Evidence map›Paper›PMID 31218662›Full record

ArticleBritish journal of haematology2019

Vibration Controlled Transient Elastography (Fibroscan®) in sickle cell liver disease - could we strike while the liver is hard?

Gil Ben Yakov, Disha Sharma, Hawwa Alao, Pallavi Surana, Devika Kapuria, Ohad Etzion, Matthew M Hsieh, John F Tisdale, Courtney D Fitzhugh, David E Kleiner and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in British journal of haematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

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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

16 authors at 2 institutions in 1 country.

Gil Ben YakovLiver Diseases Branch, NIDDK, NIH, Bethesda, MD, USA.ORCID 0000-0002-6832-0903
Disha SharmaLiver Diseases Branch, NIDDK, NIH, Bethesda, MD, USA.ORCID 0000-0002-9352-625X
Hawwa AlaoLiver Diseases Branch, NIDDK, NIH, Bethesda, MD, USA.
Pallavi SuranaLiver Diseases Branch, NIDDK, NIH, Bethesda, MD, USA.
Devika KapuriaLiver Diseases Branch, NIDDK, NIH, Bethesda, MD, USA.ORCID 0000-0001-9565-9868
Ohad EtzionLiver Diseases Branch, NIDDK, NIH, Bethesda, MD, USA.
Matthew M HsiehMolecular and Clinical Hematology Branch, NHLBI, NIH, Bethesda, MD, USA.ORCID 0000-0002-3706-6615
John F TisdaleMolecular and Clinical Hematology Branch, NHLBI, NIH, Bethesda, MD, USA.
Courtney D FitzhughSickle Cell Branch, NHLBI, NIH, Bethesda, MD, USA.
David E KleinerLaboratory of Pathology, NCI, NIH, Bethesda, MD, USA.
Elliot B LevyInterventional Radiology, Department of Diagnostic Radiology, NIH, Bethesda, MD, USA.
Richard ChangInterventional Radiology, Department of Diagnostic Radiology, NIH, Bethesda, MD, USA.
Elenita RiveraLiver Diseases Branch, NIDDK, NIH, Bethesda, MD, USA.
Amy HuangLiver Diseases Branch, NIDDK, NIH, Bethesda, MD, USA.
Christopher KohLiver Diseases Branch, NIDDK, NIH, Bethesda, MD, USA.
Theo HellerLiver Diseases Branch, NIDDK, NIH, Bethesda, MD, USA.
National Institutes of Health · USNational Institutes of Health Clinical Center · US

Funding

Nonmyeloablative allogeneic PBSC in globin disordersZIAHL006007 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI TISDALE, JOHN · 2009 to 2025
$18.4M
Postmortem PathologyZICBC010685 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KLEINER, DAVID ERWIN · 2009 to 2025
$14.3M
Investigation of non-cirrhotic portal hypertension.ZIADK075008 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI HELLER, THEO · 2009 to 2025
$4.5M
Management and Treatment of Chronic Delta Hepatitis Infection and other Liver DiseasesZIADK075150 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI KOH, CHRISTOPHER · 2019 to 2025
$2.8M
Postmortem PathologyZ01BC010685 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KLEINER, DAVID E · 2005 to 2008
$913k
Intramural NIH HHS Z01 BC010685
6 · The paper itself

Abstract

Vibration controlled transient elastography (VCTE) is validated for the evaluation of hepatic fibrosis in different liver diseases. Sickle cell liver disease (SCLD) results from a cumulative hepatic injury and its lifelong and progressive nature raises the need for a non-invasive tool for fibrosis evaluation. Fifty patients, aged between 23 and 59 years with sickle cell disease and suspected SCLD underwent a VCTE followed by a liver biopsy. Biopsies were evaluated for various scores of liver disease that were then correlated to VCTE score. 90% of our patients had an Ishak Fibrosis (IF) score between 0-2 (Group A-minimal to no fibrosis) and 10% of the patients had IF score between 3-6 (Group B-advanced fibrosis). The median Transient Elastography (TE) for patients in Groups A and B was 4·8 kilopascals (kPa) and 17·6 kPa, respectively. A positive correlation was shown between TE and IF score, R = 0·0·68 (P = <0·0001); a positive correlation was also shown with Histology Activity Index fibrosis score, R = 0·64 (P = <0·0001). This study emphasises the need for further studies of non-invasive tools and their utility in liver fibrosis evaluation of patients with SCLD.

Indexed as

AdultAnemia, Sickle CellBiopsyElasticity Imaging TechniquesFemaleHumansLiverLiver DiseasesMaleMiddle AgedPredictive Value of TestsReproducibility of ResultsRetrospective StudiesSensitivity and SpecificitySeverity of Illness IndexVibrationliver biopsysickle cell diseasesickle cell hepatopathysickle cell liver diseasevibration controlled transient elastography

Identifiers

PMID31218662
PMCPMC8189158
OpenAlexW2953014045

What OpenQuestion holds

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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.