Evidence map›Paper›PMID 34028110›Full record

ArticleTransplant international : official journal of the European Society for Organ Transplantation2021

Recurrence of primary sclerosing cholangitis after liver transplantation - analysing the European Liver Transplant Registry and beyond.

Thijmen Visseren, Nicole Stephanie Erler, Wojciech Grzegorz Polak, René Adam, Vincent Karam, Florian Wolfgang Rudolf Vondran, Bo-Goran Ericzon, Douglas Thorburn, Jan Nicolaas Maria IJzermans, Andreas Paul and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Transplant international : official journal of the European Society for Organ Transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
3.7field-weighted citation impact, top 5% 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

37 citing papers in PubMed, 61 citations in OpenAlex.

  1. Psychometric evaluation of PROMISQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  2. Article
  3. Review
  4. Current Treatment of Primary Biliary Cholangitis and Primary Sclerosing Cholangitis: A Comprehensive Review.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2026
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Endoscopic management of primary sclerosing cholangitis.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2025
    Review
  18. Review
  19. Outcome of Liver Retransplantation in Patients With Primary Sclerosing Cholangitis.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  20. Post-transplant liver biopsies: a concise and practical approach for beginners.Journal of pathology and translational medicine · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 12 institutions in 8 countries.

Thijmen VisserenDepartment of Gastroenterology and Hepatology, Erasmus MC Transplant Institute, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0003-4756-5095
Nicole Stephanie ErlerDepartment of Biostatistics, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
Wojciech Grzegorz PolakDepartment of Surgery, Division of Hepatopancreaticobiliary and Transplant Surgery, Erasmus MC Transplant Institute, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-3096-4893
René AdamCentre Hépatobiliaire, AP-HP Hôpital Paul Brousse, Université Paris-Saclay, Villejuif, France.
Vincent KaramCentre Hépatobiliaire, AP-HP Hôpital Paul Brousse, Université Paris-Saclay, Villejuif, France.ORCID https://orcid.org/0000-0002-7391-0190
Florian Wolfgang Rudolf VondranDepartment of General, Visceral and Transplant Surgery, Hannover Medical School, Hannover, Germany.
Bo-Goran EriczonDivision of Transplantation Surgery, Karolinska University Hospital, Stockholm, Sweden.
Douglas ThorburnSheila Sherlock Liver Centre and UCL Institute of Liver and Digestive Health, Royal Free Hospital, London, UK.
Jan Nicolaas Maria IJzermansDepartment of Surgery, Division of Hepatopancreaticobiliary and Transplant Surgery, Erasmus MC Transplant Institute, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
Andreas PaulDepartment of General and Transplant Surgery, University Hospital Essen, Essen, Germany.
Frans van der HeideDepartment of Gastroenterology and Hepatology, University of Groningen and University Medical Centre Groningen, Groningen, The Netherlands.
Pavel TaimrDepartment of Hepatogastroenterology, Institut Klinické Experimentální Medicíny, Prague, Czech Republic.
Petr NemecCentre of Cardiovascular Surgery and Transplantations, Brno, Czech Republic.
Jacques PirenneAbdominal Transplantation Surgery, University Hospitals Leuven, Leuven, Belgium.
Renato RomagnoliLiver Transplantation Center, Azienda Ospedaliero-Universitaria, Città della Salute e della Scienza di Torino, Turin, Italy.ORCID https://orcid.org/0000-0001-8340-8885
Herold Johnny MetselaarDepartment of Gastroenterology and Hepatology, Erasmus MC Transplant Institute, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-7203-8126
Sarwa Darwish MuradDepartment of Gastroenterology and Hepatology, Erasmus MC Transplant Institute, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0003-2804-1165
European Liver and Intestine Transplantation Association (ELITA)
Erasmus MC · NLErasmus MC Cancer Institute · NLEssen University Hospital · DEInstitute of Clinical and Experimental Medicine · CZKU Leuven · BEMedizinische Hochschule Hannover · DEUniversité Paris-Saclay · FRUniversity Medical Center Groningen · NLAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITCentrum kardiovaskulární a transplantační chirurgie · CZKarolinska University Hospital · SEThe Royal Free Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver transplantation for primary sclerosing cholangitis (PSC) can be complicated by recurrence of PSC (rPSC). This may compromise graft survival but the effect on patient survival is less clear. We investigated the effect of post-transplant rPSC on graft and patient survival in a large European cohort. Registry data from the European Liver Transplant Registry regarding all first transplants for PSC between 1980 and 2015 were supplemented with detailed data on rPSC from 48 out of 138 contributing transplant centres, involving 1,549 patients. Bayesian proportional hazards models were used to investigate the impact of rPSC and other covariates on patient and graft survival. Recurrence of PSC was diagnosed in 259 patients (16.7%) after a median follow-up of 5.0 years (quantile 2.5%-97.5%: 0.4-18.5), with a significant negative impact on both graft (HR 6.7; 95% CI 4.9-9.1) and patient survival (HR 2.3; 95% CI 1.5-3.3). Patients with rPSC underwent significantly more re-transplants than those without rPSC (OR 3.6, 95% CI 2.7-4.8). PSC recurrence has a negative impact on both graft and patient survival, independent of transplant-related covariates. Recurrence of PSC leads to higher number of re-transplantations and a 33% decrease in 10-year graft survival.

Indexed as

Cholangitis, SclerosingLiver TransplantationBayes TheoremHumansRecurrenceRegistriesRetrospective StudiesRisk Factorsbayesian statisticsdisease recurrenceliver transplantationpatient and graft survivalprimary sclerosing cholangitis

Identifiers

PMID34028110
PMCPMC8456806
OpenAlexW3164408593

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.