Evidence map›Paper›PMID 33809676›Full record

ArticleJournal of clinical medicine2021

Caspase-Cleaved Keratin 18 Measurements Identified Ongoing Liver Injury after Bariatric Surgery.

Felix Hempel, Martin Roderfeld, Lucas John Müntnich, Jens Albrecht, Ziya Oruc, Borros Arneth, Thomas Karrasch, Jörn Pons-Kühnemann, Winfried Padberg, Harald Renz and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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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

12 authors at 1 institution in 1 country.

Felix HempelDepartment of Gastroenterology, Justus Liebig University, D-35392 Giessen, Germany.ORCID 0000-0002-2733-4313
Martin RoderfeldDepartment of Gastroenterology, Justus Liebig University, D-35392 Giessen, Germany.ORCID 0000-0002-3232-1277
Lucas John MüntnichDepartment of Gastroenterology, Justus Liebig University, D-35392 Giessen, Germany.
Jens AlbrechtDepartment of General, Visceral, Thoracic, Transplantation, and Pediatric Surgery, Justus Liebig University, D-35392 Giessen, Germany.
Ziya OrucDepartment of General, Visceral, Thoracic, Transplantation, and Pediatric Surgery, Justus Liebig University, D-35392 Giessen, Germany.
Borros ArnethInstitute of Laboratory Medicine, Pathobiochemistry and Molecular Diagnostics, Justus Liebig University, D-35392 Giessen, Germany.
Thomas KarraschDepartment of Internal Medicine III, Justus Liebig University, D-35392 Giessen, Germany.
Jörn Pons-KühnemannInstitute of Medical Informatics, Justus Liebig University, D-35392 Giessen, Germany.
Winfried PadbergDepartment of General, Visceral, Thoracic, Transplantation, and Pediatric Surgery, Justus Liebig University, D-35392 Giessen, Germany.
Harald RenzInstitute of Laboratory Medicine, Pathobiochemistry and Molecular Diagnostics, Justus Liebig University, D-35392 Giessen, Germany.
Andreas SchäfflerDepartment of Internal Medicine III, Justus Liebig University, D-35392 Giessen, Germany.
Elke RoebDepartment of Gastroenterology, Justus Liebig University, D-35392 Giessen, Germany.ORCID 0000-0001-5739-5400
Justus-Liebig-Universität Gießen · DE

Funding

Deutsche Forschungsgemeinschaft RO957/10-1Uniklinikum Giessen und Marburg 10/2013 GIVon-Behring-Röntgen-Stiftung 66-0008
6 · The paper itself

Abstract

Bariatric surgery has emerged as an effective treatment option in morbidly obese patients with non-alcoholic fatty liver disease (NAFLD). However, worsening or new onset of non-alcoholic steatohepatitis (NASH) and fibrosis have been observed. Caspase-cleaved keratin 18 (ccK18) has been established as a marker of hepatocyte apoptosis, a key event in NASH development. Thus, ccK18 measurements might be feasible to monitor bariatric surgery patients. Clinical data and laboratory parameters were collected from 39 patients undergoing laparoscopic Roux-en-Y gastric bypass at six timepoints, prior to surgery until one year after the procedure. ccK18 levels were measured and a high-throughput analysis of serum adipokines and cytokines was carried out. Half of the cohort's patients (20/39) presented with ccK18 levels indicative of progressed liver disease. 21% had a NAFLD-fibrosis score greater than 0.676, suggesting significant fibrosis. One year after surgery, a mean weight loss of 36.87% was achieved. Six and twelve months after surgery, ccK18 fragments were significantly reduced compared to preoperative levels (

Indexed as

cytokeratin 18gastric bypasskeratin 18M30NAFLDNASHnon-alcoholic fatty liver diseasenon-invasive biomarkers

Identifiers

PMID33809676
PMCPMC8002276
OpenAlexW3136678377

What OpenQuestion holds

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LicenceCC BY
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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.