Evidence map›Paper›PMID 31284447›Full record

ReviewViruses2019

The Clinical Perspective on Hepatitis E.

Thomas Horvatits, Julian Schulze Zur Wiesch, Marc Lütgehetmann, Ansgar W Lohse, Sven Pischke

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Viruses, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06457438 (Molecular Characteristics and Prevalence of Viral Hepatitis E in Human Tissue and Cell Donors), which is not on this map. Cited by 77 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 3 pooled it
9.0field-weighted citation impact, top 1% 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.

NCT06457438 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Molecular Characteristics and Prevalence of Viral Hepatitis E in Human Tissue and Cell Donors

TypeinterventionalSponsorUniversity Hospital OstravaRan2022 to 2024Enrolled300ConditionsHepatitis EArmsElecsys Anti-HEV IgG, IgM
3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 3 syntheses or guidelines pooled it, 136 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Acute HEV Infection Is a Relevant Cause of Decompensation and ACLF in Patients With Liver Cirrhosis.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Performance of Elecsys Anti-HEV IgG and IgM Assays for the Detection of Acute, Recent or Past Hepatitis E Virus Infection.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Design and Analysis of Novel HEV Vaccine Variants and Evaluation of Two Selected Candidates in a Porcine Infection Model.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review

17 more citing papers are in PubMed but not listed here.

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

5 authors at 1 institution in 1 country.

Thomas HorvatitsDepartment of Medicine, University Medical Center Hamburg-Eppendorf, 22527 Hamburg, Germany.ORCID 0000-0003-0682-4476
Julian Schulze Zur WieschDepartment of Medicine, University Medical Center Hamburg-Eppendorf, 22527 Hamburg, Germany.
Marc LütgehetmannGerman Center for Infection Research (DZIF), Hamburg-Lübeck-Borstel and Heidelberg Partner sites, 22527 Hamburg, Germany.
Ansgar W LohseDepartment of Medicine, University Medical Center Hamburg-Eppendorf, 22527 Hamburg, Germany.
Sven PischkeDepartment of Medicine, University Medical Center Hamburg-Eppendorf, 22527 Hamburg, Germany. s.pischke@uke.de.
Universität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Every year, there are an estimated 20 million hepatitis E virus (HEV) infections worldwide, leading to an estimated 3.3 million symptomatic cases of hepatitis E. HEV is largely circulating in the west and is associated with several hepatic and extrahepatic diseases. HEV Genotype 1 and 2 infections are waterborne and causative for epidemics in the tropics, while genotype 3 and 4 infections are zoonotic diseases and are mainly transmitted by ingestion of undercooked pork in industrialized nations. The clinical course of these infections differs: genotype 1 and 2 infection can cause acute illness and can lead to acute liver failure (ALF) or acute on chronic liver failure (ACLF) with a high mortality rate of 20% in pregnant women. In contrast, the majority of HEV GT-3 and -4 infections have a clinically asymptomatic course and only rarely lead to acute on chronic liver failure in elderly or patients with underlying liver disease. Immunosuppressed individuals infected with genotype 3 or 4 may develop chronic hepatitis E, which then can lead to life-threatening cirrhosis. Furthermore, several extra-hepatic manifestations affecting various organs have been associated with ongoing or previous HEV infections but the causal link for many of them still needs to be proven. There is no approved specific therapy for the treatment of acute or chronic HEV GT-3 or -4 infections but off-label use of ribavirin has been demonstrated to be safe and effective in the majority of patients. However, in approximately 15% of chronically HEV infected patients, cure is not possible.

Indexed as

AnimalsAntiviral AgentsChronic DiseaseFemaleGenotypeHepatitis EHepatitis E virusHumansImmunocompromised HostPregnancyPregnancy Complications, InfectiousRibavirinAntiviral AgentsRibavirinHepatitis EHEV

Identifiers

PMID31284447
PMCPMC6669652
OpenAlexW2954544594

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.