Evidence map›Paper›PMID 29444123›Full record

ReviewPloS one2018

Survival from alcoholic hepatitis has not improved over time.

Emily Hughes, Laurence J Hopkins, Richard Parker

Erratum issuedOpen access · goldAbstract readReview
In one paragraph

Review in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.7field-weighted citation impact, top 5% 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, 49 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Moderate Alcoholic Hepatitis.Clinics in liver disease · 2021
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Emily HughesLeeds Liver Unit, St James's University Hospital, Leeds, United Kingdom.
Laurence J HopkinsUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Richard ParkerUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.ORCID 0000-0003-4888-8670
University Hospitals Birmingham NHS Foundation Trust · GBSt James's University Hospital · GB

Funding

Medical Research Council G1100448
6 · The paper itself

Abstract

PURPOSE/

backgroundWe aimed to describe changes in survival in alcoholic hepatitis (AH) over time by examining published data.

methodsA systematic literature search of Ovid Embase and PubMed was undertaken using the MESH terms 'hepatitis, alcoholic' to identify randomised controlled trials (RCT) and observational studies (OS) in alcoholic hepatitis. Data were extracted from included studies regarding 28-day, 90-day, 180-day mortality, as well as biochemical and clinical data.

resultsAfter review of the literature search results, 77 studies published between 1971 and 2016 were analysed, which included data from a total of 8,184 patients. Overall mortality from AH was 26% at 28 days, 29% at 90 days and 44% at 180 days after admission. No changes in mortality over time were observed in univariable analysis at 28 days or 90 days after admission (Pearson correlation r -0.216, p = 0.098, and r 0.121 p = 0.503 respectively). A small but statistically significant increase in mortality was seen in 180-day mortality (r 0.461 p = 0.036). However, after meta-regression to adjust for other factors associated with mortality at each time point, no changes in mortality were seen. Sub-group analysis did not reveal any changes in mortality over time in different study types, or when only biopsy-proven or severe disease were considered.

conclusionThere has been no improvement in mortality from AH. This is not explained by changes in severity of disease. This emphasises the urgent need for effective treatments for this alcoholic hepatitis.

Indexed as

Hepatitis, AlcoholicHumansObservational Studies as TopicRandomized Controlled Trials as TopicRegression AnalysisSurvival Rate

Identifiers

PMID29444123
PMCPMC5812634
OpenAlexW2791206614

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.