Evidence map›Paper›PMID 32922567›Full record

ArticleCurrent therapeutic research, clinical and experimental2020

Autoimmune Hepatitis in Cuban Patients: A Retrospective Analysis of Clinical and Histological Profiles, Treatments, and Outcomes.

Marlen Ivón Castellanos Fernández, Maria Edelina Cepeda Mullo, Deyanira la Rosa Hernández, Hector Vega Sánchez, Licet González Fabian, Robert G Gish, Ana Luisa Torres González, Zaily Dorta Guridi

Open access · goldAbstract read
In one paragraph

Article in Current therapeutic research, clinical and experimental, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 87% 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

2 citing papers in PubMed, 3 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

8 authors at 2 institutions in 2 countries.

Marlen Ivón Castellanos FernándezDepartment of Research and Teaching, National Institute of Gastroenterology, Havana, Cuba.
Maria Edelina Cepeda MulloDepartment of Research and Teaching, National Institute of Gastroenterology, Havana, Cuba.
Deyanira la Rosa HernándezDepartment of Immunology, National Institute of Gastroenterology, Havana, Cuba.
Hector Vega SánchezDepartment of Immunology, National Institute of Gastroenterology, Havana, Cuba.
Licet González FabianDepartment of Pathology, National Institute of Gastroenterology, Havana, Cuba.
Robert G GishLas Vegas, Nevada Hepatitis B Foundation, University of Nevada, Las Vegas, Las Vegas, Nevada.
Ana Luisa Torres GonzálezDepartment of Hepatology, National Institute of Gastroenterology, Havana, Cuba.
Zaily Dorta GuridiDepartment of Hepatology, National Institute of Gastroenterology, Havana, Cuba.
Instituto de Gastroenterología · CUUniversity of Nevada, Las Vegas · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPopulation-based studies on the clinical course and prognosis of autoimmune hepatitis (AIH) from Caribbean countries are limited.

objectiveThe aim of this study was to provide information regarding the clinical and laboratory findings, histological profile, treatments, and outcomes of patients with AIH with long-term follow-up in a tertiary referral center.

methodsA retrospective study was performed at the National Institute of Gastroenterology in Havana, Cuba, by enrolling 82 patients with a well-documented, long-term clinical course of AIH. Clinical and laboratory findings, histological profiles, treatments, and outcomes were analyzed.

resultsAt diagnosis, 73 (89%) patients had AIH type 1, 84.1% were women, and their median age was 46.5 years (range, 17-79 years). The median follow-up period was 84 months (interquartile range, 12-276 months). Clinical onset was mild or subclinical in 72% of patients and asymptomatic in 12.2%. At diagnosis, the Hennes's median score was 6 (range, 3-8). Complications were seen in 44 (53.6%) patients, 42 (51.2%) with liver-related complications and 9 (10.9%) without liver-related complications. Cirrhosis was present at diagnosis in 32 (39%) patients. Cirrhosis was subsequently diagnosed in the other 28 patients who were not cirrhotic at diagnosis, over a median follow-up of 12 (IQR, 2-84) months. During follow-up, 6 patients died (7.3%). Cumulative survival at 5 and 10 years was 98.4% and 89%, respectively. A complete biochemical response was achieved in 79% of patients in a mean (SD) of 11.7 (11.6) months. Side effects due to treatment were reported in 76 (92.7%) patients, and no pretreatment factors were found to predict treatment response.

conclusionsThese Cuban patients with AIH had acceptable disease remission rate and a prompt treatment response. Although most patients had advanced-stage liver disease at diagnosis or developed during follow-up, the cumulative survival rate was high when patients were receiving and complying with treatment.

Indexed as

Autoimmune hepatitisAzathioprineComplicationsFollow upPrednisoneSurvival

Identifiers

PMID32922567
PMCPMC7476064
OpenAlexW3049710291

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.