Evidence map›Paper›PMID 35518552›Full record

ReviewCureus2022

Cirrhosis and Coagulopathy: Mechanisms of Hemostasis Changes in Liver Failure and Their Management.

Rabia Islam, Sumana Kundu, Surajkumar B Jha, Ana P Rivera, Gabriela Vanessa Flores Monar, Hamza Islam, Sri Madhurima Puttagunta, Ibrahim Sange

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Hepatocyte Nuclear Factor 4 Alpha: A Key Regulator of Liver Disease Pathology and Haemostatic Disorders.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Review
  9. Stress-induced hemostasis: mechanisms and implications for health.Annals of medicine and surgery (2012) · 2025
    Review
  10. Review
  11. Review
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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 at 6 institutions in 6 countries.

Rabia IslamResearch, Faisalabad Medical University, Faisalabad, PAK.
Sumana KunduResearch, R.G. Kar Medical College, Kolkata, IND.
Surajkumar B JhaResearch, Jinan University School of Medicine, Guangzhou, CHN.
Ana P RiveraResearch, Universidad Americana (UAM) Facultad de Medicina, Managua, NIC.
Gabriela Vanessa Flores MonarResearch, Universidad Central del Ecuador, Quito, ECU.
Hamza IslamResearch, Faisalabad Medical University, Faisalabad, PAK.
Sri Madhurima PuttaguntaResearch, Dr Pinnamaneni Siddhartha Institute of Medical Sciences, Chinoutpalli, IND.
Ibrahim SangeResearch, K. J. Somaiya Medical College, Hospital and Research Center, Mumbai, IND.
K J Somaiya Medical College · INLa American University · NICentral University of Ecuador · ECR. G. Kar Medical College and Hospital · INSiddhartha Medical College · INUniversidad American College · NI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cirrhosis is an end-stage liver disease that can cause changes in any component of the hemostatic system. The net effects of the complicated hemostatic changes have long been unknown due to concurrent changes in pro-and antihemostatic drivers. Coagulation disorders are caused by various factors, including decreased clotting and inhibitor factor synthesis, reduced clearance of activated factors, quantitative and qualitative platelet defects, hyperfibrinolysis, and increased intravascular coagulation. This review discusses the pathogenesis of coagulopathy and multiple studies related to its clinical presentations. This article also highlights an additional problem in the diagnostic and therapeutic approach to this group of patients: the fact that traditional coagulation tests and transfusional strategies may not be reliable for assessing and managing bleeding or thrombotic risks. Hence, multiple management options have been assessed for bleeding and thrombosis in liver disease.

Indexed as

antifibrinolyticsblood coagulation factorscirrhosisdeep vein thrombosis (dvt)direct acting oral anticoagulantgastrointestinal hemorrhagehemeostatic systemportal vein thrombosisthrombocytopeniavenous thromboembolism (vte)

Identifiers

PMID35518552
PMCPMC9063731
OpenAlexW4226330547

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.