Evidence map›Paper›PMID 38283275›Full record

ArticleHepatology forum2024

Changing trends in the etiology of liver transplantation in Turkiye: A multicenter study.

Mesut Akarsu, Suleyman Dolu, Murat Harputluoglu, Sezai Yilmaz, Murat Akyildiz, Genco Gencdal, Kamil Yalcin Polat, Dinc Dincer, Haydar Adanir, Ilker Turan and 14 more

Abstract read
In one paragraph

Article in Hepatology forum, 2024. 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
–field-weighted citation impact
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. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Liver Transplantation for Autoimmune Hepatitis: Infections are the Major Cause of Mortality.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    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

24 authors.

Mesut AkarsuDepartment of Gastroenterology, Dokuz Eylul University School of Medicine, Izmir, Turkiye.
Suleyman DoluDepartment of Gastroenterology, Dokuz Eylul University School of Medicine, Izmir, Turkiye.
Murat HarputluogluLiver Transplantation Institute, Inonu University School of Medicine, Malatya, Turkiye.
Sezai YilmazLiver Transplantation Institute, Inonu University School of Medicine, Malatya, Turkiye.
Murat AkyildizDepartment of Gastroenterology, Koc University School of Medicine, Istanbul, Turkiye.
Genco GencdalDepartment of Gastroenterology, Koc University School of Medicine, Istanbul, Turkiye.
Kamil Yalcin PolatLiver Transplant Center, Memorial Atasehir/Bahcelievler Hospitals, Istanbul, Turkiye.
Dinc DincerDepartment of Gastroenterology, Akdeniz University School of Medicine, Antalya, Turkiye.
Haydar AdanirDepartment of Gastroenterology, Akdeniz University School of Medicine, Antalya, Turkiye.
Ilker TuranDepartment of Gastroenterology, Ege University School of Medicine, Izmir, Turkiye.
Fulya GunsarDepartment of Gastroenterology, Ege University School of Medicine, Izmir, Turkiye.
Zeki KarasuDepartment of Gastroenterology, Ege University School of Medicine, Izmir, Turkiye.
Hale GokcanDepartment of Gastroenterology, Ankara University School of Medicine, Ankara, Turkiye.
Sedat KarademirDepartment of Gastroenterology, Guven Hospital, Ankara, Turkiye.
Gokhan KabacamDepartment of Gastroenterology, Guven Hospital, Ankara, Turkiye.
Meral Akdogan KayhanDepartment of Gastroenterology, University of Health Sciences, Ankara City Hospital, Ankara, Turkiye.
Murat KiyiciDepartment of Gastroenterology, Uludag University School of Medicine, Bursa, Turkiye.
Murat Taner GulsenDepartment of Gastroenterology, Gaziantep University School of Medicine, Gaziantep, Turkiye.
Yasemin BalabanDepartment of Gastroenterology, Hacettepe University School of Medicine, Ankara, Turkiye.
Ahmet Bulent DogrulDepartment of General Surgery, Hacettepe University, School of Medicine, Ankara, Turkiye.
Ali SenkayaDepartment of Gastroenterology, Ege University School of Medicine, Izmir, Turkiye.
Zeynep Melekoglu EllikDepartment of Gastroenterology, Ankara University School of Medicine, Ankara, Turkiye.
Fatih ErenDepartment of Gastroenterology, Uludag University School of Medicine, Bursa, Turkiye.
Ramazan IdilmanDepartment of Gastroenterology, Ankara University School of Medicine, Ankara, Turkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aim: This study aimed to identify the indications for liver transplantation (LT) based on underlying etiology and to characterize the patients who underwent LT. Materials and Methods: We conducted a multicenter cross-sectional observational study across 11 tertiary centers in Turkiye from 2010 to 2020. The study included 5,080 adult patients. Results: The mean age of patients was 50.3±15.2 years, with a predominance of female patients (70%). Chronic viral hepatitis (46%) was the leading etiological factor, with Hepatitis B virus infection at 35%, followed by cryptogenic cirrhosis (24%), Hepatitis C virus infection (8%), and alcohol-related liver disease (ALD) (6%). Post-2015, there was a significant increase in both the number of liver transplants and the proportion of living donor liver transplants (p<0.001). A comparative analysis of patient characteristics before and after 2015 showed a significant decline in viral hepatitis-related LT (p<0.001), whereas fatty liver disease-related LT significantly increased (p<0.001). Conclusion: Chronic viral hepatitis continues to be the primary indication for LT in Turkiye. However, the proportions of non-alcoholic fatty liver disease (NAFLD) and ALD-related LT have seen an upward trend over the years.

Indexed as

EtiologyHBVliver transplantationNAFLD

Identifiers

PMID38283275
PMCPMC10809344

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Registered trials

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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.