Evidence map›Paper›PMID 35812989›Full record

ArticleEClinicalMedicine2022

Predictors of patient survival following liver transplant in non-alcoholic steatohepatitis: A systematic review and meta-analysis.

Adam Minich, Fakhar Ali Qazi Arisar, Noor-Ul Saba Shaikh, Leanne Herman, Amirhossein Azhie, Ani Orchanian-Cheff, Keyur Patel, Sareh Keshavarzi, Mamatha Bhat

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 21 citations in OpenAlex.

  1. Risk Factors of All-Causes Mortality andArchives of Iranian medicine · 2025
    Article
  2. Review
  3. A Three Decade Analysis of Trends in Length of Stay After Liver Transplantation.Progress in transplantation (Aliso Viejo, Calif.) · 2025
    Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
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 2 institutions in 2 countries.

Adam MinichFaculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Fakhar Ali Qazi ArisarAjmera Transplant Centre, Toronto General Hospital, University Health Network, Toronto, Canada.
Noor-Ul Saba ShaikhAjmera Transplant Centre, Toronto General Hospital, University Health Network, Toronto, Canada.
Leanne HermanFaculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Amirhossein AzhieAjmera Transplant Centre, Toronto General Hospital, University Health Network, Toronto, Canada.
Ani Orchanian-CheffLibrary and Information Services, University Health Network, Toronto, Ontario, Canada.
Keyur PatelDivision of Gastroenterology and Hepatology, Department of Medicine, University of Toronto, Canada.
Sareh KeshavarziDepartment of Biostatistics, Princess Margaret Cancer Center, University Health Network, Toronto, Canada.
Mamatha BhatAjmera Transplant Centre, Toronto General Hospital, University Health Network, Toronto, Canada.
University Health Network · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Non-alcoholic steatohepatitis (NASH) is the second-leading indication for liver transplantation (LT) worldwide and is projected to become the leading indication. Our study aimed to determine clinical variables that predict post-LT survival in NASH. Methods: A systematic review and meta-analysis was performed. On June 18, 2020 and April 28, 2022, Ovid MEDLINE ALL, Ovid Embase, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials were searched. No date limits were applied. Inclusion criteria specified the type of study and our study's population/comparison and outcome/timepoints. Pediatric, animal, retransplantation-only, and studies classifying cryptogenic cirrhosis patients with body mass index (BMI) <30 as NASH were excluded. Studies with duplicate cohorts and missing information were excluded from the meta-analysis. Studies were appraised using the Newcastle-Ottawa Scale. This study was preregistered in PROSPERO (CRD42020196915). Findings: Out of 8583 studies identified, 25 studies were included in the systematic review, while 5 studies were included in the meta-analysis. Our quantitative review suggested that the following variables were predictive of post-LT NASH patient survival: recipient age, functional status, pre-LT hepatoma, model for end-stage liver disease (MELD) score, diabetes mellitus (DM), pre-LT dialysis, hepatic encephalopathy, portal vein thrombosis, hospitalization/ICU at LT, and year of LT. Predictors of graft survival included recipient age, BMI, pre-LT dialysis, and DM. Our pooled meta-analyses included five predictors of patient survival. Increased patient mortality was associated with older recipient age (HR=2·07, 95%CI: 1·71-2·50, I Interpretation: Our systematic review and meta-analysis aimed to synthesise predictive variables of mortality in LT NASH patients. Clinically, this might help to identify modifiable risk factors that can be optimized in the post-transplant setting to improve patient outcomes and optimises decision making in the resource-limited LT setting. Funding: Toronto General and Western Hospital Foundation.

Indexed as

Fatty liverLiverNAFLNAFLDNASHSteatohepatitisSurvivalTransplantTransplantation

Identifiers

PMID35812989
PMCPMC9257342
OpenAlexW4283777976

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.