Evidence map›Paper›PMID 31984117›Full record

ArticleWorld journal of hepatology2020

Lessons from "real life experience" of rifaximin use in the management of recurrent hepatic encephalopathy.

Fiona Chautant, Maeva Guillaume, Marie-Angèle Robic, Jean-François Cadranel, Jean-Marie Peron, Hortensia Lison, Charlène Cool, Christophe Bureau, Véronique Duhalde

Open access · diamondAbstract read
In one paragraph

Article in World journal of hepatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
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 4 institutions in 1 country.

Fiona ChautantService Pharmacie, Centre Hospitalier Universitaire de Toulouse, Hôpital Paule de Viguier, Toulouse 31059, France. fiona.chautant@gmail.com.
Maeva GuillaumeDepartment of Hepato-Gastroenterology, University Hospital, Toulouse 31059, France.
Marie-Angèle RobicDepartment of Hepato-Gastroenterology, University Hospital, Toulouse 31059, France.
Jean-François CadranelDepartment of Hepato-Gastroenterology, Laennec Hospital, Creil 60109, France.
Jean-Marie PeronDepartment of Hepato-Gastroenterology, University Hospital, Toulouse 31059, France.
Hortensia LisonDepartment of Hepato-Gastroenterology, Laennec Hospital, Creil 60109, France.
Charlène CoolDepartment of Pharmacy and UMR INSERM 1027, University Hospital, Toulouse 31059, France.
Christophe BureauDepartment of Hepato-Gastroenterology, University Hospital, Toulouse 31059, France.
Véronique DuhaldeDepartment of Pharmacy, University Hospital Toulouse, Toulouse 31059, France.
Hôpital Paule de Viguier · FRCentre Hospitalier Laennec · FRInserm · FRUniversité de Toulouse · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatic encephalopathy (HE) is a major complication of cirrhosis with independent prognostic significance. The current management of HE is mainly based on lactulose. Rifaximin has been shown to decrease the risk of HE recurrence in patients with episodic forms. HE can also be persistent. However, there is no drug support recommendation for rifaximin use in this setting.

aimTo assess the effectiveness of rifaximin in the management of recurrent episodes of HE and recurrent acute exacerbations on persistent HE, in "real life conditions".

methodsIn this retrospective study, using a within-subjects design, we collected data of patients treated with rifaximin for HE in two liver diseases centers, during the six-month period before and during the six-month period after the initiation of rifaximin. The primary effectiveness endpoint was the total number of HE events involving hospitalization.

resultsRifaximin was introduced for prevention of recurrent HE episodes in 29 out of 62 patients with normal mental status between episodes and for prevention of recurrent acute exacerbations on persistent HE in 33 out of 62 patients. In the "prevention of recurrent HE episodes" group, fewer HE events (0.79

conclusionIn this real-life experience, the effectiveness of rifaximin was confirmed in the prevention of HE episodes recurrence but was not proved in the prevention of acute exacerbations recurrence on persistent HE.

Indexed as

CirrhosisHepatic encephalopathyHospitalizationLiver diseaseRifaximin

Identifiers

PMID31984117
PMCPMC6946626
OpenAlexW2997634841

What OpenQuestion holds

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LicenceCC BY-NC
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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.