Evidence map›Paper›PMID 32309630›Full record

ArticleTransplantation direct2020

Outcomes of Liver Transplant Recipients With Acute-on-Chronic Liver Failure Based on EASL-CLIF Consortium Definition: A Single-center Study.

Uchenna Agbim, Anuj Sharma, Benedict Maliakkal, Saradasri Karri, Masahiko Yazawa, William Goldkamp, Pradeep S B Podila, Jason M Vanatta, Humberto Gonzalez, Miklos Z Molnar and 3 more

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% 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

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

  1. Pooled it
  2. Article
  3. Extracorporeal liver support and liver transplantation for acute-on-chronic liver failure.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Review
  4. Liver Transplantation in the Context of Acute-On-Chronic Liver Failure (ACLF): Where Do We Stand in 2025?Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Review
  5. Review
  6. Acute on chronic liver failure: A South Australian experience.JGH open : an open access journal of gastroenterology and hepatology · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Comment on "Prognostic Value of Neutrophil-to-Lymphocyte Ratio in Cirrhotic Patients with Acute-on-Chronic Liver Failure".The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2022
    Article
  11. Article
  12. 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

13 authors at 5 institutions in 1 country.

Uchenna AgbimDivision of Transplant Surgery, Department of Surgery, University of Tennessee Health Science Center, Memphis, TN.
Anuj SharmaDivision of Gastroenterology, Department of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN.
Benedict MaliakkalDivision of Transplant Surgery, Department of Surgery, University of Tennessee Health Science Center, Memphis, TN.
Saradasri KarriDepartment of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN.
Masahiko YazawaDivision of Transplant Surgery, Department of Surgery, University of Tennessee Health Science Center, Memphis, TN.
William GoldkampDepartment of Internal Medicine, University of Tennessee Health Science Center, Memphis, TN.
Pradeep S B PodilaFaith and Health Division, Methodist Le Bonheur Healthcare, Memphis, TN.
Jason M VanattaCenter for Abdominal Transplantation Florida, Cleveland Clinic Florida, Weston, FL.
Humberto GonzalezDepartment of Gastroenterology and Hepatology, Henry Ford Health System, Detroit, MI.
Miklos Z MolnarDivision of Transplant Surgery, Department of Surgery, University of Tennessee Health Science Center, Memphis, TN.
Satheesh P NairDivision of Transplant Surgery, Department of Surgery, University of Tennessee Health Science Center, Memphis, TN.
James D EasonDivision of Transplant Surgery, Department of Surgery, University of Tennessee Health Science Center, Memphis, TN.
Sanjaya K SatapathyDivision of Hepatology, Sandra Atlas Bass Center for Liver Diseases and Transplantation, Manhasset, NY.
Methodist University · USMethodist University Hospital · USUniversity of Tennessee Health Science Center · USHenry Ford Health System · USMethodist Le Bonheur Healthcare · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of acute-on-chronic liver failure (ACLF) defined by European Association for the Study of the Liver-Chronic Liver Failure in liver transplant (LT) recipients has not been well characterized. The aim of the study was to assess early posttransplant morbidity and survival of ACLF patients.

methodsEight hundred twenty-five consecutive LT patients (04/2006-03/2013) were included in a retrospective analysis. Of the 690 evaluable patients, 589 had no ACLF, and the remaining 101 were grouped into ACLF Grades 1-3 (ACLF Grade 1: 50 [49.5%], ACLF Grade 2: 32 [31.7%], and ACLF Grade 3: 19 [18.8%]).

resultsLT recipients transplanted in the context of ACLF had significantly increased serum creatinine (2.27 ± 1.16 versus 0.98 ± 0.32;

conclusionsPatients with ACLF undergoing LT have significantly higher resource utilization, inferior graft survival and patient survival, and renal dysfunction at 1 year. The combination of ACLF and Model for End-Stage Liver Disease can be considered when determining the suitability for potential transplantation.

Identifiers

PMID32309630
PMCPMC7145003
OpenAlexW3011527795

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.