Evidence map›Paper›PMID 32140981›Full record

ArticleHepatology international2020

Acute rejection after liver transplantation is less common, but predicts better prognosis in HBV-related hepatocellular carcinoma patients.

Jia-Xi Mao, Wen-Yuan Guo, Meng Guo, Cong Liu, Fei Teng, Guo-Shan Ding

Abstract read
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In one paragraph

Article in Hepatology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 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

6 authors at 1 institution in 1 country.

Jia-Xi MaoDepartment of Liver Surgery and Organ Transplantation, Changzheng Hospital, Navy Medical University, Shanghai, China.ORCID http://orcid.org/0000-0001-5006-6153
Wen-Yuan GuoDepartment of Liver Surgery and Organ Transplantation, Changzheng Hospital, Navy Medical University, Shanghai, China.
Meng GuoDepartment of Liver Surgery and Organ Transplantation, Changzheng Hospital, Navy Medical University, Shanghai, China.
Cong LiuDepartment of Liver Surgery and Organ Transplantation, Changzheng Hospital, Navy Medical University, Shanghai, China.
Fei TengDepartment of Liver Surgery and Organ Transplantation, Changzheng Hospital, Navy Medical University, Shanghai, China. tengfei@smmu.edu.cn.
Guo-Shan DingDepartment of Liver Surgery and Organ Transplantation, Changzheng Hospital, Navy Medical University, Shanghai, China. dingguoshan@smmu.edu.cn.
Second Military Medical University · CN

Funding

China National Funds for Distinguished Young Scientists 81702923National Natural Science Foundation of China 81602526National Natural Science Foundation of China 81971503Science and Technology Commission of Shanghai Municipality 15411950403Science and Technology Commission of Shanghai Municipality 18ZR1439300
6 · The paper itself

Abstract

backgroundWith a novel finding of significantly lower incidence of acute rejection (AR) in patients with hepatocellular carcinoma (HCC) after liver transplantation, compared with those with benign end-stage liver disease (BESLD), in a large national cohort, we analyzed the correlations among the perioperative immuno-inflammation status, postoperative AR, and prognosis in HCC and BESLD patients with same etiology of hepatitis B virus (HBV), who underwent liver transplantation.

methodsPatients who underwent liver transplantation due to HBV-related HCC or BESLD and experienced AR between September 2008 and April 2017 were analyzed retrospectively and followed up until April 2018. HCC patients with AR were matched with those without AR according to tumor stage and immunosuppressant concentration, at a 1:3 ratio. Preoperative immuno-inflammation status and prognosis of patients in both groups were compared.

resultsThe overall incidences of AR in patients with HCC and BESLD were 8.60% and 10.61%, respectively. The postoperative 28-day incidence of AR was significantly lower in HCC compared with BESLD patients (3.23% vs 7.08%, p = 0.031). Compared with BESLD patients, the rejection activity index and perioperative CD

conclusionPreoperative tumor-related immunosuppression may persist after liver transplantation in HCC patients, and reduce the incidence of AR. AR after liver transplantation may indicate a better prognosis in HCC patients.

Indexed as

Carcinoma, HepatocellularGraft RejectionLiver NeoplasmsLiver TransplantationChinaEnd Stage Liver DiseaseFemaleHumansImmunocompromised HostIncidenceMaleMiddle AgedMonitoring, ImmunologicNeoplasm StagingOutcome and Process Assessment, Health CarePrognosisBenign end-stage liver diseaseGraft rejectionLiver cancerPerioperative immuno-inflammation status

Identifiers

PMID32140981
OpenAlexW3010460872

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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.