Evidence map›Paper›PMID 30345287›Full record

ReviewVisceral medicine2018

Liver Transplantation in Acute-on-Chronic Liver Failure: Considerations for a Systematic Approach to Decision Making.

Michael Heise, Nina Weiler, Sonja Iken, Martin-Walter Welker, Stefan Zeuzem, Wolf O Bechstein, Andreas A Schnitzbauer

Abstract readReview
In one paragraph

Review in Visceral medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Observational
  7. Acute-on-Chronic Liver Failure.Visceral medicine · 2018
    Article
  8. Review
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

7 authors.

Michael HeiseClinic for General and Visceral Surgery, University Hospital Frankfurt, Goethe-University Frankfurt, Frankfurt/M., Germany.
Nina WeilerClinic for Medicine I, University Hospital Frankfurt, Goethe-University Frankfurt, Frankfurt/M., Germany.
Sonja IkenClinic for Anesthesiology, Intensive Care and Pain Care, University Hospital Frankfurt, Goethe-University Frankfurt, Frankfurt/M., Germany.
Martin-Walter WelkerClinic for Medicine I, University Hospital Frankfurt, Goethe-University Frankfurt, Frankfurt/M., Germany.
Stefan ZeuzemClinic for Medicine I, University Hospital Frankfurt, Goethe-University Frankfurt, Frankfurt/M., Germany.
Wolf O BechsteinClinic for General and Visceral Surgery, University Hospital Frankfurt, Goethe-University Frankfurt, Frankfurt/M., Germany.
Andreas A SchnitzbauerClinic for General and Visceral Surgery, University Hospital Frankfurt, Goethe-University Frankfurt, Frankfurt/M., Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute-on-chronic liver failure (ACLF) is a complex disease with deteriorating liver and kidney function and associated organ failure in patients with chronic liver disease.

methodsThis is a concise overview for bedside and algorithmic decision making in patients with ACLF based on the most recent literature.

resultsDiagnosis and dynamics of ACLF can be easily monitored with the CLIF-C-ACLF calculator, which delivers grading for ACLF and estimates the risk of mortality, as the natural transplant-free course of ACLF is often fatal. Transplantation offers the best results in patients with ACLF that do not recover spontaneously. However, marginal donor organs should be avoided.

conclusionACLF is an increasingly relevant indication with good outcome after liver transplantation. Adequate donor rates may reduce the incidence by means of timely transplantation of acute decompensated patients in lower stages of urgency. Future challenges comprise specific allocation of donor organs to this group of patients that are at a similar risk of mortality when compared to acute liver failure.

Indexed as

Acute-on-chronic liver failureKidney functionLiver transplantation

Identifiers

PMID30345287
PMCPMC6189535

What OpenQuestion holds

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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.