Evidence map›Paper›PMID 34549082›Full record

ArticleTransplantation direct2021

Pretransplant Hepatitis C Virus Treatment Decreases Access to High-quality Livers.

Alexandra T Strauss, Tanveen Ishaque, Sharon Weeks, James P Hamilton, Cem Simsek, Christine M Durand, Allan B Massie, Dorry L Segev, Ahmet Gurakar, Jacqueline M Garonzik-Wang

Abstract read
In one paragraph

Article in Transplantation direct, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

10 authors.

Alexandra T StraussDivision of Gastroenterology & Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD.
Tanveen IshaqueDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Sharon WeeksDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
James P HamiltonDivision of Gastroenterology & Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD.
Cem SimsekDivision of Gastroenterology & Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD.
Christine M DurandDivision of Infectious Disease, Johns Hopkins University School of Medicine, Baltimore, MD.
Allan B MassieDepartment of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD.
Dorry L SegevDepartment of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD.
Ahmet GurakarDivision of Gastroenterology & Hepatology, Johns Hopkins University School of Medicine, Baltimore, MD.
Jacqueline M Garonzik-WangDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the revolutionary role of direct-acting antivirals for hepatitis C virus (HCV), the treatment timing for liver transplant candidates remains controversial. We hypothesize that deferring treatment until after liver transplantation improves access to a larger and higher-quality donor pool without a detrimental impact on post-liver transplantation outcomes.

methodsThis single-center study includes recipients that underwent deceased-donor liver transplant with HCV as the primary indication January 1, 2014, to December 31, 2018. For recipients that were untreated (n = 87) versus treated (n = 42) pre-LT, we compared post-LT mortality using Cox regression with inverse probability of treatment-weighted data.

resultsAmong pre-LT untreated recipients, 95% were willing to accept an HCV+ donor, and 44.8% received a positive HCV antibody and nucleic acid amplification test (NAT) liver. Among pre-LT treated recipients, 5% were willing to accept an HCV+ donor, and 100% received a negative HCV antibody and NAT liver. The median calculated model for end-stage liver disease at transplant was similar between pre-LT untreated (13, IQR = 9-22) and treated recipients (11, IQR = 8-14) (

conclusionsDeferring HCV treatment improves access to higher-quality donors and may improve post-LT survival.

Identifiers

PMID34549082
PMCPMC8440014

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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.