Evidence map›Paper›PMID 34564434›Full record

ReviewMetabolites2021

Liver Impairment-The Potential Application of Volatile Organic Compounds in Hepatology.

Georgios Stavropoulos, Kim van Munster, Giuseppe Ferrandino, Marius Sauca, Cyriel Ponsioen, Frederik-Jan van Schooten, Agnieszka Smolinska

Open access · goldAbstract readReview
In one paragraph

Review in Metabolites, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. [Advances in the application of exhaled breath analysis technology in the detection and diagnosis of liver failure].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Breath BiopsyJournal of clinical and translational hepatology · 2023
    Article
  15. Article
  16. Article
  17. Breath Testing in the Surgical Setting: Applications, Challenges, and Future Perspectives.European surgical research. Europaische chirurgische Forschung. Recherches chirurgicales europeennes · 2023
    Review
  18. Review
  19. Article
  20. Review
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

7 authors at 3 institutions in 2 countries.

Georgios StavropoulosDepartment of Pharmacology and Toxicology, NUTRIM School of Nutrition and Translational Research, Maastricht University, 6227 AP Maastricht, The Netherlands.ORCID 0000-0003-2433-1579
Kim van MunsterDepartment of Gastroenterology and Hepatology, Amsterdam University Medical Centres, Academic Medical Center, 1000 AE Amsterdam, The Netherlands.
Giuseppe FerrandinoOwlstone Medical, Cambridge CB4 0GB, UK.
Marius SaucaDepartment of Pharmacology and Toxicology, NUTRIM School of Nutrition and Translational Research, Maastricht University, 6227 AP Maastricht, The Netherlands.
Cyriel PonsioenDepartment of Gastroenterology and Hepatology, Amsterdam University Medical Centres, Academic Medical Center, 1000 AE Amsterdam, The Netherlands.
Frederik-Jan van SchootenDepartment of Pharmacology and Toxicology, NUTRIM School of Nutrition and Translational Research, Maastricht University, 6227 AP Maastricht, The Netherlands.
Agnieszka SmolinskaDepartment of Pharmacology and Toxicology, NUTRIM School of Nutrition and Translational Research, Maastricht University, 6227 AP Maastricht, The Netherlands.
Maastricht University · NLAmsterdam UMC Location University of Amsterdam · NLOwlstone Medical (United Kingdom) · GB

Funding

Nederlandse Organisatie voor Wetenschappelijk Onderzoek 016 VENI 178.064
6 · The paper itself

Abstract

Liver diseases are currently diagnosed through liver biopsy. Its invasiveness, costs, and relatively low diagnostic accuracy require new techniques to be sought. Analysis of volatile organic compounds (VOCs) in human bio-matrices has received a lot of attention. It is known that a musty odour characterises liver impairment, resulting in the elucidation of volatile chemicals in the breath and other body fluids such as urine and stool, which may serve as biomarkers of a disease. Aims: This study aims to review all the studies found in the literature regarding VOCs in liver diseases, and to summarise all the identified compounds that could be used as diagnostic or prognostic biomarkers. The literature search was conducted on ScienceDirect and PubMed, and each eligible publication was qualitatively assessed by two independent evaluators using the SANRA critical appraisal tool. Results: In the search, 58 publications were found, and 28 were kept for inclusion: 23 were about VOCs in the breath, one in the bile, three in urine, and one in faeces. Each publication was graded from zero to ten. A graphical summary of the metabolic pathways showcasing the known liver disease-related VOCs and suggestions on how VOC analysis on liver impairment could be applied in clinical practice are given.

Indexed as

bilebreathfaecesliver diseasesnoninvasiveurineVOCs

Identifiers

PMID34564434
PMCPMC8471934
OpenAlexW3199592576

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.