Evidence map›Paper›PMID 30182132›Full record

ReviewSingapore medical journal2019

Understanding the hepatitis B core positive liver donor.

Kah Wai Clarence Kwan, Teegan Reina Lim, Rajneesh Kumar, Thinesh Lee Krishnamoorthy

Abstract readReview
In one paragraph

Review in Singapore medical journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. 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.

Kah Wai Clarence KwanDepartment of Gastroenterology and Hepatology, Singapore General Hospital, Singapore.
Teegan Reina LimDepartment of Gastroenterology and Hepatology, Singapore General Hospital, Singapore.
Rajneesh KumarDepartment of Gastroenterology and Hepatology, Singapore General Hospital, Singapore.
Thinesh Lee KrishnamoorthyDepartment of Gastroenterology and Hepatology, Singapore General Hospital, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The increasing number of patients on the Singapore national liver transplant waiting list and the lack of donor livers have necessitated a review of the limited use of marginal donor liver grafts. Some grafts are of good quality but are considered marginal due to positive donor antibody to hepatitis B virus core protein serology, and negative hepatitis B surface antigen (HBsAg) and hepatitis B DNA. The fear is of viral reactivation during periods of intense immunosuppression. This is made possible by the ability of the hepatitis B virion to reside in a dormant state within the hepatocyte nucleus despite HBsAg clearance, i.e. the occult hepatitis B infection (OBI). In truth, appropriate selection of recipients and effective post-transplantation immunoprophylaxis significantly reduce the risk of hepatitis B viral reactivation. This article explains the confusion surrounding OBI and reviews current recommendations on how to manage such donor liver grafts.

Indexed as

Hepatitis BLiver TransplantationHepatitis B AntibodiesHepatitis B virusHumansLiving DonorsRecurrenceSingaporeHepatitis B Antibodiescore positive donorliver transplantoccult hepatitis Bviral reactivation

Identifiers

PMID30182132
PMCPMC6875816

What OpenQuestion holds

Textmetadata
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.