Evidence map›Paper›PMID 36157148›Full record

ReviewJournal of clinical and experimental hepatology

Current Medical Treatment for Alcohol-Associated Liver Disease.

Gustavo Ayares, Francisco Idalsoaga, Luis A Díaz, Jorge Arnold, Juan P Arab

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of clinical and experimental hepatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
8.5field-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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Steatotic liver disease in Latin America: current views and perspectives.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  3. Article
  4. Review
  5. The Link between Alcohol Consumption and Kidney Injury.The American journal of pathology · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. MetALD: New Perspectives on an Old Overlooked Disease.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. 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

5 authors at 1 institution in 1 country.

Gustavo AyaresDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Francisco IdalsoagaDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Luis A DíazDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Jorge ArnoldDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Juan P ArabDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Pontificia Universidad Católica de Chile · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alcohol-associated liver disease is one of the main causes of chronic liver disease. It comprises a clinical-histologic spectrum of presentations, from steatosis, steatohepatitis, to different degrees of fibrosis, including cirrhosis and severe necroinflammatory disease, called alcohol-associated hepatitis. In this focused update, we aim to present specific therapeutic interventions and strategies for the management of alcohol-associated liver disease. Current evidence for management in all spectra of manifestations is derived from general chronic liver disease recommendations, but with a higher emphasis on abstinence and nutritional support. Abstinence should comprise the treatment of alcohol use disorder as well as withdrawal syndrome. Nutritional assessment should also consider the presence of sarcopenia and its clinical manifestation, frailty. The degree of compensation of the disease should be evaluated, and complications, actively sought. The most severe acute form of this disease is alcohol-associated hepatitis, which has high mortality and morbidity. Current treatment is based on corticosteroids that act by reducing immune activation and blocking cytotoxicity and inflammation pathways. Other aspects of treatment include preventing and treating hepatorenal syndrome as well as preventing infections although there is no clear evidence as to the benefit of probiotics and antibiotics in prophylaxis. Novel therapies for alcohol-associated hepatitis include metadoxine, interleukin-22 analogs, and interleukin-1-beta antagonists. Finally, granulocyte colony-stimulating factor, microbiota transplantation, and gut-liver axis modulation have shown promising results. We also discuss palliative care in advanced alcohol-associated liver disease.

Indexed as

AC, Amoxicillin/clavulanateACLF, Acute-on-Chronic Liver FailureADLs, Activities of Daily LivingAH, Alcohol-Associated HepatitisAKI-HRS, Acute Kidney Injury - Hepatorenal Syndromealcoholalcohol-associated hepatitisalcohol use disordersALDALD, Alcohol-Associated Liver DiseaseASH, Alcoholic SteatohepatitisAUD, Alcohol Use DisorderAWS, Alcohol Withdrawal SyndromeBCAAs, Branched-Chain Amino AcidsCDC, Center for Disease ControlCI, Confidence IntervalcirrhosisCOVID-19, Coronavirus Disease 2019CT, Computerized Tomographyfatty liver diseaseGABA, gamma-aminobutyric acid agonistHBV, Hepatitis B VirusHCC, Hepatocellular CarcinomaHCV, Hepatitis C VirusHE, Hepatic EncephalopathyHIV, Human Immunodeficiency VirusHR, Hazard RatioIBW, Ideal Body WeightICA, International Club of AscitesIL-1β, Interleukin-1βIL-22, Interleukin-22KPS, Karnofsky Performance StatusLB, Liver BiopsyLPS, LipopolysaccharideLSM, Liver Stiffness MeasurementLT, Liver TransplantationMDF, Maddrey’s Discriminant FunctionMELD, Model of End-Stage Liver DiseaseMRI, Magnetic Resonance ImagingMUST, Malnutrition Universal Screening ToolNIAAA, National Institute on Alcohol Abuse and AlcoholismNRS-2002, Nutritional Risk Screening-2002OR, Odds RatioPAMPs, Pathogen-Activated Molecular PatternsPMI, Psoas Muscle IndexPTX, PentoxifyllineRAI, Relative Adrenal InsufficiencyRCT, Randomized Clinical TrialsRFH-NPT, Royal Free Hospital-Nutritional Prioritizing ToolROS, Reactive Oxygen SpeciesRR, Relative RiskSIRS, Systemic Inflammatory Response SyndromesteatosisTNF, Tumor Necrosis FactorWKS, Wernicke-Korsakoff Syndrome

Identifiers

PMID36157148
PMCPMC9499849
OpenAlexW4211137458

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.