Evidence map›Paper›PMID 35135582›Full record

ArticleHealth and quality of life outcomes2022

Continued alcohol consumption and hepatic encephalopathy determine quality of life and psychosocial burden of caregivers in patients with liver cirrhosis.

Michael Nagel, Vanessa Weidner, Sina Schulz, Jens U Marquardt, Peter R Galle, Jörn M Schattenberg, Marc Nguyen-Tat, Marcus-Alexander Wörns, Christian Labenz

Open access · goldAbstract read
In one paragraph

Article in Health and quality of life outcomes, 2022. 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
1.9field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Reducing the Risk of Overt Hepatic Encephalopathy Recurrence: A Narrative Review.Journal of clinical and translational hepatology · 2026
    Review
  4. Article
  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

9 authors at 4 institutions in 1 country.

Michael NagelDepartment of Internal Medicine I, University Medical Center Mainz of the Johannes Gutenberg-University Mainz, Mainz, Germany. micnagel@uni-mainz.de.ORCID http://orcid.org/0000-0002-2094-8355
Vanessa WeidnerDepartment of Internal Medicine I, University Medical Center Mainz of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Sina SchulzDepartment of Internal Medicine I, University Medical Center Mainz of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Jens U MarquardtFirst Department of Medicine, University Hospital Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.
Peter R GalleDepartment of Internal Medicine I, University Medical Center Mainz of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Jörn M SchattenbergDepartment of Internal Medicine I, University Medical Center Mainz of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Marc Nguyen-TatMedical Center Kempten, Department of Gastroenterology, Kempten, Germany.
Marcus-Alexander Wörns *Department of Gastroenterology, Hematology, Oncology, and Endocrinology, Klinikum Dortmund, Beurhausstraße 40, 44137, Dortmund, Germany.
Christian Labenz *Department of Internal Medicine I, University Medical Center Mainz of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Johannes Gutenberg University Mainz · DEKempten University of Applied Sciences · DEKlinikum Dortmund · DEUniversity Hospital Schleswig-Holstein · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with liver cirrhosis suffer from significantly reduced health-related quality of life and are often dependent on support from caregivers. In this context, caregivers often suffer from impaired quality of life (QoL) as well as psychosocial burden (PB). The aim of the present study was to identify factors influencing QoL and PB of caregivers in order to improve the social care of patients and caregivers.

methodsIn this cross-sectional study, 106 patients with liver cirrhosis and their caregivers were included. (Health-related) QoL was surveyed in patients (CLDQ) and caregivers (SF-36) and PB was determined by Zarit Burden Interview.

resultsAlcohol related liver cirrhosis (55%) was the predominant etiology of liver cirrhosis and the median MELD of the cohort was 14. QoL did not differ between patients with and without alcohol-related liver cirrhosis (p = 0.6). In multivariable analysis, continued alcohol consumption (p = 0.020), a history of hepatic encephalopathy (HE) (p = 0.010), poorer QoL of patients (p = 0.030) and poorer QoL of caregivers (p = 0.005) were associated with a higher PB of caregivers. Factors independently associated with poorer QoL of caregivers were continued alcohol consumption (p = 0.003) and a higher PB of caregivers (p = 0.030).

conclusionCaregivers of patients with liver cirrhosis suffer from impaired QoL and PB, especially in case of continued alcohol consumption or the occurrence of HE.

Indexed as

Hepatic EncephalopathyQuality of LifeAlcohol DrinkingCaregiversCross-Sectional StudiesHumansLiver CirrhosisSurveys and QuestionnairesBurden of diseaseComplications of liver cirrhosisDecompensated liver cirrhosisQuality of life

Identifiers

PMID35135582
PMCPMC8822635
OpenAlexW4210872760

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.