Evidence map›Paper›PMID 38385884›Full record

GuidelineAlimentary pharmacology & therapeutics2024

UK guideline on the transition and management of childhood liver diseases in adulthood.

Deepak Joshi, Jeremy Nayagam, Lisa Clay, Jenny Yerlett, Lee Claridge, Jemma Day, James Ferguson, Paul Mckie, Roshni Vara, Henry Pargeter and 4 more

Abstract readPractice GuidelineSystematic Review
PubMed Publisher
In one paragraph

Guideline in Alimentary pharmacology & therapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
8.7field-weighted citation impact, top 2% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. [Transition in gastroenterology and hepatology].Innere Medizin (Heidelberg, Germany) · 2025
    Review
  5. Article
  6. Review
  7. Loci Associated With Susceptibility to Biliary Atresia-A Genome-Wide Association Study in Taiwan.Pediatrics international : official journal of the Japan Pediatric Society
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Deepak JoshiInstitute of Liver Studies, King's College Hospital NHS Foundation Trust, London, UK.ORCID 0000-0001-9547-2809
Jeremy NayagamInstitute of Liver Studies, King's College Hospital NHS Foundation Trust, London, UK.ORCID 0000-0002-0344-0218
Lisa ClayPaediatric Liver, GI and Nutrition service, King's College Hospital NHS Foundation Trust, London, UK.
Jenny YerlettPaediatric Liver, GI and Nutrition service, King's College Hospital NHS Foundation Trust, London, UK.
Lee ClaridgeLeeds Liver Unit, St James's University Hospital, Leeds, UK.
Jemma DayDepartment of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
James FergusonNational Institute for Health Research, Birmingham Biomedical Research Centre, University of Birmingham, Birmingham, UK.ORCID 0000-0002-2529-0409
Paul MckieDepartment of Social Work, King's College Hospital NHS Foundation Trust, London, UK.
Roshni VaraPaediatric Liver, GI and Nutrition service, King's College Hospital NHS Foundation Trust, London, UK.
Henry PargeterPatient Representative, London, UK.
Rachel LockyerPatient Representative, London, UK.
Rebecca JonesLeeds Liver Unit, St James's University Hospital, Leeds, UK.
Michael HeneghanInstitute of Liver Studies, King's College Hospital NHS Foundation Trust, London, UK.
Marianne SamynPaediatric Liver, GI and Nutrition service, King's College Hospital NHS Foundation Trust, London, UK.ORCID 0000-0003-3837-2304
King's College Hospital NHS Foundation Trust · GBSt James's University Hospital · GBKing's College London · GBNational Institute for Health Research · GB

Funding

Medical Research Council MR/W030462/1
6 · The paper itself

Abstract

introductionImproved outcomes of liver disease in childhood and young adulthood have resulted in an increasing number of young adults (YA) entering adult liver services. The adult hepatologist therefore requires a working knowledge in diseases that arise almost exclusively in children and their complications in adulthood.

aimsTo provide adult hepatologists with succinct guidelines on aspects of transitional care in YA relevant to key disease aetiologies encountered in clinical practice.

methodsA systematic literature search was undertaken using the Pubmed, Medline, Web of Knowledge and Cochrane database from 1980 to 2023. MeSH search terms relating to liver diseases ('cholestatic liver diseases', 'biliary atresia', 'metabolic', 'paediatric liver diseases', 'autoimmune liver diseases'), transition to adult care ('transition services', 'young adult services') and adolescent care were used. The quality of evidence and the grading of recommendations were appraised using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system.

resultsThese guidelines deal with the transition of YA and address key aetiologies for the adult hepatologist under the following headings: (1) Models and provision of care; (2) screening and management of mental health disorders; (3) aetiologies; (4) timing and role of liver transplantation; and (5) sexual health and fertility.

conclusionsThese are the first nationally developed guidelines on the transition and management of childhood liver diseases in adulthood. They provide a framework upon which to base clinical care, which we envisage will lead to improved outcomes for YA with chronic liver disease.

Indexed as

CholestasisLiver DiseasesLiver TransplantationAdolescentChildHumansUnited KingdomYoung Adult

Identifiers

PMID38385884
OpenAlexW4392041022

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.