Evidence map›Paper›PMID 32168787›Full record

ReviewJournal of clinical medicine2020

An Overview on Primary Sclerosing Cholangitis.

Cătălina Vlăduţ, Mihai Ciocîrlan, Dana Bilous, Vasile Șandru, Mădălina Stan-Ilie, Nikola Panic, Gabriel Becheanu, Mariana Jinga, Raluca S Costache, Daniel O Costache and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Endo-hepatology: Bridging the gap between lumen and liver.World journal of gastroenterology · 2025
    Review
  6. Primary Sclerosing Cholangitis in a Child: A Rare Case Report.The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. [Expert consensus on the diagnosis and treatment of intrahepatic cholestasis (2021 edition)].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2022
    Article
  14. Article
  15. Choledochoscopy: An update.World journal of gastrointestinal endoscopy · 2021
    Review
  16. Article
  17. Article
  18. Portal vein thrombosis: A concise review (Review).Experimental and therapeutic medicine · 2021
    Review
  19. [Novel Insights of Primary Sclerosing Cholangitis and Primary Biliary Cholangitis].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2020
    Review
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

11 authors at 4 institutions in 2 countries.

Cătălina VlăduţDepartment of Gastroenterology, Prof Dr Agrippa Ionescu Clinical Emergency Hospital, 7000 Bucharest, Romania.
Mihai CiocîrlanDepartment of Gastroenterology, Prof Dr Agrippa Ionescu Clinical Emergency Hospital, 7000 Bucharest, Romania.ORCID 0000-0002-0381-5550
Dana BilousCarol Davila University of Medicine and Pharmacy, 7000 Bucharest, Romania.
Vasile ȘandruDepartment of Gastroenterology, Clinical Emergency Hospital Bucharest, 7000 Bucharest, Romania.
Mădălina Stan-IlieCarol Davila University of Medicine and Pharmacy, 7000 Bucharest, Romania.
Nikola PanicDr. Dragisa Misovic-Dedinje University Clinic, 11000 Belgrade, Serbia.
Gabriel BecheanuDepartment of Anatomopathology, Fundeni Clinical Institute, 7000 Bucharest, Romania.
Mariana JingaCarol Davila University of Medicine and Pharmacy, 7000 Bucharest, Romania.
Raluca S CostacheCarol Davila University of Medicine and Pharmacy, 7000 Bucharest, Romania.
Daniel O CostacheDepartment of Dermatology, Carol Davila University Central Emergency Military Central Hospital, 7000 Bucharest, Romania.
Mircea DiculescuCarol Davila University of Medicine and Pharmacy, 7000 Bucharest, Romania.
Carol Davila University of Medicine and Pharmacy · ROClinical Emergency Hospital Bucharest · ROInstitutul Clinic Fundeni · ROUniversity Hospital Center Dr Dragiša Mišović · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary sclerosing cholangitis is a progressive liver disease characterized by chronic inflammation leading to liver fibrosis and cirrhosis. Even though the exact pathogenesis is still unclear, a combination of autoimmune, environmental, and ischemic factors could explain certain aspects of the disease. The most important diagnostic step is cholangiography, which can be obtained either by endoscopic retrograde cholangiopancreatography (ERCP), magnetic resonance cholangiography (MRCP as the gold standard), or percutaneous transhepatic cholangiography. It shows multifocal short biliary duct strictures leading to the "beaded" aspect. Cholangiocarcinoma and colorectal adenocarcinoma are the most feared complications in patients with Primary sclerosing cholangitis (PSC). Continuous screening consists of annual clinical, biochemical, and ultrasound assessments in asymptomatic patients and annual colonoscopy in patients with PSC and inflammatory bowel disease. In newly diagnosed patients with PSC, colonoscopy is mandatory and, if negative, then, a repeat colonoscopy should be performed in 3-5 years. The lack of efficient curative medical treatment makes invasive treatments such as liver transplant and endoscopy the mainstream for managing PSC and its complications. Until now, even though only ursodeoxycholic acid has shown a moderate clinical, biochemical, and even histological improvement, it has no significant influence on the risk of cholangiocarcinoma, liver transplant need, or death risk and it is no longer recommended in treating early PSC. Further studies are in progress to establish the effect of molecular-targeted therapies in PSC.

Indexed as

cholangiographycholeangiectasiasliver transplantprimary sclerosing cholangitis

Identifiers

PMID32168787
PMCPMC7141307
OpenAlexW3012001597

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.