Evidence map›Paper›PMID 33565013›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2021

Complementary Roles of Cadaveric and Living Donor Liver Transplantation in Acute Liver Failure.

İlgin Özden, Hacer Aysen Yavru, Özlem Durmaz, Günseli Orhun, Artür Salmaslıoğlu, Mine Güllüoğlu, Aydın Alper, Cem İbiş, Kürşat Rahmi Serin, Zerrin Önal and 6 more

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Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. [Advancements in the diagnosis and treatment of pediatric acute liver failure].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
    Review
  4. 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

16 authors at 1 institution in 1 country.

İlgin ÖzdenDepartment of General Surgery (Hepatopancreatobiliary Surgery Unit), Istanbul Faculty of Medicine, Istanbul University, Millet Caddesi-Çapa-Şehremini, 34390, İstanbul, Turkey. iozden@hotmail.com.ORCID 0000-0001-7360-628X
Hacer Aysen YavruDepartment of Anesthesiology and Intensive Care, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Özlem DurmazDepartment of Pediatrics(Gastroenterology), Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Günseli OrhunDepartment of Anesthesiology and Intensive Care, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Artür SalmaslıoğluDepartment of Radiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Mine GüllüoğluDepartment of Pathology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Aydın AlperDepartment of General Surgery (Hepatopancreatobiliary Surgery Unit), Istanbul Faculty of Medicine, Istanbul University, Millet Caddesi-Çapa-Şehremini, 34390, İstanbul, Turkey.
Cem İbişDepartment of General Surgery (Hepatopancreatobiliary Surgery Unit), Istanbul Faculty of Medicine, Istanbul University, Millet Caddesi-Çapa-Şehremini, 34390, İstanbul, Turkey.
Kürşat Rahmi SerinDepartment of General Surgery (Hepatopancreatobiliary Surgery Unit), Istanbul Faculty of Medicine, Istanbul University, Millet Caddesi-Çapa-Şehremini, 34390, İstanbul, Turkey.
Zerrin ÖnalDepartment of Pediatrics(Gastroenterology), Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Perihan Ergin ÖzcanDepartment of Anesthesiology and Intensive Care, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Arzu PoyanlıDepartment of Radiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Selda HançerliDepartment of Pediatrics (Infectious Diseases), Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Atahan ÇağatayDepartment of Infectious Diseases, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Serdar CantezDepartment of Pediatrics(Gastroenterology), Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Sabahattin KaymakoğluDepartment of Internal Medicine (Gastroenterology), Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Istanbul University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiving donor liver transplantation may complement cadaveric transplantation in acute liver failure (ALF) patients.

methodsBetween 2008 and 2017, 89 patients were treated for ALF; 15 patients (17%) recovered with intensive care treatment; 31 (35%) died without transplant. The records of the remaining 43 patients (median (range) age: 14 (1-62)) who underwent transplantation were evaluated.

resultsThe etiologic factors were toxic agents (10; mushrooms: 8; herbs: 2), hepatitis viruses (7; A: 1; B: 6), Wilson's disease (7), autoimmune hepatitis (4), and Budd-Chiari syndrome (2); 13 cases were idiopathic. Cadaveric organs (whole, split, reduced) were transplanted to 32 patients; 11 patients underwent living donor transplantation. One patient (2%) died of septic shock on the second postoperative day. Bacterial infection was the most common early (< 3 months) complication in the remaining patients (31/42; 74%), followed by delirium (5/42; 12%) and acute rejection requiring steroid pulse (5/42; 12%). Seven other patients died during median (range) follow-up of 94 (14-142) months: various infections (5), leukemia (1), and acute myocardial infarction (1). The 1-, 5-, and 10-year survival rates were 100%, 96%, and 92% in children and 94%, 82%, and 65% in adults respectively.

conclusionsCadaveric organ sharing and transplantation from living donors when appropriate yield a high survival rate, despite high early morbidity, in ALF patients whose conditions deteriorate despite intensive care treatment. Efforts to eliminate preventable causes of acute liver failure will lead to more efficient use of health care resources.

Indexed as

HepatitisLiver Failure, AcuteLiver TransplantationAdolescentAdultCadaverChildHumansLiving DonorsCadaveric donorHepatitis AHepatitis BLiving donorMushroom poisoningWilson’s disease

Identifiers

PMID33565013
OpenAlexW3126818099

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.