Evidence map›Paper›PMID 36676081›Full record

ReviewLife (Basel, Switzerland)2023

Clinical Guideline on Perioperative Management of Patients with Advanced Chronic Liver Disease.

Lidia Canillas, Amalia Pelegrina, Juan Álvarez, Elena Colominas-González, Antonio Salar, Lluís Aguilera, Fernando Burdio, Antonio Montes, Santiago Grau, Luis Grande and 1 more

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07249294 (Multidisciplinary Program to Avoid NSAIDs or Metamizole), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.5field-weighted citation impact, top 4% 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.

NCT07249294 naactive not recruitingnot on this map

Multidisciplinary Program to Avoid NSAIDs or Metamizole (HepatoAINEs Study) in Patients With Advanced Chronic Liver Disease Undergoing Major Surgery

TypeinterventionalSponsorParc de Salut MarRan2023 to 2026Enrolled84ConditionsAdvanced Chronic Liver Disease, Portal Hypertension Related to CirrhosisArmsMultidisciplinary support program
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Article
  3. Endoscopic sleeve gastrectomyWorld journal of gastrointestinal pharmacology and therapeutics · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. 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

11 authors at 3 institutions in 1 country.

Lidia CanillasDepartment of Medicine and Life Sciences, Universitat Pompeu Fabra, 08003 Barcelona, Spain.
Amalia PelegrinaDepartment of Medicine and Life Sciences, Universitat Pompeu Fabra, 08003 Barcelona, Spain.
Juan ÁlvarezIMIM (Hospital del Mar Medical Research Institute), 08003 Barcelona, Spain.
Elena Colominas-GonzálezDepartment of Medicine and Life Sciences, Universitat Pompeu Fabra, 08003 Barcelona, Spain.
Antonio SalarHaematology Department, Hospital del Mar, 08003 Barcelona, Spain.
Lluís AguileraIMIM (Hospital del Mar Medical Research Institute), 08003 Barcelona, Spain.
Fernando BurdioDepartment of Medicine and Life Sciences, Universitat Pompeu Fabra, 08003 Barcelona, Spain.
Antonio MontesDepartment of Medicine and Life Sciences, Universitat Pompeu Fabra, 08003 Barcelona, Spain.
Santiago GrauDepartment of Medicine and Life Sciences, Universitat Pompeu Fabra, 08003 Barcelona, Spain.ORCID 0000-0002-8428-1836
Luis GrandeDepartment of Surgery, Hospital del Mar, 08003 Barcelona, Spain.
José A CarriónDepartment of Medicine and Life Sciences, Universitat Pompeu Fabra, 08003 Barcelona, Spain.ORCID 0000-0001-7191-6081
Universitat Pompeu Fabra · ESHospital Del Mar · ESUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Patients with advanced chronic liver disease (ACLD) are living longer with more comorbidities because of improved medical and surgical management. However, patients with ACLD are at increased risk of perioperative morbidity and mortality; (2) Methods: We conducted a comprehensive review of the literature to support a narrative clinical guideline about the assessment of mortality risk and management of perioperative morbidity in patients with ACLD undergoing surgical procedures; (3) Results: Slight data exist to guide the perioperative management of patients with ACLD, and most recommendations are based on case series and expert opinion. The severity of liver dysfunction, portal hypertension, cardiopulmonary and renal comorbidities, and complexity of surgery and type (elective versus emergent) are predictors of perioperative morbidity and mortality. Expert multidisciplinary teams are necessary to evaluate and manage ACLD before, during, and after surgical procedures; (4) Conclusions: This clinical practice document updates the available data and recommendations to optimize the management of patients with advanced chronic liver disease who undergo surgical procedures.

Indexed as

hepaticmortalityrisksurgery

Identifiers

PMID36676081
PMCPMC9860873
OpenAlexW4313584326

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.