Evidence map›Paper›PMID 30413051›Full record

ReviewJournal of clinical medicine2018

Systematic Review and Meta-Analysis on the Impact of Thrombolytic Therapy in Liver Transplantation Following Donation after Circulatory Death.

Kumar Jayant, Isabella Reccia, Francesco Virdis, A M James Shapiro

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 28 citations in OpenAlex.

  1. A pilot, two-center, sequential dose escalation safety study of alteplase with fresh frozen plasma during normothermic liver perfusion.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2026
    Trial
  2. Article
  3. Article
  4. Observational
  5. Review
  6. Thrombolytic Therapy DuringFrontiers in surgery · 2021
    Article
  7. Article
  8. Article
  9. Review
  10. Addressing organ shortages: progress in donation after circulatory death for liver transplantationCanadian journal of surgery. Journal canadien de chirurgie · 2020
    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

4 authors at 3 institutions in 2 countries.

Kumar JayantDepartment of Surgery and Cancer, Imperial College London, London W12 OHS, UK. jkumar@ic.ac.uk.ORCID 0000-0003-0490-7323
Isabella RecciaDepartment of Surgery and Cancer, Imperial College London, London W12 OHS, UK. Isabella.Reccia@imperial.nhs.uk.
Francesco VirdisDepartment of Surgery, Kings College, London SE5 9RS, UK. francesco.virdis@hotmail.it.
A M James ShapiroDepartment of Surgery, University of Alberta, Edmonton, AB T6G 2B7, Canada. amjs.68@gmail.com.
Imperial College London · GBKing's College London · GBUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe livers from DCD (donation after cardiac death) donations are often envisaged as a possible option to bridge the gap between the availability and increasing demand of organs for liver transplantation. However, DCD livers possess a heightened risk for complications and represent a formidable management challenge. The aim of this study was to evaluate the effects of thrombolytic flush in DCD liver transplantation.

methodsAn extensive search of the literature database was made on MEDLINE, EMBASE, Cochrane, Crossref, Scopus databases, and clinical trial registry on 20 September 2018 to assess the role of thrombolytic tissue plasminogen activator (tPA) flush in DCD liver transplantation.

resultsA total of four studies with 249 patients in the tPA group and 178 patients in the non-tPA group were included. The pooled data revealed a significant decrease in ischemic-type biliary lesions (ITBLs) (

conclusionsTo recapitulate, tPA in DCD liver transplantation decreased the incidence of ITBLs, re-transplantation and markedly improved 1-year graft survival, without any increased risk for blood transfusion, hence it has potential to expand the boundaries of DCD liver transplantation.

Indexed as

donor after cardiac deathliver transplantthrombolytictissue plasminogen activator

Identifiers

PMID30413051
PMCPMC6262573
OpenAlexW2899549084

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.