Evidence map›Paper›PMID 30509601›Full record

ArticleJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2019

Controlled attenuation parameter: A measure of hepatic steatosis in patients with cystic fibrosis.

Razan M Bader, Maureen M Jonas, Paul D Mitchell, Shanna Wiggins, Christine K Lee

Abstract read
In one paragraph

Article in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

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4 · The record

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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

5 authors.

Razan M BaderMulti Organ Transplant Center, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
Maureen M JonasDivision of Gastroenterology, Hepatology, and Nutrition, Boston Children's Hospital, Boston, MA, United States.
Paul D MitchellInstitutional Centers for Clinical and Translational Research, Boston Children's Hospital, Boston, MA, United States.
Shanna WigginsDivision of Gastroenterology, Hepatology, and Nutrition, Boston Children's Hospital, Boston, MA, United States.
Christine K LeeDivision of Gastroenterology, Hepatology, and Nutrition, Boston Children's Hospital, Boston, MA, United States. Electronic address: christine.lee@childrens.harvard.edu.

Funding

STRUCTURE-FUNCTION RELATIONSHIPS IN THE ALIMENTARY TRACTP30DK034854 · NIDDK · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI WAYNE I LENCER · 1986 to 2026
$32.4M
NIDDK NIH HHS P30 DK034854
6 · The paper itself

Abstract

backgroundHepatic steatosis is a common manifestation of CF-related liver disease(CFLD). Controlled attenuation parameter(CAP) measurement during transient elastography(TE) semiquantifies liver steatosis. We examined the relationship between CAP and CFLD severity, clinical factors and liver stiffness measurements(LSM).

methodsThis is a cross-sectional study of CF patients seen for outpatient care between January 2013-March 2014. CFLD severity was categorized as no CFLD, CFLD without portal hypertension(PHTN) and CFLD with PHTN, based on published criteria.

results129 patients (median 18.4y; 57% male) had valid CAP. 70(54%) had no CFLD, 44(34%) CFLD without PHTN, and 15(12%) CFLD with PHTN. The median CAP was 210 dB/m (IQR 181-239). Steatosis(CAP ≥230 dB/m) was seen in 27% of subjects without CFLD, 48% in CFLD but no PHTN, and 20% in with CFLD and PHTN(P = .04). CAP was higher for subjects with CFLD without PHTN (P < .05). There was no CAP difference between subjects with no CFLD and those with CFLD and PHTN (P ≥ .65). LSM was not different between no CFLD and CFLD without PHTN (P = .07), but each of these groups had lower LSM compared to subjects with CFLD and PHTN(P < .001 for each). Except for direct bilirubin, CAP was not associated with clinical markers of liver disease.

conclusionCAP was normal in 86(67%) of patients with CF and was not associated with standard clinical markers of liver disease. CAP was higher in patients with liver disease, which could possibly reflect the loss of steatosis observed with progression to cirrhosis and portal hypertension.

Indexed as

Fatty LiverHypertension, PortalLiver CirrhosisAdolescentBilirubinBiomarkersChildCross-Sectional StudiesCystic FibrosisDisease ProgressionElasticity Imaging TechniquesFemaleHumansLiverMaleSeverity of Illness IndexBilirubinBiomarkersAdolescentsChildrenControlled attenuation parameterCystic FibrosisHepatic steatosisTransient elastography

Identifiers

PMID30509601
PMCPMC6450735

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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.