Evidence map›Paper›PMID 34427860›Full record

GuidelineHepatology international2021

APASL clinical practice guideline on hepatitis B reactivation related to the use of immunosuppressive therapy.

George Lau, Ming-Lung Yu, Grace Wong, Alexander Thompson, Hasmik Ghazinian, Jin-Lin Hou, Teerha Piratvisuth, Ji-Dong Jia, Masashi Mizokami, Gregory Cheng and 20 more

Erratum issuedOpen access · bronzeAbstract readPractice Guideline
In one paragraph

Guideline in Hepatology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 111 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 8 pooled it
14.9field-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.

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

111 citing papers in PubMed, 8 syntheses or guidelines pooled it, 165 citations in OpenAlex.

  1. Guideline
  2. Hepatitis B Virus Reactivation Risk With IL-17, IL-23/IL-12, or JAK Inhibitors: A Systematic Review and Meta-Analysis.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Guideline
  6. [Chinese guideline for diagnosis and management of drug-induced liver injury (2023 version)].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2023
    Guideline
  7. Pooled it
  8. Guideline
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. [APASL clinical practice guidelines on the management of chronic hepatitis B infection: a 2026 update].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Article
  18. Vaccinations in patients with interstitial lung diseases: a narrative review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  19. Article
  20. Article

51 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 20 institutions in 16 countries.

George LauHumanity and Health Clinical Trial Center, Humanity and Health Medical Group, Hong Kong SAR, China. gkklau@hnhmgl.com.ORCID http://orcid.org/0000-0002-8928-3769
Ming-Lung YuHepatitis Center and Hepatobiliary Division, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No. 100, Tz-You 1st Rd, Chinese Taipei, Kaohsiung, Taiwan. fish6069@gmail.com.
Grace WongDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China.
Alexander ThompsonSt Vincent's Hospital, Melbourne, VIC, Australia.
Hasmik GhazinianDepartment of Hepatology, Nork Clinical Hospital of Infectious Diseases, Yerevan, Armenia.
Jin-Lin HouDepartment of Infectious Diseases, Institute of Hepatology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Teerha PiratvisuthDepartment of Medicine, NKC Institute of Gastroenterology and Hepatology, Songklanagarind Hospital, Prince of Songkla University, Hat Yai, Thailand.
Ji-Dong JiaLiver Research Center, Beijing Friendship Hospital, Beijing, China.
Masashi MizokamiGenome Medical Science Project, National Center for Global Health and Medicine, Ichikawa, Japan.
Gregory ChengThe Fifth Medical Center of Chinese, PLA General Hospital, Beijing, 100039, China.
Guo-Feng ChenDepartment of Liver Diseases, Fifth Medical Center of Chinese, PLA General Hospital, Beijing, China.
Zhen-Wen LiuResearch Center for Liver Transplantation, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Oidov BaatarkhuuDepartment of Infectious Diseases, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
Ann Lii ChengDepartment of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Woon Leung NgDepartment of Medicine, United Christian Hospital, Hong Kong SAR, China.
Patrick LauHumanity and Health Clinical Trial Center, Humanity and Health Medical Group, Hong Kong SAR, China.
Tony MokDepartment of Clinical Oncology, State Key Laboratory of South China, Chinese University of Hong Kong, Hong Kong SAR, China.
Jer-Ming ChangDivision of Nephrology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Saeed HamidDepartment of Medicine, Aga Khan University and Hospital, Stadium Road, Karachi, 74800, Pakistan.
A Kadir DokmeciDepartment of Gastroenterology, Ankara University School of Medicine, Ankara, Turkey.
Rino A GaniLiver Transplantation Team, Ciptomangunkusumo Hospital, Jakarta, Indonesia.
Diana A PayawalDepartment of Medicine, Cardinal Santos Medical Center, Mandaluyong, Metro, Manila, Philippines.
Pierce ChowDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Singapore, Singapore.
Joong-Won ParkCenter for Liver Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Korea.
Simone I StrasserAW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Sydney, Australia.
Rosmawaiti MohamedDepartment of Medicine, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
Khin Maung WinYangon Gastroenterology and Liver Centre, Yangon, Myanmar.
Tanwandee TawesakDivision of Gastroenterology, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Shiv Kumar SarinDepartment of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India.
Masao OmataYamanashi Prefectural Central Hospital, 1-1-1 Fujimi, Kofu-shi, Yamanashi, 400-8506, Japan.
Chinese PLA General Hospital · CNChinese University of Hong Kong · HKKaohsiung Medical University · TWAga Khan University · PKAnkara University · TRBeijing Friendship Hospital · CNHospital for Tropical Diseases · VNHumanity & Health · CNInstitute of Liver and Biliary Sciences · INMongolian National University of Medical Sciences · MNNanfang Hospital · CNNational Cancer Center · KRNational Center for Global Health and Medicine · JPNational Taiwan University Hospital · TWPrince of Songkla University · THRoyal Prince Alfred Hospital · AURumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo · IDSingapore General Hospital · SGSiriraj Hospital · THSt Vincent's Hospital Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimHepatitis B reactivation related to the use of immunosuppressive therapy remains a major cause of liver-related morbidity and mortality in hepatitis B endemic Asia-Pacific region. This clinical practice guidelines aim to assist clinicians in all disciplines involved in the use of immunosuppressive therapy to effectively prevent and manage hepatitis B reactivation.

methodsAll publications related to hepatitis B reactivation with the use of immunosuppressive therapy since 1975 were reviewed. Advice from key opinion leaders in member countries/administrative regions of Asian-Pacific Association for the study of the liver was collected and synchronized. Immunosuppressive therapy was risk-stratified according to its reported rate of hepatitis B reactivation. RECOMMENDATIONS: We recommend the necessity to screen all patients for hepatitis B prior to the initiation of immunosuppressive therapy and to administer pre-emptive nucleos(t)ide analogues to those patients with a substantial risk of hepatitis and acute-on-chronic liver failure due to hepatitis B reactivation.

Indexed as

Hepatitis BHepatitis B, ChronicAntiviral AgentsHepatitis B Surface AntigensHepatitis B virusHumansImmunosuppressive AgentsVirus ActivationAntiviral AgentsHepatitis B Surface AntigensImmunosuppressive AgentsAPASLGuidelineHepatitis B reactivationImmunosuppressive therapy

Identifiers

PMID34427860
PMCPMC8382940
OpenAlexW3193789330

What OpenQuestion holds

Textmetadata
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.