Evidence map›Paper›PMID 36632319›Full record

ReviewWorld journal of gastroenterology2022

Current and future perspectives on acute-on-chronic liver failure: Challenges of transplantation, machine perfusion, and beyond.

Bianca Della Guardia, Amanda P C S Boteon, Celso E L Matielo, Guilherme Felga, Yuri L Boteon

Open access · hybridAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Improving outcomes in donation after circulatory death vs. donation after brain death liver transplantation for acute-on-chronic liver failure.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  3. Article
  4. Article
  5. [Liver transplantation in acute and acute-on-chronic liver failure].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024
    Review
  6. Article
  7. Article
  8. Review
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.

Bianca Della GuardiaLiver Unit, Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil.
Amanda P C S BoteonLiver Unit, Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil.
Celso E L MatieloLiver Unit, Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil.
Guilherme FelgaLiver Unit, Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil.
Yuri L BoteonLiver Unit, Hospital Israelita Albert Einstein, São Paulo 05652-900, Brazil.
Hospital Israelita Albert Einstein · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute-on-chronic liver failure (ACLF) is a syndrome that occurs in patients with chronic liver disease and is characterized by acute decompensation, organ failure and high short-term mortality. Partially due to the lack of universal diagnostic criteria, the actual ACLF prevalence remains unclear; nevertheless, it is expected to be a highly prevalent condition worldwide. Earlier transplantation is an effective protective measure for selected ACLF patients. Besides liver trans-plantation, diagnosing and treating precipitant events and providing supportive treatment for organ failures are currently the cornerstone of ACLF therapy. Although new clinical specific therapies have been researched, more studies are necessary to assess safety and efficacy. Therefore, future ACLF management strategies must consider measures to improve access to liver transplantation because the time window for this life-saving therapy is frequently narrow. Thus, an urgent and global discussion about allocation and prioritization for transplantation in critically ill ACLF patients is needed because there is evidence suggesting that the current model may not portray their waitlist mortality. In addition, while donor organ quality is meant to be a prognostic factor in the ACLF setting, recent evidence suggests that machine perfusion of the liver may be a safe tool to improve the donor organ pool and expedite liver transplantation in this scenario.

Indexed as

Acute-On-Chronic Liver FailureLiver TransplantationHumansLiver CirrhosisPerfusionPrognosisAcute-on-chronic liver failureHypothermic oxygenated machine perfusionLiver cirrhosisLiver transplantationMachine perfusion

Identifiers

PMID36632319
PMCPMC9827581
OpenAlexW4312216479

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.