Evidence map›Paper›PMID 33414628›Full record

ArticleAnnals of gastroenterology2021

Natural history of grade 1 ascites in patients with liver cirrhosis.

Theodoros Theodorakopoulos, Maria Kalafateli, Georgios N Kalambokis, Dimitrios N Samonakis, Ioanna Aggeletopoulou, Chrysostomos Tsolias, Aikaterini Mantaka, Paraskevi Tselekouni, Georgia Vourli, Stelios F Assimakopoulos and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. AI-assisted ascites volumetry for prognostic stratification in HCC treated with Atezolizumab/Bevacizumab.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
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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

14 authors at 1 institution in 1 country.

Theodoros TheodorakopoulosDivision of Gastroenterology, Department of Internal Medicine, University Hospital of Patras (Theodoros Theodorakopoulos, Maria Kalafateli, Ioanna Aggeletopoulou, Chrysostomos Tsolias, Paraskevi Tselekouni, Konstantinos Thomopoulos, Christos Triantos).
Maria KalafateliDivision of Gastroenterology, Department of Internal Medicine, University Hospital of Patras (Theodoros Theodorakopoulos, Maria Kalafateli, Ioanna Aggeletopoulou, Chrysostomos Tsolias, Paraskevi Tselekouni, Konstantinos Thomopoulos, Christos Triantos).
Georgios N KalambokisDivision of Internal Medicine, First Division of Internal Medicine and Liver Unit, Medical School, University of Ioannina, Ioannina (Georgios N. Kalambokis, Haralampos Milionis).
Dimitrios N SamonakisDivision of Gastroenterology and Hepatology, University Hospital of Crete, Heraklion, Crete (Dimitrios N. Samonakis, Aikaterini Mantaka).
Ioanna AggeletopoulouDivision of Gastroenterology, Department of Internal Medicine, University Hospital of Patras (Theodoros Theodorakopoulos, Maria Kalafateli, Ioanna Aggeletopoulou, Chrysostomos Tsolias, Paraskevi Tselekouni, Konstantinos Thomopoulos, Christos Triantos).
Chrysostomos TsoliasDivision of Gastroenterology, Department of Internal Medicine, University Hospital of Patras (Theodoros Theodorakopoulos, Maria Kalafateli, Ioanna Aggeletopoulou, Chrysostomos Tsolias, Paraskevi Tselekouni, Konstantinos Thomopoulos, Christos Triantos).
Aikaterini MantakaDivision of Gastroenterology and Hepatology, University Hospital of Crete, Heraklion, Crete (Dimitrios N. Samonakis, Aikaterini Mantaka).
Paraskevi TselekouniDivision of Gastroenterology, Department of Internal Medicine, University Hospital of Patras (Theodoros Theodorakopoulos, Maria Kalafateli, Ioanna Aggeletopoulou, Chrysostomos Tsolias, Paraskevi Tselekouni, Konstantinos Thomopoulos, Christos Triantos).
Georgia VourliDivision of Hygiene, Epidemiology and Medical Statistics, Medical School, University of Athens (Georgia Vourli).
Stelios F AssimakopoulosDivision of Internal Medicine, University Hospital of Patras (Stelios F. Assimakopoulos, Charalampos Gogos), Greece.
Charalampos GogosDivision of Internal Medicine, University Hospital of Patras (Stelios F. Assimakopoulos, Charalampos Gogos), Greece.
Konstantinos ThomopoulosDivision of Gastroenterology, Department of Internal Medicine, University Hospital of Patras (Theodoros Theodorakopoulos, Maria Kalafateli, Ioanna Aggeletopoulou, Chrysostomos Tsolias, Paraskevi Tselekouni, Konstantinos Thomopoulos, Christos Triantos).
Haralampos MilionisDivision of Internal Medicine, First Division of Internal Medicine and Liver Unit, Medical School, University of Ioannina, Ioannina (Georgios N. Kalambokis, Haralampos Milionis).
Christos TriantosDivision of Gastroenterology, Department of Internal Medicine, University Hospital of Patras (Theodoros Theodorakopoulos, Maria Kalafateli, Ioanna Aggeletopoulou, Chrysostomos Tsolias, Paraskevi Tselekouni, Konstantinos Thomopoulos, Christos Triantos).
University Hospital of Ioannina · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNo evidence is available on the natural history of grade 1 ascites and its progression to grade 2/3 in patients with liver cirrhosis. The aim of the current study was to address this issue, to assess the development of main comorbid disorders closely related to ascites progression, and to identify the predictive factors for survival in this setting.

methodsConsecutive Caucasian cirrhotic patients with grade 1 ascites were retrospectively analyzed. None of patients was under treatment with diuretics at diagnosis. Control groups consisted of 145 cirrhotics with grade 2/3 ascites and 175 cirrhotics without ascites.

resultsDiuretics were initiated in 58 patients with grade 1 ascites at baseline by the attending physician. At the last follow up, 29 patients had no ascites, 33 patients had grade 1 and 38 patients had grade 2/3 ascites. No variable was found to be an independent predictor of grade 2/3 ascites. Seven patients developed spontaneous bacterial peritonitis while under treatment with diuretics; at that time only 1 patient had grade 1 ascites. The mortality rate was similar among all examined groups.

conclusionsThis study suggests that the presence of grade 1 ascites does not constitute a precursor of grade 2/3 ascites in patients with cirrhosis. Thus, patients with grade 1 ascites do not require specific treatment with diuretics.

Indexed as

Ascitesgrade 1liver cirrhosisnatural history

Identifiers

PMID33414628
PMCPMC7774664
OpenAlexW3109529177

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.