Evidence map›Paper›PMID 33311891›Full record

ArticleJournal of clinical and experimental hepatology

Hepatitis B Reactivation in Liver Transplant Recipients With Hepatitis B Virus Core Antibody Positive Grafts: a Retrospective Study.

Benjamine Khiangte, Sunil R Kothakota, Madhu Sasidharan, Harish Kareem, Ajith K Nair, Vijosh V Kumar, Jagadeswara R Kanala, Praveen C Kumar

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical and experimental hepatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Review
  3. Determinants of abnormal liver-related biomarkers in adult COVID-19 patients.Frontiers in cellular and infection microbiology · 2025
    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

8 authors at 1 institution in 1 country.

Benjamine KhiangteDepartment of Gastroenterology, KIMS Hospital, Trivandrum, Kerala, India.
Sunil R KothakotaDepartment of Gastroenterology, KIMS Hospital, Trivandrum, Kerala, India.
Madhu SasidharanDepartment of Gastroenterology, KIMS Hospital, Trivandrum, Kerala, India.
Harish KareemDepartment of Gastroenterology, KIMS Hospital, Trivandrum, Kerala, India.
Ajith K NairDepartment of Gastroenterology, KIMS Hospital, Trivandrum, Kerala, India.
Vijosh V KumarDepartment of Gastroenterology, KIMS Hospital, Trivandrum, Kerala, India.
Jagadeswara R KanalaDepartment of Gastroenterology, KIMS Hospital, Trivandrum, Kerala, India.
Praveen C KumarDepartment of Gastroenterology, KIMS Hospital, Trivandrum, Kerala, India.
Almas Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiver grafts from hepatitis B core antibody (anti-HBc) positive donors increase the risk of hepatitis B virus (HBV) reactivation in recipients due to posttransplant immunosuppressive therapy. AIM AND

objectiveto study the HBV reactivation in liver transplant recipients with anti-HBc-positive donors.

methodsThis was a retrospective study. Liver transplant recipients who received grafts from anti-HBc-positive donors between January 2013 and December 2017 were included in analysis. Hospital records of all subjects for a 2-year posttransplantation period were studied to observe reactivation of hepatitis B. As per our institute protocol, prophylaxis for HBV was given to subjects with either positive hepatitis B surface antigens or hepatitis B surface antibody (anti-HBs) titre <100 mIU/ml, after transplantation with anti-HBc-positive donor grafts. Recipients with anti-HBs titre >100 mIU/mL were exempted from prophylaxis and kept on regular monitoring for HBV markers.

resultsOf 85 liver transplant recipients, 20 subjects who received anti-HBc-positive grafts were included in analysis. The mean age of the study population was 46 years (range 2-68 years). The most common aetiology of cirrhosis in our study population was cryptogenic followed by ethanol. Among the study population, 16 (80%) transplant recipients had anti-HBs titre less than 100 mu/ml and 4 (20%) subjects had anti-HBs > 100 miu/ml. HBV reactivation occurred in 6 (30%) subjects. Reactivation was seen even in those who received HBV prophylaxis, while none of the subjects with anti-HBs titre >100 miu/ml developed HBV reactivation despite absence of prophylaxis.

conclusionHBV reactivation can occur even in the presence of target anti-HBs titre (i.e. >10 miu/ml) and HBV prophylaxis during postliver transplantation. However, HBV reactivation is not seen in recipients with anti-HBs titre of >100 miu/ml.

Indexed as

ALT, Alanine TransferaseAnti-HBc, Hepatitis B Core Antibodyanti-HBc positive graftsAnti-HBs, Hepatitis B Surface AntibodyDDLT, Death Donor Liver TransplantEMR, Electronic Medical RecordHBsAg, Hepatitis B Surface AntigenHBV, Hepatitis B VirusHBV prophylaxisHBV reactivationLDLT, Live Donor Liver TransplantOBI, Occult Hepatitis B Infectionposttransplant immunosuppression

Identifiers

PMID33311891
PMCPMC7719971
OpenAlexW3021818181

What OpenQuestion holds

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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.