Evidence map›Paper›PMID 34949701›Full record

ArticleThe European respiratory journal2022

Impact of hepatopulmonary syndrome in liver transplantation candidates and the role of angiogenesis.

Steven M Kawut, Michael J Krowka, Kimberly A Forde, Nadine Al-Naamani, Karen L Krok, Mamta Patel, Carlo R Bartoli, Margaret Doyle, Jude Moutchia, Grace Lin and 5 more

Erratum issuedAbstract read
In one paragraph

Article in The European respiratory journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Unexplained Dyspnea: Hepatopulmonary Syndrome without Cirrhosis?Annals of the American Thoracic Society · 2023
    Article
  17. Hepatopulmonary syndrome.JHEP reports : innovation in hepatology · 2022
    Review
  18. Review
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Steven M KawutDept of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA kawut@upenn.edu.ORCID 0000-0001-7896-0608
Michael J KrowkaDept of Medicine, Mayo Clinic, Rochester, MN, USA.
Kimberly A FordeDept of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Nadine Al-NaamaniDept of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Karen L KrokDept of Medicine, Penn State Milton S. Hershey Medical Center, Hershey, PA, USA.
Mamta PatelDept of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Carlo R BartoliDivision of Cardiovascular Surgery, Dept of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Margaret DoyleDept of Pathology, University of Vermont, Burlington, VT, USA.ORCID 0000-0001-6769-5386
Jude MoutchiaCenter for Clinical Epidemiology and Biostatistics, Dept of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Grace LinDept of Medicine, Mayo Clinic, Rochester, MN, USA.
Jae K OhDept of Medicine, Mayo Clinic, Rochester, MN, USA.
Carl D MottramDept of Medicine, Mayo Clinic, Rochester, MN, USA.
Paul D ScanlonDept of Medicine, Mayo Clinic, Rochester, MN, USA.
Michael B FallonDept of Medicine, University of Arizona, Phoenix, AZ, USA.
Pulmonary Vascular Complications of Liver Disease Study Group

Funding

Novel Mechanisms of Hepatopulmonary SyndromeR01HL142269 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KAWUT, STEVEN M · 2018 to 2022
$3.9M
Estrogen signaling in portopulmonary hypertensionR01HL113988 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI FALLON, MICHAEL TODD, KAWUT, STEVEN M · 2012 to 2016
$3.8M
Mentored Patient-Oriented Research in Pulmonary Arterial HypertensionK24HL103844 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KAWUT, STEVEN M · 2011 to 2020
$1.6M
Obesity in Pulmonary Arterial HypertensionK23HL141584 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI AL-NAAMANI, NADINE · 2018 to 2022
$970k
Gender and hormonal influences on liver fibrosis after transplant for hepatitis CK23DK090209 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI FORDE, KIMBERLY AUTUMN · 2012 to 2016
$911k
NHLBI NIH HHS K23 HL141584NHLBI NIH HHS K24 HL103844NHLBI NIH HHS R01 HL113988NHLBI NIH HHS R01 HL142269NIDDK NIH HHS K23 DK090209
6 · The paper itself

Abstract

backgroundHepatopulmonary syndrome affects 10-30% of patients with cirrhosis and portal hypertension. We evaluated the serum angiogenic profile of hepatopulmonary syndrome and assessed the clinical impact of hepatopulmonary syndrome in patients evaluated for liver transplantation.

methodsThe Pulmonary Vascular Complications of Liver Disease 2 study was a multicentre, prospective cohort study of adults undergoing their first liver transplantation evaluation. Hepatopulmonary syndrome was defined as an alveolar-arterial oxygen gradient ≥15 mmHg (≥20 mmHg if age >64 years), positive contrast-enhanced transthoracic echocardiography and absence of lung disease.

resultsWe included 85 patients with hepatopulmonary syndrome and 146 patients without hepatopulmonary syndrome. Patients with hepatopulmonary syndrome had more complications of portal hypertension and slightly higher Model for End-Stage Liver Disease-Na score compared to those without hepatopulmonary syndrome (median (interquartile range) 15 (12-19)

conclusionHepatopulmonary syndrome was associated with a profile of abnormal systemic angiogenesis, worse exercise and functional capacity, and an overall increased risk of death.

Indexed as

End Stage Liver DiseaseHepatopulmonary SyndromeHypertension, PortalLiver TransplantationAdultHumansMiddle AgedNeovascularization, PathologicProspective StudiesSeverity of Illness Index

Identifiers

PMID34949701
PMCPMC10967655

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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.