Evidence map›Paper›PMID 35068791›Full record

ArticleJournal of clinical and experimental hepatology

Diagnosis of Primary Sclerosing Cholangitis Beyond Childhood is Associated with Worse Outcomes.

Stefani Tica, Saad Alghamdi, Christopher Tait, Bonsa Nemera, Yumirle Turmelle, Jaquelyn Fleckenstein, Janis Stoll, Sakil Kulkarni

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical and experimental hepatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

Stefani TicaDepartment of Pediatrics, Washington University in St. Louis, St. Louis Children's Hospital, St. Louis, MO, USA.
Saad AlghamdiDepartment of Internal Medicine, Washington University in St. Louis, Barnes Jewish Hospital, St. Louis, MO, USA.
Christopher TaitDepartment of Internal Medicine, Washington University in St. Louis, Barnes Jewish Hospital, St. Louis, MO, USA.
Bonsa NemeraDepartment of Pediatrics, Washington University in St. Louis, St. Louis Children's Hospital, St. Louis, MO, USA.
Yumirle TurmelleDepartment of Pediatrics, Washington University in St. Louis, St. Louis Children's Hospital, St. Louis, MO, USA.
Jaquelyn FleckensteinDepartment of Internal Medicine, Washington University in St. Louis, Barnes Jewish Hospital, St. Louis, MO, USA.
Janis StollDepartment of Pediatrics, Washington University in St. Louis, St. Louis Children's Hospital, St. Louis, MO, USA.
Sakil KulkarniDepartment of Pediatrics, Washington University in St. Louis, St. Louis Children's Hospital, St. Louis, MO, USA.
Barnes-Jewish Hospital · USSt. Louis Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe elucidation of differences between adult and pediatric-onset primary sclerosing cholangitis (PSC) may inform clinical decision making, and whether results of adult PSC clinical trials can be extrapolated to pediatric subjects.

methodsA single-center retrospective analysis of PSC subjects diagnosed during the epoch 2000-13 was conducted. Demographic, clinical, and laboratory data were compared between PSC subjects diagnosed between 0-18 (pediatric) and 19+ (adult) years of age. An adverse outcome was defined as PSC-related death, liver transplant, or malignancy. Survival without any of these was defined as event-free survival.

resultsAnalyses of 28 pediatric-diagnosed and 59 adult-diagnosed subjects revealed that incidence of early portal hypertension (PHT;

conclusionDespite having a comparable clinical, laboratory, and histologic biomarkers of liver disease severity at the time of diagnosis, adult PSC subjects had a worse outcome compared to pediatric PSC subjects. Possible reasons for this finding include higher incidence of PHT, BCs, extra-hepatic co-morbidities, and longer duration of follow-up.

Indexed as

ageAIH, autoimmune hepatitisALP, alkaline phosphataseALT, alanine aminotransferaseAST, aspartate aminotransferasecholangitisERCP, endoscopic cholangiopancreatographyGGT, gamma-glutamyl transferaseGI, gastrointestinalIBD, inflammatory bowel diseaseINR, international normalized ratioMRCP, magnetic resonance cholangiopancreatographyMR imaging, magnetic resonance imagingoutcomePHT, portal hypertensionprimaryPSC, primary sclerosing cholangitissclerosingx ULN, times upper limit of normal

Identifiers

PMID35068791
PMCPMC8766535
OpenAlexW3145448644

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.