Evidence map›Paper›PMID 30302040›Full record

ArticleJournal of clinical and experimental hepatology2018

Impact of Direct Acting Antiviral Drugs in Treatment Naïve HCV Cirrhosis on Fibrosis and Severity of Liver Disease: A Real Life Experience from a Tertiary Care Center of North India.

Gaurav Garg, Vinod K Dixit, Sunit K Shukla, Sudhir K Singh, Shivam Sachan, Anurag Tiwari, Vinod K Yadav, Dawesh P Yadav

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical and experimental hepatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Gaurav GargDepartment of Gastroenterology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Vinod K DixitDepartment of Gastroenterology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Sunit K ShuklaDepartment of Gastroenterology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Sudhir K SinghDepartment of Gastroenterology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Shivam SachanDepartment of Gastroenterology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Anurag TiwariDepartment of Gastroenterology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Vinod K YadavDepartment of Gastroenterology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Dawesh P YadavDepartment of Gastroenterology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Banaras Hindu University · INInstitute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsTreatment of chronic hepatitis C infection with direct-acting antiviral (DAA) drugs has been highly effective, but data regarding benefit in advanced liver disease is relatively scarce in Indian patients. The aim of this study was to determine the effects of DAA in patients with HCV related cirrhosis (compensated/decompensated) who achieved sustained virological response post-therapy at 12 weeks (SVR12).

methodsSixty-three patients with HCV related cirrhosis treated with sofosbuvir based regimen were evaluated. Data regarding baseline demographics, the severity of liver disease and treatment regimen were collected. The primary end point was to evaluate the effect of treatment (SVR12) on the severity of liver disease with the secondary end point being to observe for any adverse events related to treatment.

resultsTreatment naïve patients with HCV cirrhosis either due to genotype 1 or genotype 3 were divided into two groups: group A (compensated cirrhosis), group B (decompensated cirrhosis). SVR12 in group A was 91.66% (33/37) and in group, B was 73.17% (30/41). Baseline mean liver stiffness measurement (LSM) in group A was 16.81 ± 3.57 kPa which decreased to 11.19 ± 1.75 kPa at SVR12 (

conclusionThere was a significant improvement in severity of liver disease as depicted by the decrease in LSM and other noninvasive marker of fibrosis in patients who achieved SVR12 on DAA therapy.

Indexed as

APRI, AST to Platelet Ratio IndexCTP, Child-Turcotte-PughCTP, Child–Turcotte–PughFIB-4, fibrosis-4MELD Na, Model for End-Stage Liver Disease sodiumTE, transient elastography

Identifiers

PMID30302040
PMCPMC6175719
OpenAlexW2773649489

What OpenQuestion holds

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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.