Evidence map›Paper›PMID 32039373›Full record

ReviewJHEP reports : innovation in hepatology2019

Anticoagulation in the cirrhotic patient.

Laura Turco, Emmanuelle de Raucourt, Dominique-Charles Valla, Erica Villa

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in JHEP reports : innovation in hepatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04874428 (Pharmacokinetics and Pharmacodynamics of Single Doses of Rivaroxaban and Apixaban in Patients With Compensated Liver Cirrhosis), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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.

NCT04874428 phase1recruitingnot on this mapstarted 2021, after this paper: background citation

Pharmacokinetics and Pharmacodynamics of Single Doses of Rivaroxaban and Apixaban in Patients With Compensated Liver Cirrhosis

TypeinterventionalSponsorInsel Gruppe AG, University Hospital BernRan2021 to 2026Enrolled24ConditionsLiver CirrhosisArmsRivaroxaban 10 mg Oral Tablet, Apixaban 2.5 mg Oral Tablet
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Anticoagulants in cirrhosis: main concerns.Nature reviews. Gastroenterology & hepatology · 2024
    Article
  10. Hematological abnormalities in liver cirrhosis.World journal of hepatology · 2024
    Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Observational
  16. Review
  17. Management of splanchnic vein thrombosis.JHEP reports : innovation in hepatology · 2023
    Review
  18. Review
  19. Article
  20. 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

4 authors at 2 institutions in 2 countries.

Laura TurcoDepartment of Gastroenterology, University of Modena & Reggio Emilia and Azienda Ospedaliero-Universitaria di Modena, Italy.
Emmanuelle de RaucourtService d'hématologie biologique, CHU Paris Nord-Val de Seine - Hôpital Beaujon, Clichy, France.
Dominique-Charles VallaService d'hépatologie, CHU Paris Nord-Val de Seine - Hôpital Beaujon, Clichy, France.
Erica VillaDepartment of Gastroenterology, University of Modena & Reggio Emilia and Azienda Ospedaliero-Universitaria di Modena, Italy.
Hôpital Beaujon · FRUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the past, patients with liver cirrhosis were thought to be prone to increased bleeding risk. However, those with compensated liver cirrhosis actually have normal coagulative balance, which can become altered when liver function worsens, or infection, bleeding, or acute kidney insufficiency occur. When this happens, it is now recognized that patients with liver cirrhosis are at higher risk of thrombotic rather than haemorrhagic complications. Anticoagulation plays a favourable role both when used therapeutically or prophylactically. Successful anticoagulation is associated with a lower rate of decompensation and with improved survival. To date, treatment has involved the use of low molecular weight heparins and vitamin K antagonists. Preliminary data suggest that novel non-vitamin K antagonist oral anticoagulants can be used safely in patients with liver cirrhosis.

Indexed as

Chronic liver diseaseCoagulopathyDecompensationPortal HypertensionThrombophilia

Identifiers

PMID32039373
PMCPMC7001584
OpenAlexW2962220644

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.