Evidence map›Paper›PMID 27722159›Full record

ReviewVisceral medicine2016

NASH Cirrhosis - the New Burden in Liver Transplantation: How Should It Be Managed?

Ali Canbay, Jan-Peter Sowa, Wing-Kin Syn, Jürgen Treckmann

Abstract readReview
In one paragraph

Review in Visceral medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 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.

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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Work up of fatty liver by primary care physicians, review.Annals of medicine and surgery (2012) · 2020
    Review
  12. Foods (Basel, Switzerland) · 2019
    Article
  13. Incidence of Recurrent NASH-Related Allograft Cirrhosis.Digestive diseases and sciences · 2019
    Article
  14. Review
  15. Review
  16. Non-alcoholic Fatty Liver Disease: A Clinical Update.Journal of clinical and translational hepatology · 2017
    Review
  17. Article
  18. Article
  19. Article
  20. Challenges in Liver Transplantation.Visceral medicine · 2016
    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

4 authors.

Ali CanbayDepartment of Gastroenterology and Hepatology, University Hospital, University Duisburg-Essen, Essen, Germany.
Jan-Peter SowaDepartment of Gastroenterology and Hepatology, University Hospital, University Duisburg-Essen, Essen, Germany.
Wing-Kin SynDivision of Gastroenterology and Hepatology, The Medical University of South Carolina, Charleston, SC, USA; Section of Gastroenterology, Ralph H. Johnson Veteran Affairs Medical Center, Charleston, SC, USA.
Jürgen TreckmannDepartment of General, Visceral, and Transplantation Surgery, University Hospital, University Duisburg-Essen, Essen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-alcoholic fatty liver disease (NAFLD) is a continuously increasing cause of chronic liver disease and a health burden in all populations affected by the obesity and metabolic syndrome pandemic. Cirrhotic alterations or hepatocellular carcinoma developing from NAFLD may require liver transplantation (LTx).

methodsCurrent literature was screened for data on LTx in the setting of NAFLD.

resultsNAFLD-associated LTx is expected to increase in number and relevance during the next decade. NAFLD is part of the metabolic syndrome and thus connected to various metabolic alterations and comorbidities such as diabetes or hyperlipidemia. Moreover, NAFLD comprises an independent risk factor for cardiovascular and chronic kidney disease, which again are important risk factors for outcome of surgical interventions. Postoperative immunosuppression, possible steatosis of the liver graft, and a continued presence of metabolic alterations may lead to early recurrence of steatosis or even non-alcoholic steatohepatitis. Currently, no data are available on combined approaches of weight loss and LTx for NAFLD.

conclusionSpecific guidelines on how to manage NAFLD-associated LTx are lacking. This particular situation requires close monitoring of metabolic syndrome-associated comorbidities. NAFLD represents a novel challenge to established LTx procedures.

Indexed as

Alcoholic steatohepatitisASHNAFLDNASHNon-alcoholic fatty liver diseaseNon-alcoholic steatohepatitisTransplantation

Identifiers

PMID27722159
PMCPMC5040943

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.