Evidence map›Paper›PMID 29207755›Full record

ArticleJournal of clinical and diagnostic research : JCDR2017

Correlation of Trace Elements in Patients of Chronic Liver Disease with Respect to Child- Turcotte- Pugh Scoring System.

Amit Agarwal, Shilpa Avarebeel, Narendra S Choudhary, Mohan Goudar, C J Tejaswini

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical and diagnostic research : JCDR, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

11 citing papers in PubMed, 19 citations in OpenAlex.

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  11. Nutritional issues in patients with obesity and cirrhosis.World journal of gastroenterology · 2018
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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

5 authors at 1 institution in 1 country.

Amit AgarwalJunior Resident, Department of Medicine, JSS Medical College, Mysuru, Karnataka, India.
Shilpa AvarebeelSenior Resident, Department of Medicine, JSS Medical College, Mysuru, Karnataka, India.
Narendra S ChoudharyConsultant, Department of Hepatology, Medanta Institute of Digestive and Hepatobiliary Sciences, Gurgaon, Haryana, India.
Mohan GoudarProfessor, Department of Medicine, JSS Medical College, Mysuru, Karnataka, India.
C J TejaswiniAssistant Professor, Department of Medicine, JSS Medical College, Mysuru, Karnataka, India.
JSS Medical College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionZinc, copper, manganese and magnesium are essential trace elements whose role in chronic liver disease and its complications is not clear.

aimTo study the concentration of these elements in patients with Chronic Liver Disease (CLD) with respect to Child-Torcotte-Pugh (CTP) scoring. MATERIALS AND

methodsThis was an observational study carried out in the Department of Medicine, JSS Hospital, Mysore, India, between October 2013 and October 2015. A total of 75 patients with cirrhosis were prospectively enrolled. Severity of liver disease was assessed based on CTP score and patients were grouped into Class A, B and C. Routine investigations were done and following trace elements were assessed in all-zinc, copper, manganese and magnesium.

resultsThe serum concentrations of zinc decreased with severity of liver disease, and the mean difference between different severity classes was statistically significant (p<0.001). There was a significant negative correlation between zinc and CTP Score (r= -0.439; p<0.001). Copper concentration was increased in patients with more severe cirrhosis and mean level difference of copper among the CTP groups were statistically significant (p<0.001). Moreover, copper showed significant positive correlation with CTP Score (r=0.385; p<0.001). The serum levels of manganese were significantly higher in patients with CTP C class in comparison to patients with CTP A and B class (p<0.05); Manganese showed significant positive correlation with CTP Score (r=0.271; p= 0.019). The concentrations of magnesium did not differ significantly between CTP class with the mean level difference not statistically significant.

conclusionIncreasing liver dysfunction alters the metabolism of trace elements towards excess of copper and deficiency of zinc.

Indexed as

CirrhosisCopperMagnesiumManganeseZinc

Identifiers

PMID29207755
PMCPMC5713777
OpenAlexW2767135400

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Registered trials

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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.