Evidence map›Paper›PMID 35366805›Full record

Trial reportBMC gastroenterology2022

Long-term prognosis of patients with hepatitis B virus-related acute-on-chronic liver failure: a retrospective study.

Lu Wang, Wenxiong Xu, Xuejun Li, Dabiao Chen, Yeqiong Zhang, Yuanli Chen, Juan Wang, Qiumin Luo, Chan Xie, Liang Peng

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04231565 (Study on Therapeutic Effects and Safety of Nucleoside), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT04231565 narecruitingnot on this map

Study on Therapeutic Effects and Safety of Nucleoside (Acid) Analogues Treatment in Patients With Chronic Hepatitis B With Normal Alanine Aminotransferase and Positive Hepatitis B Virus DNA: a Randomized Controlled Trial

TypeinterventionalSponsorThird Affiliated Hospital, Sun Yat-Sen UniversityRan2020 to 2027Enrolled200ConditionsHepatitis B VirusArmsTenofovir alafenamide Fumarate
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. 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

10 authors.

Lu Wang *Department of Infectious Diseases, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou City, Guangdong Province, China.
Wenxiong Xu *Department of Infectious Diseases, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou City, Guangdong Province, China.
Xuejun Li *Department of Infectious Diseases, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou City, Guangdong Province, China.
Dabiao ChenDepartment of Infectious Diseases, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou City, Guangdong Province, China.
Yeqiong ZhangDepartment of Infectious Diseases, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou City, Guangdong Province, China.
Yuanli ChenDepartment of Infectious Diseases, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou City, Guangdong Province, China.
Juan WangDepartment of Infectious Diseases, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou City, Guangdong Province, China.
Qiumin LuoDepartment of Infectious Diseases, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou City, Guangdong Province, China.
Chan XieDepartment of Infectious Diseases, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou City, Guangdong Province, China. xchan@mail.sysu.edu.cn.
Liang PengDepartment of Infectious Diseases, Third Affiliated Hospital of Sun Yat-Sen University, 600# Tianhe Road, Guangzhou City, Guangdong Province, China. pliang@mail.sysu.edu.cn.

Funding

Guangzhou Municipal Science and Technology Project 201904010442 to CX, 202102010204 to LPNatural Science Foundation of China No. 81873572 to LP , 82070611 to LPResearch project on degree and postgraduate education reform in Guangdong province 2018JGXM04 to CXSun Yat-Sen University Clinical Research 5010 Program 2018009 to CX, 2020007 to LPthe Five-Year Plan of Third Affiliated Hospital of Sun Yat-Sen University K00006 to LPthe National major science and technology project for the prevention and treatment of AIDS and viral hepatitis 2018ZX10302204-002 to LP, 2018ZX10302205-002 to CXYoung teacher training program of Sun Yat-Sen university 16ykpy40 to CX
6 · The paper itself

Abstract

backgroundThe long-term prognosis of patients with hepatitis B virus-related acute-on-chronic liver failure (HBV-ACLF) is not well characterised. We assessed long-term outcomes and the associated risk factors of HBV-ACLF patients in southern China.

methodsWe retrospectively analysed clinical data, adverse events, and clinical endpoint events of HBV-ACLF patients treated at our department between January 2014 and December 2018.

resultsA total of 616 (52.3%) patients with cirrhosis and 561 (47.7%) patients without cirrhosis were included. In 973 (83%) patients, the disease was associated only with HBV, while 204 (17%) patients had two or more aetiological factors. The proportion of patients receiving antiviral treatment for HBV was low (20.3%). Further analyses indicated that patients without cirrhosis had a significantly lower 90-day liver transplantation-free mortality and higher 5-year survival rate than those with cirrhosis (59.5% vs. 27.6%; 62% vs. 36%; P < 0.05). Remarkably, self-withdrawal of nucleos(t)ide analog (NA) was an independent risk factor for short-term prognosis. Age, cirrhosis at admission, and platelet level were closely related to long-term prognosis of HBV-ACLF patients.

conclusionThe proportion of HBV-ACLF patients receiving antiviral treatment is very low in south China. Cirrhosis at admission has a significant effect on both short-term and long-term prognosis. No significant improvement in the short-term prognosis of HBV-ACLF patients was observed compared with previous studies. More comprehensive access to antiviral treatment and long-term surveillance of HBV patients are key imperatives to reduce the incidence of HBV-ACLF and improve the prognosis. Trial Registration The trial was registered at ClinicalTrials.gov (CT.gov identifier: NCT04231565) on May 13, 2020: https://register. CLINICALTRIALS: gov/prs/app/action/SelectProtocol?sid=S0009OZY&selectaction=Edit&uid=U00036P1&ts=2&cx=27seqt.

Indexed as

Acute-On-Chronic Liver FailureHepatitis B, ChronicHepatitis B virusHumansPrognosisRetrospective StudiesAcute-on-chronic liver failureAetiologyHBVPrognosisRisk factors

Identifiers

PMID35366805
PMCPMC8976971

What OpenQuestion holds

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Registered trials

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.