Evidence map›Paper›PMID 34635616›Full record

ArticleAnnals of laboratory medicine2022

Comparison of Non-Invasive Clinical Algorithms for Liver Fibrosis in Patients With Chronic Hepatitis B to Reduce the Need for Liver Biopsy: Application of Enhanced Liver Fibrosis and Mac-2 Binding Protein Glycosylation Isomer.

Mina Hur, Mikyoung Park, Hee-Won Moon, Won Hyeok Choe, Chae Hoon Lee

Open access · diamondAbstract read
In one paragraph

Article in Annals of laboratory medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Article
  5. Advances in laboratory medicine · 2024
    Article
  6. Serum biomarkers for liver fibrosis assessment.Advances in laboratory medicine · 2024
    Review
  7. Article
  8. Article
  9. 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

5 authors at 2 institutions in 1 country.

Mina HurDepartment of Laboratory Medicine, Konkuk University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-4429-9978
Mikyoung ParkDepartment of Laboratory Medicine, Yeungnam University College of Medicine, Daegu, Korea.ORCID https://orcid.org/0000-0002-4815-6958
Hee-Won MoonDepartment of Laboratory Medicine, Konkuk University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-9509-6073
Won Hyeok ChoeDepartment of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-8019-5412
Chae Hoon LeeDepartment of Laboratory Medicine, Yeungnam University College of Medicine, Daegu, Korea.ORCID https://orcid.org/0000-0001-7722-9004
Konkuk University · KRYeungnam University College

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-invasive clinical algorithms for the detection of liver fibrosis (LF) can reduce the need for liver biopsy (LB). We explored the implementation of two serum biomarkers, enhanced liver fibrosis (ELF) and Mac-2 binding protein glycosylation isomer (M2BPGi), in clinical algorithms for LF in chronic hepatitis B (CHB) patients.

methodsTwo clinical algorithms were applied to 152 CHB patients: (1) transient elastography (TE) followed by biomarkers (TE/ELF and TE/M2GPGi); (2) biomarker test followed by TE (ELF/TE and M2BPGi/TE). Using the cut-off value or index for the detection of advanced LF (TE≥F3; 9.8 in ELF and 3.0 in M2BPGi), LB was expected to be performed in cases with discordant TE and biomarker results.

resultsIn both algorithms, the expected number of LBs was lower when using M2BPGi than when using ELF (TE/ELF or ELF/TE, 13.2% [N=20]; TE/M2BPGi or M2BPGi/TE, 9.9% [N=15]), although there was no statistical difference (

conclusionsBoth ELF and M2BPGi can be implemented in non-invasive clinical algorithms for assessing LF in CHB patients. Given the lowest possibility of losing advanced LF cases in the low-risk group when using the TE/M2BPGi approach, this combination seems useful in clinical practice.

Indexed as

Hepatitis B, ChronicAlgorithmsBiopsyGlycosylationHumansLiver CirrhosisChronic hepatitis BClinical algorithmEnhanced liver fibrosisLiver fibrosisMac-2 binding protein glycosylation isomer

Identifiers

PMID34635616
PMCPMC8548241
OpenAlexW3206018081

What OpenQuestion holds

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Registered trials

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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.