Evidence map›Paper›PMID 37622052›Full record

ReviewCureus2023

Advances in Understanding and Managing Autoimmune Hepatitis: A Narrative Review.

Vikas Yadav, Rabbia Irfan, Shamayel Safdar, Vyshnavidevi Sunkara, Chukwuyem Ekhator, Praful R Pendyala, Monika Devi, S M Iram Shahzed, Archana Das, Maryam Affaf and 4 more

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  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

14 authors at 7 institutions in 5 countries.

Vikas YadavInternal Medicine, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, IND.
Rabbia IrfanInternal Medicine, Mayo Hospital, Lahore, PAK.
Shamayel SafdarInternal Medicine, Mayo Hospital, Lahore, PAK.
Vyshnavidevi SunkaraMedicine, Katuri Medical College and Hospital, Guntur, IND.
Chukwuyem EkhatorNeuro-Oncology, New York Institute of Technology, College of Osteopathic Medicine, Old Westbury, USA.
Praful R PendyalaNeurology, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, IND.
Monika DeviMedicine, Ziauddin University, Karachi, PAK.
S M Iram ShahzedInternal Medicine, South Brooklyn Health, Brooklyn, USA.
Archana DasInternal Medicine, North East Medical College and Hospital, Sylhet, BGD.
Maryam AffafMedicine, Khyber Medical University, Peshawar, PAK.
Sophia B BellegardePathology and Laboratory Medicine, American University of Antigua, St. John's, ATG.
Riya ShresthaMedicine, Nepal Medical College and Teaching Hospital, Kathmandu, NPL.
Muhammad Arsal NaseemMedicine, Mayo Hospital, Lahore, PAK.
Ahmed Al KhalifaMedical School, College of Medicine, Sulaiman Alrajhi University, Al Bukayriyah, SAU.
Mayo Hospital · PKAmerican University of Antigua · AGCenter for Brooklyn History · USNew York Institute of Technology · USPandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences · INSylhet MAG Osmani Medical College · BDZiauddin University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autoimmune hepatitis (AIH) is a chronic liver disease characterized by immune-mediated destruction of hepatocytes, leading to inflammation and fibrosis. In recent years, significant advances have been made in understanding the pathogenesis, epidemiology, diagnosis, and treatment of AIH. This comprehensive narrative review aims to provide an up-to-date overview of these advances. The review begins by outlining the historical background of AIH, dating back to its initial recognition in the 1940s, and highlights the evolution of diagnostic criteria and classification based on autoantibody profiles. The epidemiology of AIH is explored, discussing its varying prevalence across different regions and the role of genetic predisposition, viral infections, and drug exposure as risk factors. Furthermore, the review delves into the pathogenesis of AIH, focusing on the dysregulated immune response, involvement of T cells, and potential contribution of the gut microbiome. Clinical presentation, diagnostic criteria, and liver biopsy as crucial tools for diagnosis are also discussed. Regarding management, the review provides an in-depth analysis of the standard first-line treatments involving glucocorticoids and azathioprine, as well as alternative therapies for non-responsive cases. Additionally, emerging second and third-line treatment options are examined. In conclusion, this narrative review highlights the complexity of AIH and underscores the importance of early diagnosis and individualized treatment approaches to improve patient outcomes. Further research and clinical trials are needed to optimize AIH management and ensure a better long-term prognosis for affected individuals.

Indexed as

autoimmuneautoimmune liver diseasehepatitishepatobiliaryinflammationliver disease

Identifiers

PMID37622052
PMCPMC10446851
OpenAlexW4386098547

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.