Evidence map›Paper›PMID 33860096›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2021

Cystatin C and interleukin-6 for prognosticating patients with acute decompensation of cirrhosis.

Gaurav Padia, Bhawana Mahajan, Ajay Kumar, Ujjwal Sonika, Amol S Dahale, Sanjeev Sachdeva, Ashok Dalal, Roshan George

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In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 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
–field-weighted citation impact
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.

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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

8 authors.

Gaurav PadiaDepartment of Gastroenterology G B Pant Institute of Postgraduate Medical Education and Research (GIPMER) New Delhi India.ORCID https://orcid.org/0000-0001-8188-0326
Bhawana MahajanDepartment of Biochemistry G B Pant Institute of Postgraduate Medical Education and Research (GIPMER) New Delhi India.
Ajay KumarDepartment of Gastroenterology G B Pant Institute of Postgraduate Medical Education and Research (GIPMER) New Delhi India.ORCID https://orcid.org/0000-0002-5877-4610
Ujjwal SonikaDepartment of Gastroenterology G B Pant Institute of Postgraduate Medical Education and Research (GIPMER) New Delhi India.ORCID https://orcid.org/0000-0003-0949-2382
Amol S DahaleDepartment of Gastroenterology G B Pant Institute of Postgraduate Medical Education and Research (GIPMER) New Delhi India.ORCID https://orcid.org/0000-0002-8545-4751
Sanjeev SachdevaDepartment of Gastroenterology G B Pant Institute of Postgraduate Medical Education and Research (GIPMER) New Delhi India.
Ashok DalalDepartment of Gastroenterology G B Pant Institute of Postgraduate Medical Education and Research (GIPMER) New Delhi India.
Roshan GeorgeDepartment of Gastroenterology G B Pant Institute of Postgraduate Medical Education and Research (GIPMER) New Delhi India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimSystemic inflammation and organ dysfunction/failure can complicate acute decompensation (AD) of cirrhosis with progression to acute-on-chronic liver failure (ACLF), leading to increased mortality. There are few studies on serum biomarkers predicting renal dysfunction (RD) or ACLF in AD. Serum cystatin C (CysC) and interleukin-6 (IL-6) were evaluated for predicting RD, ACLF, and mortality in AD patients.

methodsConsecutive AD patients seen from January 2018 to June 2019 were included. IL-6 and CysC were measured in serum at the time of index presentation. Patients were followed for 90 days or until primary (development of RD) or secondary outcomes (development of ACLF or mortality). Multivariate analysis was performed to find whether CysC and IL-6 can independently predict primary and secondary outcomes.

resultsA total of 124 patients were screened; 88 patients were included. On follow up, 22 (27.3%) developed RD, 11 (11/57, 19.3%) developed ACLF, and 21 (24%) died. The CysC predicted RD (odds ratio [OR] 7.97, 95% confidence interval [CI] 2.70-23.53,

conclusionSerum CysC can predict the development of RD and ACLF in patients of cirrhosis with AD.

Indexed as

acute decompensationinterleukin‐6organ dysfunction/failureserum cystatin C

Identifiers

PMID33860096
PMCPMC8035439

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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.