Evidence map›Paper›PMID 33665589›Full record

ReviewJHEP reports : innovation in hepatology2021

From congestive hepatopathy to hepatocellular carcinoma, how can we improve patient management?

Anna Sessa, Manon Allaire, Pascal Lebray, Mourad Medmoun, Alberto Tiritilli, Pierre Iaria, Jean-François Cadranel

Open access · goldAbstract readReview
In one paragraph

Review in JHEP reports : innovation in hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Unifying and unique roles of non-coding RNA biomarkers in liver and heart fibrosis.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Liver Traffic Jam: How Sinusoidal Congestion Rewires Macrophage Distribution via CXCL9.Cellular and molecular gastroenterology and hepatology · 2025
    Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review
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

7 authors at 4 institutions in 2 countries.

Anna SessaSorbonne Université, Service d'Hépatologie, Hôpitaux Universitaires Pitié Salpêtrière - Charles Foix, AP-HP, Paris, France.
Manon AllaireSorbonne Université, Service d'Hépatologie, Hôpitaux Universitaires Pitié Salpêtrière - Charles Foix, AP-HP, Paris, France.
Pascal LebraySorbonne Université, Service d'Hépatologie, Hôpitaux Universitaires Pitié Salpêtrière - Charles Foix, AP-HP, Paris, France.
Mourad MedmounService d 'Hépato-Gastroentérologie de nutrition et d'Alcoologie, Groupe Hospitalier Public du Sud de l'Oise, Creil, France.
Alberto TiritilliService de Cardiologie, Groupe Hospitalier Public du Sud de l'Oise, Creil, France.
Pierre IariaService de Cardiologie, Groupe Hospitalier Public du Sud de l'Oise, Creil, France.
Jean-François CadranelService d 'Hépato-Gastroentérologie de nutrition et d'Alcoologie, Groupe Hospitalier Public du Sud de l'Oise, Creil, France.
Centre Hospitalier Laennec · FRAssistance Publique – Hôpitaux de Paris · FRFederico II University Hospital · ITInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure and liver disease often coexist because of systemic disorders and diseases that affect both organs as well as complex cardio-hepatic interactions. Heart failure can cause acute or chronic liver injury due to ischaemia and passive venous congestion, respectively. Congestive hepatopathy is frequently observed in patients with congenital heart disease and after the Fontan procedure, but also in older patients with chronic heart failure. As congestive hepatopathy can evolve into cirrhosis and hepatocellular carcinoma, screening for liver injury should be performed in patients with chronic cardiac diseases and after Fontan surgery. Fibrosis starts in the centro-lobular zone and will extend progressively to the portal area. Chronic liver injury can be reversible if heart function improves. However, in the case of terminal heart failure, uncontrolled by medical resources or by assistive device support, the combination of heart and liver transplants must be discussed in patients with chronic advanced liver fibrosis. In this review of the literature, we will focus on congestive hepatopathy and its complications, such as liver fibrosis and hepatocellular carcinoma, with the aim of improving the management and surveillance of patients experiencing these complications.

Indexed as

ACE, angiotensin-converting enzymeAFP, α-fetoproteinALP, alkaline phosphataseALT, alanine aminotransferaseAST, aspartate amino transferaseBNP, B-type natriuretic peptideCombined heart and liver transplantCongestive hepatopathyFALD, Fontan-associated liver diseaseFIB-4, Fibrosis-4 indexFontan-associated liver diseaseGGT, gamma-glutamyltransferaseHCC, hepatocellular carcinomaINR, international normalised ratioMELD, model for end-stage liver diseaseNAFLD, non-alcoholic fatty liver diseaseNFS, NAFLD fibrosis score

Identifiers

PMID33665589
PMCPMC7902554
OpenAlexW3124400924

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.