterology, UHC Rijeka, 51000 Rijeka, Croatia.
Sandra MilicIvana Mikolasevic, Neven Franjic, Goran Hauser, Davor Stimac, Sandra Milic, Department of Gastroenterology, UHC Rijeka, 51000 Rijeka, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-alcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease worldwide. Currently, the routinely used modalities are unable to adequately determine the levels of steatosis and fibrosis (laboratory tests and ultrasonography) or cannot be applied as a screening procedure (liver biopsy). Among the non-invasive tests, transient elastography (FibroScan(®), TE) with controlled attenuation parameter (CAP) has demonstrated good accuracy in quantifying the levels of liver steatosis and fibrosis in patients with NAFLD, the factors associated with the diagnosis and NAFLD progression. The method is fast, reliable and reproducible, with good intra- and interobserver levels of agreement, thus allowing for population-wide screening and disease follow-up. The initial inability of the procedure to accurately determine fibrosis and steatosis in obese patients has been addressed with the development of the obese-specific XL probe. TE with CAP is a viable alternative to ultrasonography, both as an initial assessment and during follow-up of patients with NAFLD. Its ability to exclude patients with advanced fibrosis may be used to identify low-risk NAFLD patients in whom liver biopsy is not needed, therefore reducing the risk of complications and the financial costs.

Indexed as

Elasticity Imaging TechniquesHumansLiverMetabolic SyndromeNon-alcoholic Fatty Liver DiseaseObesityControlled attenuation parameterNon-alcoholic fatty liver diseaseTransient elastography

Identifiers

PMID27621571
PMCPMC4997649

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.