Evidence map›Paper›PMID 35739133›Full record

ReviewNature reviews. Disease primers2022

Hepatic encephalopathy.

Dieter Häussinger, Radha K Dhiman, Vicente Felipo, Boris Görg, Rajiv Jalan, Gerald Kircheis, Manuela Merli, Sara Montagnese, Manuel Romero-Gomez, Alfons Schnitzler and 2 more

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 114 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
114citing papers in PubMed, 3 pooled it
25.1field-weighted citation impact, top 1% 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

114 citing papers in PubMed, 3 syntheses or guidelines pooled it, 195 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Review
  7. Article
  8. Neurofilament Light Chain in Cerebrospinal Fluid and Blood Identifies Patients With Minimal and Overt Hepatic Encephalopathy.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Reducing the Risk of Overt Hepatic Encephalopathy Recurrence: A Narrative Review.Journal of clinical and translational hepatology · 2026
    Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

54 more citing papers are in PubMed but not listed here.

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

12 authors at 11 institutions in 6 countries.

Dieter HäussingerDepartment of Gastroenterology, Hepatology and Infectious Diseases, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany. haeussin@uni-duesseldorf.de.ORCID 0000-0002-5936-682X
Radha K DhimanDepartment of Hepatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, (Uttar Pradesh), India.ORCID 0000-0002-4107-8512
Vicente FelipoLaboratory of Neurobiology, Centro de Investigación Principe Felipe, Valencia, Spain.ORCID 0000-0003-3145-9538
Boris GörgDepartment of Gastroenterology, Hepatology and Infectious Diseases, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0002-4630-9420
Rajiv JalanLiver Failure Group ILDH, Division of Medicine, UCL Medical School, Royal Free Campus, London, UK.
Gerald KircheisDepartment of Gastroenterology, Diabetology and Hepatology, University Hospital Brandenburg an der Havel, Brandenburg Medical School, Brandenburg an der Havel, Germany.ORCID 0000-0001-7948-2900
Manuela MerliDepartment of Translational and Precision Medicine, Universita' degli Studi di Roma - Sapienza, Roma, Italy.ORCID 0000-0003-3173-9767
Sara MontagneseDepartment of Medicine, University of Padova, Padova, Italy.ORCID 0000-0003-2800-9923
Manuel Romero-GomezUCM Digestive Diseases, Virgen del Rocío University Hospital, Institute of Biomedicine of Seville (HUVR/CSIC/US), University of Seville, Seville, Spain.ORCID 0000-0001-8494-8947
Alfons SchnitzlerInstitute of Clinical Neuroscience and Medical Psychology, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0002-6414-7939
Simon D Taylor-RobinsonDepartment of Surgery and Cancer, St. Mary's Hospital Campus, Imperial College London, London, UK.ORCID 0000-0002-8811-1834
Hendrik VilstrupDepartment of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark.
Düsseldorf University Hospital · DEAarhus University Hospital · DKCentro de Investigacion Principe Felipe · ESHeinrich Heine University Düsseldorf · DEInstituto de Biomedicina de Sevilla · ESSanjay Gandhi Post Graduate Institute of Medical Sciences · INSapienza University of Rome · ITSt Mary's Hospital · GBThe Royal Free Hospital · GBUniversitätsklinikum Brandenburg an der Havel · DEUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatic encephalopathy (HE) is a prognostically relevant neuropsychiatric syndrome that occurs in the course of acute or chronic liver disease. Besides ascites and variceal bleeding, it is the most serious complication of decompensated liver cirrhosis. Ammonia and inflammation are major triggers for the appearance of HE, which in patients with liver cirrhosis involves pathophysiologically low-grade cerebral oedema with oxidative/nitrosative stress, inflammation and disturbances of oscillatory networks in the brain. Severity classification and diagnostic approaches regarding mild forms of HE are still a matter of debate. Current medical treatment predominantly involves lactulose and rifaximin following rigorous treatment of so-called known HE precipitating factors. New treatments based on an improved pathophysiological understanding are emerging.

Indexed as

Esophageal and Gastric VaricesHepatic EncephalopathyGastrointestinal HemorrhageHumansInflammationLiver Cirrhosis

Identifiers

PMID35739133
OpenAlexW4283329320

What OpenQuestion holds

Textmetadata
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.