Evidence map›Paper›PMID 31283673›Full record

ArticleTransplantation2019

Prediction of Perioperative Mortality of Cadaveric Liver Transplant Recipients During Their Evaluations.

Michele Molinari, Subhashini Ayloo, Allan Tsung, Dana Jorgensen, Amit Tevar, Sheikh Hasibur Rahman, Naudia Jonassaint

Abstract read
In one paragraph

Article in Transplantation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

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  14. Guidelines to manage liver transplant recipients: time for consensus?Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
    Article
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  18. Review
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  20. The liver transplant risk score prognosticates the outcomes of liver transplant recipients at listing.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Michele MolinariDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
Subhashini AylooDepartment of Surgery, Rutgers University, New Jersey Medical School, Newark, NJ.
Allan TsungDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
Dana JorgensenDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
Amit TevarDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
Sheikh Hasibur RahmanDepartment of Medicine, University of Western Ontario, London, ON, Canada.
Naudia JonassaintDepartment of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are no instruments that can identify patients at an increased risk of poor outcomes after liver transplantation (LT) based only on their preoperative characteristics. The primary aim of this study was to develop such a scoring system. Secondary outcomes were to assess the discriminative performance of the predictive model for 90-day mortality, 1-year mortality, and 5-year patient survival.

methodsThe study population was represented by 30 458 adults who underwent LT in the United States between January 2002 and June 2013. Machine learning techniques identified recipient age, Model for End-Stage Liver Disease score, body mass index, diabetes, and dialysis before LT as the strongest predictors for 90-day postoperative mortality. A weighted scoring system (minimum of 0 to a maximum of 6 points) was subsequently developed.

resultsRecipients with 0, 1, 2, 3, 4, 5, and 6 points had an observed 90-day mortality of 6.0%, 8.7%, 10.4%, 11.9%, 15.7%, 16.0%, and 19.7%, respectively (P ≤ 0.001). One-year mortality was 9.8%, 13.4%, 15.8%, 17.2%, 23.0%, 25.2%, and 35.8% (P ≤ 0.001) and five-year survival was 78%, 73%, 72%, 71%, 65%, 59%, and 48%, respectively (P = 0.001). The mean 90-day mortality for the cohort was 9%. The area under the curve of the model was 0.952 for the discrimination of patients with 90-day mortality risk ≥10%.

conclusionsShort- and long-term outcomes of patients undergoing cadaveric LT can be predicted using a scoring system based on recipients' preoperative characteristics. This tool could assist clinicians and researchers in identifying patients at increased risks of postoperative death.

Indexed as

Models, StatisticalPatient SelectionAdultClinical Decision-MakingEnd Stage Liver DiseaseFeasibility StudiesFemaleGraft SurvivalHospital MortalityHumansKaplan-Meier EstimateLiver TransplantationMachine LearningMaleMiddle AgedNeural Networks, Computer

Identifiers

PMID31283673
PMCPMC6756253

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Registered trials

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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.