Evidence map›Paper›PMID 34873932›Full record

SynthesisAnnals of Saudi medicine

Effectiveness of granulocyte colony-stimulating factor for patients with acute-on-chronic liver failure: a meta-analysis.

Wei Huang, Yuanji Ma, Lingyao Du, Shuang Kang, Chang-Hai Liu, Lang Bai, Xuezhong Lei, Hong Tang

Abstract readMeta-Analysis
In one paragraph

Synthesis in Annals of Saudi medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Pediatric Acute-on-Chronic Liver Failure.Indian journal of pediatrics · 2024
    Review
  5. 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

8 authors.

Wei HuangFrom the Center of Infectious Diseases, West China Hospital of Sichuan University, Chengdu, China.
Yuanji MaFrom the Center of Infectious Diseases, West China Hospital of Sichuan University, Chengdu, China.
Lingyao DuFrom the Center of Infectious Diseases, West China Hospital of Sichuan University, Chengdu, China.
Shuang KangFrom the Center of Infectious Diseases, West China Hospital of Sichuan University, Chengdu, China.
Chang-Hai LiuFrom the Center of Infectious Diseases, West China Hospital of Sichuan University, Chengdu, China.
Lang BaiFrom the Center of Infectious Diseases, West China Hospital of Sichuan University, Chengdu, China.
Xuezhong LeiFrom the Center of Infectious Diseases, West China Hospital of Sichuan University, Chengdu, China.
Hong TangFrom the Center of Infectious Diseases, West China Hospital of Sichuan University, Chengdu, China.ORCID 0000-0002-9790-6225

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe safety and efficacy of granulocyte colony-stimulating factor (G-CSF) for the treatment of acute-on-chronic liver failure (ACLF) remain uncertain. Therefore, we conducted a meta-analysis to draw a firmer conclusion.

methodsWe searched the Cochrane library, PubMed, Embase, and China Biology Medicine disc to identify relevant RCTs performed before January 2020. Risk ratios (RRs) and their 95% confidence intervals (95% CIs) were calculated using a random effects model.

main outcome measuresRRs (95% CI) for 1-, 2-, and 3-month survival rates. SAMPLE SIZE: Six RCTs, including three open-label studies.

resultsThe six studies included 246 subjects (121 in a G-CSF group and 125 in a control group). G-CSF administration significantly improved the 1-, 2-, and 3-month survival rates in patients with ACLF. The pooled RRs (95% CI, P) were 0.43 (0.27-0.69,

conclusionG-CSF may be beneficial and effective in the treatment of ACLF, but further studies are needed to verify this conclusion. LIMITATIONS: The sample size was small, and studies were restricted to countries in Asia. PROSPERO REGISTRATION NUMBER: CRD42021225681 CONFLICT OF INTEREST: None.

Indexed as

Acute-On-Chronic Liver FailureChinaGranulocyte Colony-Stimulating FactorHumansOdds RatioGranulocyte Colony-Stimulating Factor

Identifiers

PMID34873932
PMCPMC8650600

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.