Evidence map›Paper›PMID 34712835›Full record

ArticleClinical and experimental hepatology2021

Hyaluronic acid as a potential marker for assessment of fibrosis regression after direct acting antiviral drugs in chronic hepatitis C patients.

Eman Rewisha, Tary Salman, Omkolsoum Alhaddad, Gamal Abo Raia, Mary Naguib, Shymaa Rashad, Ahmed Abdelfattah, Khaled Metwally, Eman Abdelsameea

Open access · diamondAbstract read
In one paragraph

Article in Clinical and experimental hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Host Subcellular Organelles: Targets of Viral Manipulation.International journal of molecular sciences · 2024
    Review
  6. Noninvasive Fibrosis Assessment in Chronic Hepatitis C Infection: An Update.Journal of clinical and translational hepatology · 2023
    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

9 authors at 1 institution in 1 country.

Eman RewishaHepatology and Gastroenterology Department, National Liver Institute, Menoufia University, Egypt.
Tary SalmanHepatology and Gastroenterology Department, National Liver Institute, Menoufia University, Egypt.
Omkolsoum AlhaddadHepatology and Gastroenterology Department, National Liver Institute, Menoufia University, Egypt.
Gamal Abo RaiaClinical Pathology Department, National Liver Institute, Menoufia University, Egypt.
Mary NaguibClinical Pathology Department, National Liver Institute, Menoufia University, Egypt.
Shymaa RashadHepatology and Gastroenterology Department, National Liver Institute, Menoufia University, Egypt.
Ahmed AbdelfattahHepatology and Gastroenterology Department, National Liver Institute, Menoufia University, Egypt.
Khaled MetwallyHepatology and Gastroenterology Department, National Liver Institute, Menoufia University, Egypt.
Eman AbdelsameeaHepatology and Gastroenterology Department, National Liver Institute, Menoufia University, Egypt.
Menoufia University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFibrosis is an inevitable complication of chronic hepatitis C virus (HCV) infection. Direct acting antivirals (DAAs) radically treated HCV and were suggested to ameliorate fibrosis. Silymarin (a natural herbal remedy) was proposed to further decrease hepatic inflammation and fibrosis. Consequently, serial monitoring of liver fibrosis status by different biomarkers is needed. AIM OF THE STUDY: To assess hyaluronic acid (HA) as a potential marker of fibrosis regression after DAAs in chronic HCV patients; in addition, to evaluate silymarin as an agent that, beside DAAs, could further improve fibrosis. MATERIAL AND

methodsTwo groups were included (150 patients each). Group 1 received DAAs only, while group 2 received DAAs followed by silymarin. Hyaluronic acid and FIB4 score were assessed at baseline before treatment and 1 year after inclusion in the study.

resultsWe found that DAA therapy alone or in combination with silymarin resulted in a significant reduction in serum HA level. However, the latter case showed a statistically significantly greater reduction (

conclusionsHyaluronic acid might be a sensitive marker for monitoring fibrosis regression in treated chronic HCV patients. Adding silymarin to treatment protocols could ameliorate the fibrosis status.

Indexed as

chronic HCVFIB-4fibrosishyaluronic acidregression

Identifiers

PMID34712835
PMCPMC8527342
OpenAlexW3202842439

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.