Evidence map›Paper›PMID 30384828›Full record

ArticleBMC gastroenterology2018

Macrocytic anemia is associated with the severity of liver impairment in patients with hepatitis B virus-related decompensated cirrhosis: a retrospective cross-sectional study.

Jian Yang, Bin Yan, Lihong Yang, Huimin Li, Yajuan Fan, Feng Zhu, Jie Zheng, Xiancang Ma

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

21 citing papers in PubMed, 35 citations in OpenAlex.

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  7. Management of anaemia in critically ill adults.Singapore medical journal · 2025
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  14. Autologous bone marrow infusionWorld journal of gastrointestinal surgery · 2023
    Article
  15. miR-22 gene therapy treats HCC by promoting anti-tumor immunity and enhancing metabolism.Molecular therapy : the journal of the American Society of Gene Therapy · 2023
    Article
  16. Anemia in cirrhosis: An underestimated entity.World journal of clinical cases · 2022
    Review
  17. Article
  18. Article
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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 1 institution in 1 country.

Jian YangClinical Research Center, the First Affiliated Hospital, Xi'an Jiaotong University, Xi'an, 710061, People's Republic of China.ORCID http://orcid.org/0000-0003-0868-9781
Bin YanClinical Research Center, the First Affiliated Hospital, Xi'an Jiaotong University, Xi'an, 710061, People's Republic of China.
Lihong YangClinical Research Center, the First Affiliated Hospital, Xi'an Jiaotong University, Xi'an, 710061, People's Republic of China.
Huimin LiDepartment of Psychiatry, the First Affiliated Hospital, Xi'an Jiaotong University, No.277 Yanta West Road, Yanta District, Xi'an, 710061, People's Republic of China.
Yajuan FanDepartment of Psychiatry, the First Affiliated Hospital, Xi'an Jiaotong University, No.277 Yanta West Road, Yanta District, Xi'an, 710061, People's Republic of China.
Feng ZhuCenter for Translational Medicine, the First Affiliated Hospital, Xi'an Jiaotong University, Xi'an, 710061, People's Republic of China.
Jie ZhengClinical Research Center, the First Affiliated Hospital, Xi'an Jiaotong University, Xi'an, 710061, People's Republic of China.
Xiancang MaDepartment of Psychiatry, the First Affiliated Hospital, Xi'an Jiaotong University, No.277 Yanta West Road, Yanta District, Xi'an, 710061, People's Republic of China. maxiancang@163.com.
First Affiliated Hospital of Xi'an Jiaotong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMacrocytic anemia is common in liver disease. However, its role in hepatitis B virus (HBV)-related decompensated cirrhosis remains unknown. The aim of the present study was to determine the association between macrocytic anemia and the severity of liver impairment in patients with HBV-related decompensated cirrhosis according to the Model for End Stage Liver Disease (MELD) score.

methodsA total of 463 participants who fulfilled our criteria were enrolled in this cross-sectional study. Patients were classified into three groups according to anemia types, diagnosed based on their mean corpuscular volume level. Multivariate linear regression analyses were used to determine the association between macrocytic anemia and the MELD score for patients with HBV-related decompensated cirrhosis.

resultsPatients with macrocytic anemia had evidently higher MELD scores (10.8 ± 6.6) than those with normocytic anemia (8.0 ± 5.5) or microcytic anemia (6.3 ± 5.1). The association remained robust after adjusting for age, gender, smoking, drinking, and total cholesterol (β = 1.94, CI: 0.81-3.07, P < 0.001).

conclusionsMacrocytic anemia was found to be associated with the severity of liver impairment and might be a predictor for short-term mortality in patients with HBV-related decompensated cirrhosis.

Indexed as

AgedAnemia, MacrocyticCross-Sectional StudiesFemaleHepatitis B, ChronicHumansLiver CirrhosisMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsSeverity of Illness IndexHBV-related decompensated cirrhosisMacrocytic anemiaMELD scoreSeverity of liver impairment

Identifiers

PMID30384828
PMCPMC6211489
OpenAlexW2898707348

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.