Evidence map›Paper›PMID 32042771›Full record

ArticleAnnals of translational medicine2019

External validation of Liaoning score for predicting esophageal varices in liver cirrhosis: a Chinese multicenter cross-sectional study.

Qianqian Li, Yunhai Wu, Qiang Zhu, Fanping Meng, Su Lin, Bang Liu, Bimin Li, Shanhong Tang, Yida Yang, Yiling Li and 3 more

Abstract read
In one paragraph

Article in Annals of translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Trial
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  4. Review
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  11. Validation of the EVendo score for the prediction of varices in cirrhotic patients.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Qianqian LiDepartment of Gastroenterology, General Hospital of Northern Theater Command, Shenyang 110840, China.
Yunhai WuDepartment of Critical Care Medicine, The Sixth People's Hospital of Shenyang, Shenyang 110006, China.
Qiang ZhuDepartment of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, China.
Fanping MengDepartment for Biological Therapy, The Fifth Medical Center of PLA General Hospital, Beijing 100039, China.
Su LinLiver Research Center, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China.
Bang LiuDepartment of Hepatobiliary Disease, 900 Hospital of the Joint Logistics Team (formerly called Fuzhou General Hospital), Fuzhou 350025, China.
Bimin LiDepartment of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China.
Shanhong TangDepartment of Gastroenterology, General Hospital of Western Theater Command, Chengdu 610083, China.
Yida YangState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China.
Yiling LiDepartment of Gastroenterology, The First Affiliated Hospital of China Medical University, Shenyang 110001, China.
Shanshan YuanDepartment of Gastroenterology, Xi'an Central Hospital, Xi'an 710003, China.
Yu ChenDifficult & Complicated Liver Diseases and Artificial Liver Center, Beijing YouAn Hospital, Capital Medical University, Beijing 100069, China.
Xingshun QiDepartment of Gastroenterology, General Hospital of Northern Theater Command, Shenyang 110840, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur previous study developed Liaoning score as a non-invasive approach for predicting esophageal varices (EVs) in liver cirrhosis. This nationwide multicenter cross-sectional study aimed to externally validate the diagnostic accuracy of Liaoning score and further evaluate its performance for predicting high-risk EVs.

methodsCirrhotic patients with acute gastrointestinal bleeding (GIB) without history of endoscopic variceal therapy who underwent endoscopic examinations at their admissions were included. Liaoning score and several non-invasive liver fibrosis scores, including aspartate aminotransferase (AST) to platelet ratio index (APRI), AST to alanine aminotransferase ratio (AAR), fibrosis 4 index (FIB-4), King, and Lok scores, were evaluated. Area under curves (AUCs), cut-off value, sensitivity, and specificity were calculated.

resultsOverall, 612 patients were included. The prevalence of EVs and high-risk EVs was 96.2% and 95.6%, respectively. In overall patients, the AUCs of Liaoning score for predicting EVs and high-risk EVs were higher than non-invasive liver fibrosis scores (0.737 versus 0.626-0.721; 0.734 versus 0.611-0.719). The cut-off value of Liaoning score for high-risk EVs was 0.477 with a sensitivity of 81.96% and a specificity of 65.22%. In patients with hematemesis, Liaoning score could significantly predict EVs and high-risk EVs (AUCs =0.708 and 0.702, respectively), but not non-invasive liver fibrosis scores. The cut-off value of Liaoning score for high-risk EVs was 0.437 with a sensitivity of 83.16% and a specificity of 60%.

conclusionsLiaoning score should be a non-invasive alternative for predicting EVs and high-risk EVs in cirrhotic patients with acute GIB.

Indexed as

Accuracydiagnosisendoscopyesophageal varices (EVs)Liaoning score

Identifiers

PMID32042771
PMCPMC6990029

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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.