Evidence map›Paper›PMID 34598315›Full record

ReviewImmunity, inflammation and disease2022

Multidirectional facets of obesity management in the metabolic syndrome population after liver transplantation.

Kinga Czarnecka, Paulina Czarnecka, Olga Tronina, Teresa Bączkowska, Magdalena Durlik

Open access · goldAbstract readReview
In one paragraph

Review in Immunity, inflammation and disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. 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

5 authors at 1 institution in 1 country.

Kinga CzarneckaDepartment of Transplant Medicine, Nephrology and Internal Diseases, Medical University of Warsa, Warsaw, Poland.ORCID 0000-0001-5820-0548
Paulina CzarneckaDepartment of Transplant Medicine, Nephrology and Internal Diseases, Medical University of Warsa, Warsaw, Poland.ORCID 0000-0002-3938-6874
Olga TroninaDepartment of Transplant Medicine, Nephrology and Internal Diseases, Medical University of Warsa, Warsaw, Poland.ORCID 0000-0001-9446-5324
Teresa BączkowskaDepartment of Transplant Medicine, Nephrology and Internal Diseases, Medical University of Warsa, Warsaw, Poland.ORCID 0000-0002-2956-3056
Magdalena DurlikDepartment of Transplant Medicine, Nephrology and Internal Diseases, Medical University of Warsa, Warsaw, Poland.ORCID 0000-0002-4798-1497
Medical University of Warsaw · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The obesity pandemic has resulted in an increasing demand for liver transplantation and has significantly altered the profile of liver transplant candidates in addition to affecting posttransplantation outcomes. In this review, we discuss a broad range of clinical approaches that warrant attention to provide comprehensive and patient-centred medical care to liver transplant recipients, and to be prepared to confront the rapidly changing clinical challenges and ensuing dilemmas. Adipose tissue is a complex and metabolically active organ. Visceral fat deposition is a key predictor of overall obesity-related morbidity and mortality. Limited pharmacological options are available for the treatment of obesity in the liver transplant population. Bariatric surgery may be an alternative in eligible patients. The rapidly increasing prevalence of nonalcoholic fatty liver disease (NAFLD) is a global concern; NAFLD affects both pre- and posttransplantation outcomes. Numerous studies have investigated pharmacological and nonpharmacological management of NAFLD and some of these have shown promising results. Liver transplant recipients are constantly exposed to numerous factors that result in intestinal microbiota alterations, which were linked to the development of obesity, diabetes type 2, metabolic syndrome (MS), NAFLD, and hepatocellular cancer. Microbiota modifications with probiotics and prebiotics bring gratifying results in the management of metabolic complications. Fecal microbiota transplantation (FMT) is successfully performed in many medical indications. However, the safety and efficacy profiles of FMT in immunocompromised patients remain unclear. Obesity together with immunosuppressive treatment, may affect the pharmacokinetic and/or pharmacodynamic properties of coadministered medications. Individualized immunosuppressive regimens are recommended following liver transplantation to address possible metabolic concerns. Effective and comprehensive management of metabolic complications is shown to yield multiple beneficial results in the liver transplant population and may bring gratifying results in improving long-term survival rates.

Indexed as

Gastrointestinal MicrobiomeLiver TransplantationMetabolic SyndromeNon-alcoholic Fatty Liver DiseaseObesity ManagementHumansgastrointestinal microbiomeliver transplantmetabolic syndromenonalcoholic fatty liver diseaseobesity managementvisceral obesity

Identifiers

PMID34598315
PMCPMC8669703
OpenAlexW3204380835

What OpenQuestion holds

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LicenceCC BY
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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.