Evidence map›Paper›PMID 28556542›Full record

Observational studyPediatric transplantation2017

Long-term outcomes of de novo autoimmune hepatitis in pediatric liver transplant recipients.

Udeme D Ekong, Patrick McKiernan, Mercedes Martinez, Steven Lobritto, Deirdre Kelly, Vicky L Ng, Estella M Alonso, Yaron Avitzur

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Pediatric transplantation, 2017. 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
1.4field-weighted citation impact, top 19% 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, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. RethinkingWorld journal of gastroenterology · 2018
    Review
  5. Inflammasome Priming MediatedFrontiers in immunology · 2018
    Article
  6. 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

8 authors at 5 institutions in 3 countries.

Udeme D EkongDepartment of Pediatrics, Yale University School of Medicine, New Haven, CT, USA.
Patrick McKiernanChildren's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Mercedes MartinezDepartment of Pediatrics, Columbia University, New York, NY, USA.
Steven LobrittoDepartment of Pediatrics, Columbia University, New York, NY, USA.
Deirdre KellyThe Liver Unit, Birmingham Children's Hospital and University of Birmingham, Birmingham, UK.
Vicky L NgDepartment of Pediatrics, University of Toronto, Toronto, ON, Canada.
Estella M AlonsoDepartment of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Yaron AvitzurDepartment of Pediatrics, University of Toronto, Toronto, ON, Canada.
Columbia University · USUniversity of Birmingham · GBUniversity of Toronto · CANorthwestern University · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
Yale Liver CenterP30DK034989 · NIDDK · YALE UNIVERSITY · PI YASUKO IWAKIRI · 1986 to 2026
$31.1M
NCATS NIH HHS UL1 TR000142NCATS NIH HHS UL1 TR001863NIDDK NIH HHS P30 DK034989
6 · The paper itself

Abstract

The long-term course and outcome of DAIH is unknown. A retrospective multicenter study assessing associations and long-term consequences of DAIH developing in a transplanted allograft is presented. Children with DAIH were followed from diagnosis until death, re-LT, or transfer of care and for a minimum of 1 year. A total of 31 patients of 1833 (1.7%) LT were identified; 29 followed for a median of 7.1 years (range, 1.6-15); 52% had no rejection preceding diagnosis of DAIH. Transaminases fell following treatment with steroids and antimetabolites (ALT 108 vs 39 U/L (P=.002); AST 112 vs 52 U/L (P=.003); GGT 72 vs 36 U/L (P=.03), but this was not universally sustained. Transaminases >2X ULN observed in 38% of patients at last follow-up; commonly GGT, attributed to bile duct injury and ductopenia. Portal hypertension (PHT) was seen in four patients and associated with severe fibrosis and cirrhosis. Re-LT occurred in two patients for chronic rejection (CR) and uncontrolled PHT with gastrointestinal bleeding, respectively. No deaths from DAIH were reported. DAIH is an uncommon complication following pediatric LT requiring prolonged and augmented immunosuppression. It is associated with continued allograft dysfunction and may lead to bile duct injury, CR, and PHT necessitating re-LT.

Indexed as

Liver TransplantationAdolescentChildChild, PreschoolFemaleFollow-Up StudiesHepatitis, AutoimmuneHumansInfantMaleOutcome Assessment, Health CarePostoperative ComplicationsReoperationRetrospective Studiesallograft dysfunctionbile duct injurychronic rejectionliver retransplantationportal hypertension

Identifiers

PMID28556542
PMCPMC5570622
OpenAlexW2618005542

What OpenQuestion holds

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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.