Evidence map›Paper›PMID 28744836›Full record

ArticleDigestive diseases and sciences2017

Liver Transplantation for Nonalcoholic Steatohepatitis in the US: Temporal Trends and Outcomes.

George Cholankeril, Robert J Wong, Menghan Hu, Ryan B Perumpail, Eric R Yoo, Puneet Puri, Zobair M Younossi, Stephen A Harrison, Aijaz Ahmed

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Digestive diseases and sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05184283 (Longitudinal Assessment of Muscle Health in Patients Undergoing Liver Transplantation), which is not on this map. Cited by 111 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 6 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.

NCT05184283 terminatednot on this mapstarted 2022, after this paper: background citation

Longitudinal Assessment of Muscle Health in Patients Undergoing Liver Transplantation (LT) for Hepatocellular Carcinoma (HCC)

TypeobservationalSponsorColumbia UniversityRan2022 to 2023Enrolled11ConditionsNAFLD, Hepatocellular Carcinoma, Liver Diseases, Liver Cancer
3 · Its place in the literature

Who cites it

111 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Vitamin E for people with non-alcoholic fatty liver disease.The Cochrane database of systematic reviews · 2024
    Pooled it
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  8. Effects of Hydro-Ethanolic Extract ofHealth science reports · 2026
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51 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

George CholankerilDivision of Gastroenterology and Hepatology, University of Tennessee Health Sciences Center, Memphis, TN, USA.
Robert J WongDivision of Gastroenterology and Hepatology, Alameda Health System, Highland Hospital, Oakland, CA, USA.
Menghan HuDepartment of Biostatistics, Brown University Public School of Health, Providence, RI, USA.
Ryan B PerumpailDivision of Gastroenterology and Hepatology, Stanford University Medical Center, Stanford University School of Medicine, 750 Welch Road, Suite 210, Palo Alto, CA, 94304, USA.
Eric R YooDepartment of Medicine, University of Illinois College of Medicine, Chicago, IL, USA.
Puneet PuriDivision of Gastroenterology, Hepatology and Nutrition, Virginia Commonwealth University, Richmond, VA, USA.
Zobair M YounossiDepartment of Medicine, Center for Liver Diseases, Inova Fairfax Hospital, Falls Church, VA, USA.
Stephen A HarrisonRadcliffe Department of Medicine, University of Oxford, Oxford, UK.
Aijaz AhmedDivision of Gastroenterology and Hepatology, Stanford University Medical Center, Stanford University School of Medicine, 750 Welch Road, Suite 210, Palo Alto, CA, 94304, USA. aijazahmed@stanford.edu.ORCID 0000-0002-3609-8586

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsNonalcoholic steatohepatitis (NASH) is a rapidly growing etiology of end-stage liver disease in the US. Temporal trends and outcomes in NASH-related liver transplantation (LT) in the US were studied.

methodsA retrospective cohort study utilizing the United Network for Organ Sharing and Organ Procurement and Transplantation (UNOS/OPTN) 2003-2014 database was conducted to evaluate the frequency of NASH-related LT. Etiology-specific post-transplant survival was evaluated with Kaplan-Meier methods and multivariate Cox proportional hazards models.

resultsOverall, 63,061 adult patients underwent LT from 2003 to 2014, including 20,782 HCV (32.96%), 9470 ALD (15.02%), and 8262 NASH (13.11%). NASH surpassed ALD and became the second leading indication for LT beginning in 2008, accounting for 17.38% of LT in 2014. From 2003 to 2014, the number of LT secondary to NASH increased by 162%, whereas LT secondary to HCV increased by 33% and ALD increased by 55%. Due to resurgence in ALD, the growth in NASH and ALD was comparable from 2008 to 2014 (NASH +50.15% vs. ALD +41.87%). The post-transplant survival in NASH was significantly higher compared to HCV (5-year survival: NASH -77.81%, 95% CI 76.37-79.25 vs. HCV -72.15%, 95% CI 71.37-72.93, P < .001). In the multivariate Cox proportional hazards model, NASH demonstrated significantly higher post-transplant survival compared to HCV (HR 0.75; 95% CI 0.71-0.79, P < .001).

conclusionsCurrently, NASH is the most rapidly growing indication for LT in the US. Despite resurgence in ALD, NASH remains the second leading indication for LT.

Indexed as

AdultAgedChi-Square DistributionDatabases, FactualEnd Stage Liver DiseaseFemaleHumansKaplan-Meier EstimateLiver TransplantationMaleMiddle AgedMultivariate AnalysisNon-alcoholic Fatty Liver DiseaseProportional Hazards ModelsRetrospective StudiesRisk FactorsAlcoholic liver diseaseFatty liver diseaseHepatitis C virusLiver transplantation

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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.