Evidence map›Paper›PMID 34329537›Full record

ArticleUnited European gastroenterology journal2021

Epidemiology of pyogenic liver abscesses in Germany: Analysis of incidence, risk factors and mortality rate based on routine data from statutory health insurance.

Lisa Zimmermann, Sebastian Wendt, Christoph Lübbert, Thomas Karlas

Open access · hybridAbstract read
In one paragraph

Article in United European gastroenterology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

22 citing papers in PubMed, 37 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Pyogenic liver abscess in the North Denmark Region - a population-based cohort study (2010-2022).European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Liver abscess caused byAmerican journal of translational research · 2025
    Article
  10. Observational
  11. Article
  12. Clinical characteristics, effectiveness and cost of different treatment methods for invasiveZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. A rare Danish case ofClinical case reports · 2022
    Article
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

4 authors at 1 institution in 1 country.

Lisa ZimmermannDivision of Infectious Diseases and Tropical Medicine, Department of Medicine II, Leipzig University Medical Center, Leipzig, Germany.
Sebastian WendtDivision of Infectious Diseases and Tropical Medicine, Department of Medicine II, Leipzig University Medical Center, Leipzig, Germany.
Christoph LübbertDivision of Infectious Diseases and Tropical Medicine, Department of Medicine II, Leipzig University Medical Center, Leipzig, Germany.ORCID 0000-0001-6942-5785
Thomas KarlasDivision of Gastroenterology, Department of Medicine II, Leipzig University Medical Center, Leipzig, Germany.ORCID 0000-0002-8109-8526
University Hospital Leipzig · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPyogenic liver abscesses (PLAs) represent potentially life-threatening abdominal conditions that require immediate diagnosis and therapy. European and American incidence figures vary between one and 15 per 100,000 per year. Structured epidemiological data for European countries are not available.

objectiveTo systematically characterize the epidemiology and clinical outcome of PLA in Germany.

methodsIn representative statutory health insurance data from four million people in 2013-2019, the prevalence and incidence with clinical coding of International Statistical Classification of Diseases and Related Health Problems (ICD)-10 code K75.0 were selected (n = 1118). Furthermore, demographics, relevant comorbidities, hospitalizations, mortality and complications were determined within one year.

resultsThe incidence of PLA was approximately seven per 100,000. The average age at diagnosis was 66 years; 65% were male. Of these, biliary disease was documented in over 60% and infectious intestinal diseases were found in 21% within the same or previous calendar year. PLA patients had high comorbidity indices. Liver transplant status, malignancies of the liver and biliary system, liver cirrhosis and pancreatitis were strongly associated. Intensive care was documented in 27% of PLA cases. Nine percent died within 12 months, most with an underlying malignant disease.

conclusionPyogenic liver abscess is a rare disease with high morbidity. Predisposing and risk factors include intestinal and biliary diseases as well as hepatic malignancies. Further research should focus on PLA therapy within prospective surveys and controlled clinical trials.

Indexed as

AdolescentAdultAgedAged, 80 and overBiliary Tract DiseasesComorbidityElectronic Health RecordsFemaleGermanyHumansIncidenceInsurance, HealthIntestinal DiseasesLiver Abscess, PyogenicLiver CirrhosisLiver Transplantationclinical codingcomorbidityelectronic health recordsepidemiologyGermanyincidenceliver abscessmortality rateprevalencepyogenicrisk factors

Identifiers

PMID34329537
PMCPMC8598960
OpenAlexW3184386267

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.