Evidence map›Paper›PMID 36157153›Full record

ArticleJournal of clinical and experimental hepatology

Does ALT Correlate with Survival After Liver Resection for Colorectal Liver Metastases?

Iram Parwaiz, Abdul Hakeem, Obi Nwogwugwu, Raj Prasad, Ernest Hidalgo, Peter Lodge, Giles Toogood, Samir Pathak

Open access · bronzeAbstract read
In one paragraph

Article 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

Iram ParwaizBristol Royal Infirmary, Upper Maudlin Street, Bristol BS2 8HW, UK.
Abdul HakeemSt James's University Hospital, Beckett Street, Leeds, LS9 7TF, UK.
Obi NwogwugwuBristol Royal Infirmary, Upper Maudlin Street, Bristol BS2 8HW, UK.
Raj PrasadSt James's University Hospital, Beckett Street, Leeds, LS9 7TF, UK.
Ernest HidalgoSt James's University Hospital, Beckett Street, Leeds, LS9 7TF, UK.
Peter LodgeSt James's University Hospital, Beckett Street, Leeds, LS9 7TF, UK.
Giles ToogoodSt James's University Hospital, Beckett Street, Leeds, LS9 7TF, UK.
Samir PathakBristol Royal Infirmary, Upper Maudlin Street, Bristol BS2 8HW, UK.
St James's University Hospital · GBBristol Royal Infirmary · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The pringle manoeuvre is commonly used during hepatectomy, which may cause ischaemia-reperfusion injury and transient liver dysfunction. Post-operative liver transaminases are often used to assess ischaemia-reperfusion injury, although there is conflicting evidence on survival outcomes. The primary aim was to assess post-operative alanine aminotransferase (ALT) with survival outcomes. Secondary aims were to assess ALT level with the length of stay and overall complications. Methods: Post-operative day 2 ALT levels of five times the upper limit of normal (i.e. 280 U/L) were considered as clinically significant transaminitis. Kaplan-Meier survival curves were studied using log-rank analysis to identify the predictors of overall survival (OS) and recurrence-free survival (RFS). Results: Out of 752 patients who underwent hepatectomy, 527 (70.1%) patients had low ALT (<280 U/L) and 225 (29.9%) patients had high ALT on day 2 post-op. Post-operative ALT did not affect OS ( Conclusions: Post-operative ALT does not affect survival outcomes post-hepatectomy for colorectal liver metastases.

Indexed as

ALT, alanine aminotransferaseAST, aspartate transferaseCRLM, colorectal liver metastasesIRI, ischaemia-reperfusion injuryliver resectionOS, overall survivaloverall survivalpost-operative complicationsreperfusion injuryRFS, risk free survivaltransaminases

Identifiers

PMID36157153
PMCPMC9499836
OpenAlexW4225265464

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.