Evidence map›Paper›PMID 34129125›Full record

SynthesisDigestive diseases and sciences2022

Incidence of Complications from Percutaneous Biopsy in Chronic Liver Disease: A Systematic Review and Meta-Analysis.

Helena B Thomaides-Brears, Naim Alkhouri, Daniela Allende, Mukesh Harisinghani, Mazen Noureddin, Nancy S Reau, Marika French, Carlos Pantoja, Sofia Mouchti, Donna R H Cryer

Registry-linked trialOpen access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Digestive diseases and sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06231082 (Bloody or Well Done. How Would You Like Your Liver Biopsy, Sir? Post Liver bIopsy abdoMinal PaIn as Predictive Factor for Liver bleeDing), which is not on this map. Cited by 64 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 4 pooled it
9.8field-weighted citation impact, top 1% 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.

NCT06231082 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Bloody or Well Done. How Would You Like Your Liver Biopsy, Sir? Post Liver bIopsy abdoMinal PaIn as Predictive Factor for Liver bleeDing (LIMPID)

TypeinterventionalSponsorCarol Davila University of Medicine and PharmacyRan2024 to 2024Enrolled78ConditionsLiver Disease ParenchymalArmsGroup one - percutaneous (P), Group two - EUS FNB (E)
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 4 syntheses or guidelines pooled it, 109 citations in OpenAlex.

  1. Pooled it
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  11. Endo-Hepatology: Paradigm Shift in Endosonographic Diagnosis for Liver Disease to Digestive Endoscopy.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026
    Review
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4 more citing papers are in PubMed but not listed here.

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

10 authors at 7 institutions in 2 countries.

Helena B Thomaides-BrearsPerspectum, Gemini One, 5520 John Smith Drive, Oxford, OX4 2LL, UK. helena.thomaides-brears@perspectum.com.ORCID 0000-0003-0774-6983
Naim AlkhouriArizona Liver Health, Phoenix, AZ, USA.
Daniela AllendePathology Department, Cleveland Clinic, Cleveland, OH, USA.
Mukesh HarisinghaniDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, USA.
Mazen NoureddinDivision of Digestive and Liver Diseases, Comprehensive Transplant Center, Cedar Sinai Medical Center, Los Angeles, CA, USA.
Nancy S ReauDepartment of Internal Medicine, Division of Digestive Diseases and Nutrition, Rush Medical College, Chicago, USA.
Marika FrenchPerspectum, Gemini One, 5520 John Smith Drive, Oxford, OX4 2LL, UK.
Carlos Pantoja, South San Francisco, Perspectum, CA, USA.
Sofia MouchtiPerspectum, Gemini One, 5520 John Smith Drive, Oxford, OX4 2LL, UK.
Donna R H CryerGlobal Liver Institute, Washington, USA.
Arizona Liver Health · USBritish Society of Periodontology · GBCedars-Sinai Medical Center · USCleveland Clinic · USHarvard University · USLiver Institute Northwest · USPerspectives Charter School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproaches to liver biopsy have changed over the past decade in patients with chronic liver disease.

aimsWe conducted a systematic review and meta-analysis on the incidence of all complications and technical failure associated with percutaneous liver biopsy.

methodsWe systematically searched PubMed and the Cochrane Library for cohort studies reporting on complications resulting from liver biopsy published between 2010 and 2020. Studies on participants of any age and sex, who underwent any percutaneous biopsy for non-focal liver disease, were selected. All events except mild pain, minor hematoma, vasovagal episodes, fever and fistula were defined as major complications. Random-effect model meta-analyses with and without covariates were performed, to examine the effect of publication year, patient characteristics, outcome collection, and biopsy type on incidences.

resultsWe identified 30 studies reporting on complications resulting from percutaneous liver biopsy procedures (n = 64,356). Incidence of major complications was 2.44% (95% CI 0.85, 6.75), with mortality at 0.01% (95% CI 0.00, 0.11), hospitalization at 0.65% (95% CI 0.38, 1.11), major bleeding at 0.48% (95% CI 0.22, 1.06), and moderate/severe pain at 0.34% (95% CI 0.08, 1.37). Minor complications at 9.53% (95% CI 3.68, 22.5) were mainly pain at 12.9% (95% CI 5.34, 27.9). Technical failure was high at 0.91% (95% CI 0.27, 3.00). Decreasing patient age significantly increased incidence of hospitalization and major bleeding (P < 0.0001). Hospitalization incidence also significantly increased with disease severity.

conclusionsIncidence of major (2.4%) and minor (9.5%) complications, and technical failure (0.91%) in percutaneous liver biopsies continues.

Indexed as

Liver DiseasesBiopsyHemorrhageHumansIncidencePainBleedingHospitalizationPainPercutaneous liver biopsy

Identifiers

PMID34129125
PMCPMC9237012
OpenAlexW3171574540

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.