Evidence map›Paper›PMID 32552092›Full record

ArticleThe Journal of international medical research2020

Comparison of plasma exchange, double plasma molecular adsorption system, and their combination in treating acute-on-chronic liver failure.

Xiju Guo, Fengqing Wu, Weibo Guo, Jiachang Zhang, Yan Yang, Yajing Lu, Congbo Yin, Hongxing Fan, Juan Xu, Mingmei Liao

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in The Journal of international medical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05392673 (Comparative Analysis on Short-term Efficacies of Two Kinds of Artificai Liver Method in Treating Severe Hepatitis B.), which is not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 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.

NCT05392673 nacompletednot on this map

Comparative Analysis on Short-term Efficacies of Two Kinds of Artificai Liver Method in Treating Severe Hepatitis B.

TypeinterventionalSponsorXiangya Hospital of Central South UniversityRan2020 to 2021Enrolled186ConditionsChronic-on-acute Liver FailureArmsKM-8800 plasma exchange device (Kuraray, Tokyo, Japan)
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. [Meta-analysis of the therapeutic value of plasma exchange simple or combined with dual plasma molecular adsorption system for liver failure].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2022
    Pooled it
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  4. Extended Double Plasma Molecular Adsorption Sessions and Bilirubin Clearance: A Case Report.Hemodialysis international. International Symposium on Home Hemodialysis · 2026
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  18. [Clinical application and technical operation specification of dual plasma molecular adsorption system].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024
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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

10 authors.

Xiju GuoGastroenterology Department of People's Hospital of Baoshan City, Baoshan City, Baoshan, China.
Fengqing WuGastroenterology Department of People's Hospital of Baoshan City, Baoshan City, Baoshan, China.
Weibo GuoGastroenterology Department of Second Affiliated Hospital of Kunming Medical University, Kunming, China.ORCID https://orcid.org/0000-0003-0809-3208
Jiachang ZhangGastroenterology Department of People's Hospital of Baoshan City, Baoshan City, Baoshan, China.
Yan YangGastroenterology Department of People's Hospital of Baoshan City, Baoshan City, Baoshan, China.
Yajing LuGastroenterology Department of People's Hospital of Baoshan City, Baoshan City, Baoshan, China.
Congbo YinGastroenterology Department of People's Hospital of Baoshan City, Baoshan City, Baoshan, China.
Hongxing FanGastroenterology Department of People's Hospital of Baoshan City, Baoshan City, Baoshan, China.
Juan XuGastroenterology Department of People's Hospital of Baoshan City, Baoshan City, Baoshan, China.
Mingmei LiaoGastroenterology Department of People's Hospital of Baoshan City, Baoshan City, Baoshan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOur objective was to compare the effectiveness of nonbiological artificial liver (NBAL) support, particularly short-term (28-day) survival rates, in patients who underwent treatment using double plasma molecular adsorption system (DPMAS), plasma exchange (PE), or combined PE+DPMAS, in addition to comprehensive physical treatment for different stages of acute-on-chronic liver failure (ACLF).

methodsWe retrospectively reviewed clinical data of 135 patients with ACLF who received NBAL treatment between November 2015 and February 2019. The patients were categorized into PE, DPMAS, and PE+DPMAS groups. Short-term effectiveness of treatment was assessed and compared based on selected clinical findings, laboratory parameters, and liver function markers.

resultsCoagulation function improved significantly in all groups after treatment. In the PE and PE+DPMAS groups, prothrombin time decreased to different degrees, whereas plasma thromboplastin antecedent increased significantly after treatment. White blood cell counts increased and platelet counts decreased in all groups after treatment. The model for end-stage liver disease score, Child-Pugh grade, systematic inflammatory syndrome score, and sepsis-related organ failure score decreased in all three groups after treatment.

conclusionsPE, DPMAS, and PE+DPMAS improved disease indicators in all patients with ACLF. The combined treatment improved the short-term effectiveness of treatment, especially in patients with mild ACLF.

Indexed as

Acute-On-Chronic Liver FailureAdsorptionAdultAgedAged, 80 and overBilirubinBlood CoagulationFemaleHumansLiverLiver, ArtificialMaleMiddle AgedPlasmaPlasma ExchangeProthrombin TimeBilirubinacute-on-chronic liver failurebilirubin removalcoagulation functiondouble plasma molecular adsorption systemNonbiological artificial liverplasma exchange

Identifiers

PMID32552092
PMCPMC7303772

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Registered trials

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.