Evidence map›Paper›PMID 37456673›Full record

ArticleJHEP reports : innovation in hepatology2023

Use of albumin infusion for cirrhosis-related complications: An international position statement.

Zhaohui Bai, Nahum Méndez-Sánchez, Fernando Gomes Romeiro, Andrea Mancuso, Cyriac Abby Philips, Frank Tacke, Metin Basaranoglu, Massimo Primignani, Mostafa Ibrahim, Yu Jun Wong and 24 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06483737 (Human Albumin Infusion in Liver Cirrhosis and Overt Hepatic Encephalopathy), which is not on this map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
8.6field-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.

NCT06483737 narecruitingnot on this mapstarted 2025, after this paper: background citation

Human Albumin Infusion in Liver Cirrhosis and Overt Hepatic Encephalopathy (HACHE): an Invesitgator-initiated, Open-label, Multicenter, Randomized Controlled Trial

TypeinterventionalSponsorGeneral Hospital of Shenyang Military RegionRan2025 to 2027Enrolled174ConditionsOvert Hepatic EncephalopathyArmsHuman albumin infusion at a modified dosage, Human albumin infusion at a routine dosage, Lactulose, Rifaximin, Ornithine Aspartate
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Low-Dose vs. Standard Care Iv Human Albumin During Large-Volume Paracentesis in Patients With Liver Cirrhosis: A Systematic Review.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Trial
  6. Influence of Albumin Treatment Duration on Outcome of Terlipressin Therapy in Patients With HRS-AKI.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Observational
  7. Article
  8. Article
  9. Review
  10. Review
  11. Clinical Perspectives on Long-Term Albumin Therapy in Decompensated Cirrhosis: A Nationwide Delphi Survey in Spain-The ALBA Study.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors at 20 institutions in 17 countries.

Zhaohui BaiDepartment of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, China.
Nahum Méndez-SánchezLiver Research Unit, Medica Sur Clinic and Foundation, National Autonomous University of Mexico, Mexico City, Mexico.
Fernando Gomes RomeiroInternal Medicine Department, Botucatu Medical School, São Paulo, Brazil.
Andrea MancusoMedicina Interna 1, Azienda di Rilievo Nazionale ad Alta Specializzazione Civico-Di Cristina-Benfratelli, Palermo, Italy.
Cyriac Abby PhilipsClinical and Translational Hepatology, The Liver Institute, Center of Excellence in GI Sciences, Rajagiri Hospital, Aluva, India.
Frank TackeDepartment of Hepatology and Gastroenterology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Metin BasaranogluDivision of Gastroenterology, Department of Internal Medicine, Bezmialem Vakif University, Istanbul, Turkey.
Massimo PrimignaniDivision of Gastroenterology and Hepatology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Mostafa IbrahimDepartment of Gastroenterology and Hepatology, Theodor Bilharz Research Institute, Cairo, Egypt.
Yu Jun WongDepartment of Gastroenterology and Hepatology, Changi General Hospital, Singapore.
Filipe Gaio NeryServiço de Cuidados Intensivos, Unidade de Cuidados Intermédios Médico-Cirúrgica, Centro Hospitalar Universitário do Porto, Porto, Portugal.
Rolf TeschkeDepartment of Internal Medicine II, Division of Gastroenterology and Hepatology, Klinikum Hanau, Germany.
Carlos Noronha FerreiraServiço de Gastrenterologia e Hepatologia, Hospital de Santa Maria-Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.
Alberto E MuñozSección Hepatología, Hospital Dr. Carlos B. Udaondo. Ciudad Autónoma de Buenos Aires, Argentina.
Kanokwan PinyopornpanishDepartment of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Thierry ThevenotCentre Hospitalier Universitaire de Besançon, Hôpital Jean Minjoz, Service d'Hépatologie et de Soins Intensifs Digestifs, Besançon, France.
Shivaram Prasad SinghKalinga Gastroenterology Foundation, Odisha, India.
Arpan MohantySection of Gastroenterology, Boston Medical Center, Boston, MA, USA.
Sanjaya K SatapathyDepartment of Internal Medicine, Division of Hepatology, Sandra Atlas Bass Center for Liver Diseases & Transplantation, Donald and Barbara Zucker School of Medicine for Hofstra/Northwell Health, Manhasset, New York, USA.
Lorenzo RidolaDepartment of Translational and Precision Medicine, "Sapienza" University of Rome, Rome, Italy.
Hitoshi MaruyamaDepartment of Gastroenterology, Juntendo University, Hongo, Bunkyo-ku, Tokyo, Japan.
Evangelos CholongitasFirst Department of Internal Medicine, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Giovanni Battista Levi SandriDivision of General Surgery and Liver Transplantation, San Camillo Hospital, Rome, Italy.
Li YangSichuan University-University of Oxford Huaxi Joint Centre for Gastrointestinal Cancer, Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, Chengdu, China.
ShalimarDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India.
Yongping YangSenior Department of Hepatology, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Erica VillaDepartment of Gastroenterology, University of Modena & Reggio Emilia and Azienda Ospedaliero-Universitaria di Modena, Italy.
Aleksander KragInstitute of Clinical Research, University of Southern Denmark, Odense, Denmark.
Florence WongDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Rajiv JalanLiver Failure Group, UCL Institute for Liver and Digestive Health, The Royal Free Hospital, University College London, London, UK.
Alastair O'BrienDivision of Medicine, Royal Free Campus, London, UK.
Mauro BernardiDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Xingshun QiDepartment of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, China.
Liver Cirrhosis-related Complications (LCC)-International Special Interest Group
Shenyang Pharmaceutical University · CNThe Royal Free Hospital · GBAll India Institute of Medical Sciences · INAzienda di Rilievo Nazionale ed Alta Specializzazione · ITBezmiâlem Vakıf Üniversitesi · TRBoston Medical Center · USCentre Hospitalier Universitaire de Besançon · FRCentro Hospitalar do Porto · PTChangi General Hospital · SGCharité - Universitätsmedizin Berlin · DEChiang Mai University · THChinese PLA General Hospital · CNFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITHospital de Santa Maria · PTHospital Médica Sur · MXIRCCS San Camillo Hospital · ITJuntendo University · JPKlinikum Hanau · DENational and Kapodistrian University of Athens · GRNorthwell Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & Aims: Numerous studies have evaluated the role of human albumin (HA) in managing various liver cirrhosis-related complications. However, their conclusions remain partially controversial, probably because HA was evaluated in different settings, including indications, patient characteristics, and dosage and duration of therapy. Methods: Thirty-three investigators from 19 countries with expertise in the management of liver cirrhosis-related complications were invited to organise an International Special Interest Group. A three-round Delphi consensus process was conducted to complete the international position statement on the use of HA for treatment of liver cirrhosis-related complications. Results: Twelve clinically significant position statements were proposed. Short-term infusion of HA should be recommended for the management of hepatorenal syndrome, large volume paracentesis, and spontaneous bacterial peritonitis in liver cirrhosis. Its effects on the prevention or treatment of other liver cirrhosis-related complications should be further elucidated. Long-term HA administration can be considered in specific settings. Pulmonary oedema should be closely monitored as a potential adverse effect in cirrhotic patients receiving HA infusion. Conclusions: Based on the currently available evidence, the international position statement suggests the potential benefits of HA for the management of multiple liver cirrhosis-related complications and summarises its safety profile. However, its optimal timing and infusion strategy remain to be further elucidated. Impact and implications: Thirty-three investigators from 19 countries proposed 12 position statements on the use of human albumin (HA) infusion in liver cirrhosis-related complications. Based on current evidence, short-term HA infusion should be recommended for the management of HRS, LVP, and SBP; whereas, long-term HA administration can be considered in the setting where budget and logistical issues can be resolved. However, pulmonary oedema should be closely monitored in cirrhotic patients who receive HA infusion.

Indexed as

DecompensatedHuman albuminKidney injuryLiver failureManagementPortal hypertensionSepsis

Identifiers

PMID37456673
PMCPMC10339261
OpenAlexW4368340905

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.