Evidence map›Paper›PMID 37250889›Full record

ArticleJournal of clinical and experimental hepatology

LTSI Consensus Guidelines: Preoperative Pulmonary Evaluation in Adult Liver Transplant Recipients.

Shweta A Singh, Piyush Shrivastava, Anil Agarwal, K Nandakumar, Vaibhav K Nasa, G V Premkumar, Akila Rajakumar, Ameya Panchwagh, Vijay Vohra, Sharmila Ranade and 4 more

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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. [Guidelines for the diagnosis and treatment of acute-on-chronic liver failure (2025 version)].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Guideline
  2. Article
  3. Article
  4. Pulmonary Assessment of the Liver Transplant Recipient.Journal of clinical and experimental hepatology
    Review
  5. Review
  6. 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

14 authors at 7 institutions in 1 country.

Shweta A SinghCenter for Liver & Biliary Sciences, Max Super Speciality Hospital, New Delhi, 110017, India.
Piyush ShrivastavaLiver Transplant Anaesthesia, Fortis Hospital, Noida, India.
Anil AgarwalLiver Transplant Anaesthesia, Fortis Hospital, Noida, India.
K NandakumarLiver Transplant Anaesthesia, Apollo Main Hospital, Greams Road, Chennai, India.
Vaibhav K NasaCenter for Liver & Biliary Sciences, Max Super Speciality Hospital, New Delhi, 110017, India.
G V PremkumarAIG Hospitals, Hyderabad, India.
Akila RajakumarDr. Rela Institute and Medical Centre, Chromepet, Chennai, Tamil Nadu, India.
Ameya PanchwaghSir H.N. Reliance Foundation Hospital, Mumbai, India.
Vijay VohraMedanta - The Medicity Hospital, Gurugram, India.
Sharmila RanadeKokilaben Dhirubhai Ambani Hospital and Medical Research Center, Mumbai, India.
Lakshmi KumarAmrita Institute of Medical Sciences & Research Centre, Kochi, India.
Neeraj SarafMedanta - The Medicity Hospital, Gurugram, India.
V R ShahInstitute of Kidney Disease and Research Centre-ITS, Ahmedabad, Gujarat, India.
S SudhidharanHPB and LT Surgery, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
Amrita Institute of Medical Sciences and Research Centre · INFortis Hospital · INMax Super Speciality Hospital · INMedanta The Medicity · INInstitute of Transplantation Sciences · INKokilaben Dhirubhai Ambani Hospital · INSir H.N. Reliance Foundation Hospital and Research Centre · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The relationship between chronic liver disease and respiratory symptoms and hypoxia is well recognized. Over the last century, three pulmonary complications specific to chronic liver disease (CLD) have been characterized: hepatopulmonary syndrome, portopulmonary hypertension, and hepatic hydrothorax. Apart from that coexisting pulmonary disease like chronic obstructive lung disease and interstitial lung disease also complicate the outcomes after liver transplantation (LT). Assessment for evaluation of underlying pulmonary disorders is essential to improve outcomes in patients with CLD, posted for LT. This consensus guideline of the Liver Transplant Society of India (LTSI) provides a comprehensive review of pulmonary issues in CLD, related and unrelated to underlying liver disease and gives recommendations for pulmonary screening in specific clinical scenarios in adults with chronic liver disease planned for LT. This document also aims to standardize the strategies for preoperative evaluation of these pulmonary issues in this subset of patients. Proposed recommendations were based on selected single case reports, small series, registries, databases, and expert opinion. The paucity of randomized, controlled trials in either of these disorders was noted. Additionally, this review will highlight the lacunae in our current evaluation strategy, challenges faced, and will provide direction to potentially useful futuristic preoperative evaluation strategies.

Indexed as

hepatopulmonary syndromeliver transplantportal hypertensionpulmonary issues in chronic liver diseasepulmonary vascular complications

Identifiers

PMID37250889
PMCPMC10213854
OpenAlexW4312221296

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.