Evidence map›Paper›PMID 31447987›Full record

ArticleThe Pan African medical journal2018

Oesophageal varices in patients with liver cirrhosis attending a major tertiary hospital in Ghana.

Amoako Duah, Kofi Nyaako Nkrumah, Kenneth Tachi

Open access · goldAbstract read
In one paragraph

Article in The Pan African medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 16% 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, 1 synthesis or guideline pooled it, 26 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

3 authors at 1 institution in 1 country.

Amoako DuahSt Dominic Hospital, Akwatia, Ghana.
Kofi Nyaako NkrumahDepartment of Medicine and Therapeutics School of Medicine and Dentistry, College of Health Science, University of Ghana, Korle-Bu, Accra, Ghana.
Kenneth TachiDepartment of Medicine and Therapeutics School of Medicine and Dentistry, College of Health Science, University of Ghana, Korle-Bu, Accra, Ghana.
Dominion University College · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOesophageal variceal bleeding is a potentially fatal consequence of portal hypertension in cirrhotic patients. In Ghana, bleeding oesophageal varices (OV) are a significant cause of acute upper gastrointestinal bleeding with comparatively high mortality. This study was to determine the prevalence of OV and its clinical correlate in cirrhotic patients.

methodsThis was a cross sectional hospital based study of 149 subjects with liver cirrhosis from 5

resultsA total of 149 patients with a mean age of 45 ± 12.28 years were evaluated. There were 77.85% and 22.15% men and women respectively, with a male to female ratio of 3.5:1. By Child-Pugh Classification, 12 (8.16%) patients were in class A, 64 (43.54%) in class B and 71 (48.3%) in class C at presentation. On UGIE, 135 (90.60%) had varices and 14 patients (9.40%) had no varices. One hundred and eleven of the varices (82.22%) were large varices and the rest (17.78%) small varices.

conclusionMajority of cirrhotic patients present late with advance disease to this referral centre. Most have large varices on their first screening endoscopy. Prophylactic treatment should be considered for all cirrhotics especially patients with decompensated liver cirrhosis when UGIE cannot be done immediately.

Indexed as

AdultAscitesCross-Sectional StudiesEsophageal and Gastric VaricesFemaleGastrointestinal HemorrhageGhanaHumansHypertension, PortalLiverLiver CirrhosisMaleMiddle AgedPrevalenceTertiary Care CentersUltrasonographyGhanaliver cirrhosisoesophageal varicesPrevalence

Identifiers

PMID31447987
PMCPMC6691363
OpenAlexW2904742977

What OpenQuestion holds

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LicenceCC BY
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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.