Evidence map›Paper›PMID 30587620›Full record

ArticleIn vivo (Athens, Greece)

Severe Vitamin D Deficiency Increases Mortality Among Patients With Liver Cirrhosis Regardless of the Presence of HCC.

Antonio Riccardo Buonomo, Riccardo Scotto, Emanuela Zappulo, Mariagiovanna Nerilli, Biagio Pinchera, Giuseppe Perruolo, Pietro Formisano, Salvatore Nappa, Ivan Gentile

Open access · diamondAbstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  7. Prognostic significance of sarcopenia and severe vitamin D deficiency in patients with cirrhosis.JGH open : an open access journal of gastroenterology and hepatology · 2023
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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

9 authors at 1 institution in 1 country.

Antonio Riccardo BuonomoDepartment of Clinical Medicine and Surgery, Section of Infectious Diseases, Federico II University of Naples, Naples, Italy antonioriccardobuonomo@gmail.com.
Riccardo ScottoDepartment of Clinical Medicine and Surgery, Section of Infectious Diseases, Federico II University of Naples, Naples, Italy.
Emanuela ZappuloDepartment of Clinical Medicine and Surgery, Section of Infectious Diseases, Federico II University of Naples, Naples, Italy.
Mariagiovanna NerilliDepartment of Clinical Medicine and Surgery, Section of Infectious Diseases, Federico II University of Naples, Naples, Italy.
Biagio PincheraDepartment of Clinical Medicine and Surgery, Section of Infectious Diseases, Federico II University of Naples, Naples, Italy.
Giuseppe PerruoloDepartment of Medical Translational Sciences, Federico II University of Naples, Naples, Italy.
Pietro FormisanoDepartment of Medical Translational Sciences, Federico II University of Naples, Naples, Italy.
Salvatore NappaDepartment of Clinical Medicine and Surgery, Section of Infectious Diseases, Federico II University of Naples, Naples, Italy.
Ivan GentileDepartment of Clinical Medicine and Surgery, Section of Infectious Diseases, Federico II University of Naples, Naples, Italy.
University of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to investigate the association between vitamin D deficiency (<10 mg/ml) and mortality in patients with and without hepatocellular carcinoma (HCC) in a cohort of patients with liver cirrhosis. MATERIALS AND

methodsA prospective study was conducted among 345 patients with liver cirrhosis.

resultsAt enrolment, 46 (13.3%) patients had HCC. Severe vitamin D deficiency was associated with mortality (p<0.01). At the survival analysis, alpha-fetoprotein >10 ng/ml (p=0.003), vitamin D deficiency (p<0.001), a Model for End-Stage Liver Disease score ≥15 (p<0.001), Child-Pugh class B and C (versus A) (p<0.001) and the presence of active HCC (p<0.001) were strongly associated with death. At the multivariate Cox regression analysis, only Child-Pugh class B and C (versus A) and vitamin D deficiency were found to be significantly associated with death during the follow-up period (p<0.001 and p=0.006, respectively).

conclusionVitamin D deficiency is common in patients with HCC, it is associated with active HCC and it negatively affects the overall survival of patients with cirrhosis.

Indexed as

AgedCarcinoma, HepatocellularCohort StudiesDisease-Free SurvivalFemaleHumansLiverLiver CirrhosisLiver NeoplasmsMaleMiddle AgedProportional Hazards ModelsRisk FactorsSeverity of Illness IndexVitamin DVitamin D DeficiencyVitamin DCirrhosishepatocellular carcinomamortalityrisk factorsvitamin D deficiency

Identifiers

PMID30587620
PMCPMC6364065
OpenAlexW2906471819

What OpenQuestion holds

Textmetadata
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.