Evidence map›Paper›PMID 35600667›Full record

ArticleJHEP reports : innovation in hepatology2022

Higher subcutaneous adipose tissue radiodensity is associated with increased mortality in patients with cirrhosis.

Maryam Ebadi, Abha R Dunichand-Hoedl, Elora Rider, Norman M Kneteman, James Shapiro, David Bigam, Khaled Dajani, Vera C Mazurak, Vickie E Baracos, Aldo J Montano-Loza

Open access · goldAbstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  4. Subcutaneous Fat Density Is an Independent Predictor of Adverse Outcomes and Shows Early Improvement After Liver Transplantation.Liver international : official journal of the International Association for the Study of the Liver · 2026
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  9. Tumor-Derived Polyamines Initiate Fat Wasting in Cancer Cachexia.bioRxiv : the preprint server for biology · 2025
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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 at 2 institutions in 1 country.

Maryam EbadiDivision of Gastroenterology and Liver Unit, University of Alberta Hospital, Edmonton, Alberta, Canada.
Abha R Dunichand-HoedlDivision of Human Nutrition, University of Alberta, Edmonton, Alberta, Canada.
Elora RiderDivision of Human Nutrition, University of Alberta, Edmonton, Alberta, Canada.
Norman M KnetemanDivision of Transplantation, Department of Surgery, University of Alberta Hospital, Edmonton, Alberta, Canada.
James ShapiroDivision of Transplantation, Department of Surgery, University of Alberta Hospital, Edmonton, Alberta, Canada.
David BigamDivision of Transplantation, Department of Surgery, University of Alberta Hospital, Edmonton, Alberta, Canada.
Khaled DajaniDivision of Transplantation, Department of Surgery, University of Alberta Hospital, Edmonton, Alberta, Canada.
Vera C MazurakDivision of Human Nutrition, University of Alberta, Edmonton, Alberta, Canada.
Vickie E BaracosDepartment of Oncology, Cross Cancer Institute, Edmonton, Alberta, Canada.
Aldo J Montano-LozaDivision of Gastroenterology and Liver Unit, University of Alberta Hospital, Edmonton, Alberta, Canada.
Alberta Hospital Edmonton · CAUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & Aims: Association between sarcopenia and mortality in cirrhosis is well recognised; however, little is known about the clinical implications of adipose tissue radiodensity, indicative of biological features. This study aimed to determine an association between high subcutaneous adipose tissue (SAT) radiodensity and survival, compare the prevalence of high SAT radiodensity between healthy population and patients with cirrhosis, and identify an association between computed tomography (CT)-measured SAT radiodensity and histological characteristics. Methods: Adult patients with cirrhosis (n = 786) and healthy donors (n = 129) with CT images taken as part of the liver transplant (LT) assessment were included. Abdominal SAT biopsies (1-2 g) were harvested from the incision site at the time of LT from 12 patients with cirrhosis. Results: The majority of patients were male (67%) with a mean model for end-stage liver disease (MELD) score of 15 ± 8. SAT radiodensity above -83 HU in females (sub-distribution hazard ratio [sHR] 1.84, 95% CI 1.20-2.85, Conclusion: High SAT radiodensity frequently presents and is associated with a higher mortality in cirrhosis. SAT morphological rearrangement in patients with high SAT radiodensity might indicate diminished lipid stores and alterations in tissue characteristics. Lay summary: Poor quality of subcutaneous adipose tissue (fat under the skin) is associated with higher mortality in patients with end-stage liver disease. Fat cells are smaller in patients with poor adipose tissue quality.

Indexed as

Computed tomographyCT attenuationCT, computed tomographyEnd-stage liver diseaseHCC, hepatocellular carcinomaHU, Hounsfield unitsL3, third lumbar vertebraLT, liver transplantNASH, non-alcoholic steatohepatitisOutcomesSAT, subcutaneous adipose tissuesHR, sub-distribution hazard ratio

Identifiers

PMID35600667
PMCPMC9117882
OpenAlexW4224944802

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.