Evidence map›Paper›PMID 28469455›Full record

ReviewHealth services insights2017

Perioperative Care of Patients With Liver Cirrhosis: A Review.

Naeem Abbas, Jasbir Makker, Hafsa Abbas, Bhavna Balar

Open access · goldAbstract readReview
In one paragraph

Review in Health services insights, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Impact of Liver Disease on Use of Muscle Relaxants in Anesthesia: A Comprehensive Review.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  7. Evaluating predictors of mortality in octogenarians undergoing urgent or emergent trauma laparotomy.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Outcome of laparotomy and conservative treatment of patients with acute mesenteric venous ischemia with viable bowel.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. [Surgery in patients with liver cirrhosis].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Article
  18. Article
  19. 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

4 authors at 2 institutions in 1 country.

Naeem AbbasDivisions of Gastroenterology and Hepatology, Department of Medicine, Bronx-Lebanon Hospital Center, Bronx, NY, USA.
Jasbir MakkerDivision of Gastroenterology, Bronx-Lebanon Hospital Center, Bronx, NY, USA.
Hafsa AbbasDepartment of Internal Medicine, Bronx-Lebanon Hospital Center, Bronx, NY, USA.
Bhavna BalarDivision of Gastroenterology, Bronx-Lebanon Hospital Center, Bronx, NY, USA.
Bronx-Lebanon Hospital Center · USIcahn School of Medicine at Mount Sinai · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The incidence of cirrhosis is rising, and identification of these patients prior to undergoing any surgical procedure is crucial. The preoperative risk stratification using validated scores, such as Child-Turcotte-Pugh (CTP) and Model for End-Stage Liver Disease, perioperative optimization of hemodynamics and metabolic derangements, and postoperative monitoring to minimize the risk of hepatic decompensation and complications are essential components of medical management. The advanced stage of cirrhosis, emergency surgery, open surgeries, old age, and coexistence of medical comorbidities are main factors influencing the clinical outcome of these patients. Perioperative management of patients with cirrhosis warrants special attention to nutritional status, fluid and electrolyte balance, control of ascites, excluding preexisting infections, correction of coagulopathy and thrombocytopenia, and avoidance of nephrotoxic and hepatotoxic medications. Transjugular intrahepatic portosystemic shunt may improve the CTP class, and semielective surgeries may be feasible. Emergency surgery, whenever possible, should be avoided.

Indexed as

decompensated liver cirrhosisliver cirrhosisperioperative managementsurgery in cirrhosis

Identifiers

PMID28469455
PMCPMC5398291
OpenAlexW2590050400

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.