Evidence map›Paper›PMID 30406480›Full record

ArticleDigestive diseases and sciences2019

Prospective Assessment of Liver Function by an Enzymatic Liver Function Test to Estimate Short-Term Survival in Patients with Liver Cirrhosis.

Maximilian Jara, Tomasz Dziodzio, Maciej Malinowski, Katja Lüttgert, Radoslav Nikolov, Paul Viktor Ritschl, Robert Öllinger, Johann Pratschke, Martin Stockmann

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Article in Digestive diseases and sciences, 2019. 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. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Value of Liver Function Tests in Cirrhosis.Journal of clinical and experimental hepatology
    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

9 authors.

Maximilian JaraDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany. maximilian.jara@charite.de.
Tomasz DziodzioDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Maciej MalinowskiDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Katja LüttgertDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Radoslav NikolovDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Paul Viktor RitschlDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Robert ÖllingerDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Johann PratschkeDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Martin StockmannDepartment of Surgery, Campus Charité Mitte - Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMELD attempts to objectively predict the risk of mortality of patients with liver cirrhosis and is commonly used to prioritize organ allocation. Despite the usefulness of the MELD, updated metrics could further improve the accuracy of estimates of survival.

aimsTo assess and compare the prognostic ability of an enzymatic

methodsWe prospectively investigated liver function of 268 chronic liver failure patients without hepatocellular carcinoma. Primary study endpoint was liver-related death within 3 months of follow-up. Prognostic values were calculated using Cox proportional hazards and logistic regression analysis.

resultsThe Cox proportional hazard model indicated that LiMAx (p < 0.001) and serum creatinine values (p < 0.001) were the significant parameters independently associated with the risk of liver failure-related death. Logistic regression analysis revealed LiMAx and serum creatinine to be independent predictors of mortality. Areas under the receiver-operating characteristic curves for MELD (0.86 [0.80-0.92]) and for a combined score of LiMAx and serum creatinine (0.83 [0.76-0.90]) were comparable.

conclusionsApart from serum creatinine levels, enzymatic liver function measured by LiMAx was found to be an independent predictor of short-term mortality risk in patients with liver cirrhosis. A risk score combining both determinants allows reliable prediction of short-term prognosis considering actual organ function. Trial Registration Number (German Clinical Trials Register) # DRKS00000614.

Indexed as

AcetamidesBreath TestsCarbon DioxideCarbon IsotopesCohort StudiesCreatinineCytochrome P-450 CYP1A2End Stage Liver DiseaseFemaleHumansLiver CirrhosisLiver Function TestsLogistic ModelsMaleMiddle AgedMultivariate AnalysisAcetamidesCarbon DioxideCarbon IsotopesCreatinineCytochrome P-450 CYP1A2methacetinEnd-stage liver diseaseLiMAxLiver function testMELDRisk assessmentSurvival

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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.