Evidence map›Paper›PMID 32276633›Full record

Observational studyHealth and quality of life outcomes2020

Switch from intravenous or intramuscular to subcutaneous hepatitis B immunoglobulin: effect on quality of life after liver transplantation.

Riccardo Volpes, Patrizia Burra, Giacomo Germani, Matteo Angelo Manini, Lucio Caccamo, Paolo Strignano, Giorgia Rizza, Mariarosa Tamè, Antonio Daniele Pinna, Fulvio Calise and 8 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Survivorship interventions after liver transplantation (LT): A systematic review of interventions targeting physical and psychosocial well-being after LT.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2026
    Pooled it
  2. Article
  3. 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

18 authors.

Riccardo VolpesMediterranean Institute for Transplantation and High Specialization Therapies, Palermo, Italy.
Patrizia BurraMultivisceral Transplant Unit (Gastroenterology), Department of Surgery, Oncology and Gastroenterology,Surgical and Gastroenterological Sciences, Padua University Hospital, Padua, Italy.
Giacomo GermaniMultivisceral Transplant Unit (Gastroenterology), Department of Surgery, Oncology and Gastroenterology,Surgical and Gastroenterological Sciences, Padua University Hospital, Padua, Italy.
Matteo Angelo Manini1st Division of Gastroenterology and Hepatology, Ca' Granda-Maggiore Polyclinic Hospital, Scientific Institute for Research, Hospitalization, and Health Care, Milan, Italy.
Lucio Caccamo1st Division of Gastroenterology and Hepatology, Ca' Granda-Maggiore Polyclinic Hospital, Scientific Institute for Research, Hospitalization, and Health Care, Milan, Italy.
Paolo StrignanoGeneral Surgery and Liver Transplant Center, S. Giovanni Battista Hospital, Turin, Italy.
Giorgia RizzaGeneral Surgery and Liver Transplant Center, S. Giovanni Battista Hospital, Turin, Italy.
Mariarosa TamèLiver and Multiorgan Transplantation, Department of General Surgery, Sant'Orsola-Malpighi Polyclinic, Bologna, Italy.
Antonio Daniele PinnaLiver and Multiorgan Transplantation, Department of General Surgery, Sant'Orsola-Malpighi Polyclinic, Bologna, Italy.
Fulvio CaliseHepatobiliary Surgery and Transplant Unit, Cardarelli Hospital, Naples, Italy.
Carla MigliaccioHepatobiliary Surgery and Transplant Unit, Cardarelli Hospital, Naples, Italy.
Paola CarraiDepartment of General Surgery and Liver Transplantation, University of Pisa Medical School Hospital, Pisa, Italy.
Paolo De SimoneDepartment of General Surgery and Liver Transplantation, University of Pisa Medical School Hospital, Pisa, Italy.
Maria Filippa ValentiniGeneral Surgery and Liver Transplantation Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy.
Luigi Giovanni LupoGeneral Surgery and Liver Transplantation Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy.
Gabriella CordoneHepatology Unit, AORN A. Cardarelli, Naples, Italy.
Francesco Paolo PicciottoHepatology Unit, AORN A. Cardarelli, Naples, Italy.
Antonio NicolucciCenter for Outcomes Research and Clinical Epidemiology, Via Tiziano Vecellio, 2, 65124, Pescara, Italy. nicolucci@coresearch.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatitis B immunoglobulin (HBIG) therapy is available in intravenous (IV) or intra-muscular (IM) formulations. Recently, a subcutaneous (SC) formulation was introduced. This study evaluated changes in quality of life when liver transplant (LT) recipients were switched from IV or IM HBIG to the SC formulation.

methodsThis multicentre, observational study involved adults who had undergone LT at least 1 year prior to study entry. Quality of life was evaluated using the ITaLi-Q questionnaire, assessing the impact of HBIG therapy on daily activities and patient satisfaction, and the SF-36 Health Survey. Patients completed the questionnaires prior to switching from IV or IM HBIG to SC HBIG and 6 months later.

resultsEighty-six patients were enrolled; before the switch, 68.6% were receiving IM HBIG and 31.4% IV HBIG. After 6 months, significant improvements in 7 of the 8 ITaLi-Q domains were found, particularly side effects, need for support to adhere to the therapy and satisfaction with the HBIG therapy. Significant improvements in several SF-36 domains were documented, including physical functioning, physical and emotional role limitations, pain, social functioning, physical and mental summary scores.

conclusionsThe SC route of administration reduces side effects and their interference with daily life, ameliorates negative feelings, and increases patient autonomy.

Indexed as

Quality of LifeAdultAntiviral AgentsFemaleHepatitis BHumansImmunoglobulinsImmunologic FactorsInjections, SubcutaneousLiver TransplantationMaleMiddle AgedPatient SatisfactionSurveys and QuestionnairesAntiviral Agentshepatitis B hyperimmune globulinImmunoglobulinsImmunologic FactorsAcceptability of treatmentPatient autonomyQuestionnaireSatisfactionSide effects

Identifiers

PMID32276633
PMCPMC7149917

What OpenQuestion holds

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LicenceCC BY
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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.