Evidence map›Paper›PMID 38544766›Full record

ArticleJournal of clinical and experimental hepatology

Etiological Spectrum of Cirrhosis in India: A Systematic Review and Meta-analysis.

Shekhar Swaroop, Manas Vaishnav, Umang Arora, Sagnik Biswas, Arnav Aggarwal, Soumya Sarkar, Puneet Khanna, Anshuman Elhence, Ramesh Kumar, Amit Goel and 1 more

Open access · greenAbstract 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.5field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Comment on non-invasive tools may better predict esophageal varices and their management.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  3. Article
  4. Article
  5. Awareness is inadequate among high school children about the hepatitis B virus infection in India.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Hepatitis B virus prevalence in India: A wake-up call for action.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Article
  11. Article
  12. Article
  13. Transfusion-related lung complications are uncommon in non-ventilated liver failure patients undergoing low-volume plasma exchange.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Article
  14. Article
  15. Article
  16. Review
  17. UnearthingJournal of clinical and experimental hepatology
    Article
  18. 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

11 authors at 2 institutions in 1 country.

Shekhar SwaroopDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, India.
Manas VaishnavDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, India.
Umang AroraDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, India.
Sagnik BiswasDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, India.
Arnav AggarwalDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, India.
Soumya SarkarDepartment of Anaesthesia, All India Institute of Medical Sciences, Kalyani, West Bengal, India.
Puneet KhannaDepartment of Anaesthesia, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Anshuman ElhenceDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, India.
Ramesh KumarDepartment of Gastroenterology, All India Institute of Medical Sciences, Patna, Bihar, India.
Amit GoelDepartment of Hepatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
ShalimarDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, India.
All India Institute of Medical Sciences · INSanjay Gandhi Post Graduate Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cirrhosis is a significant cause of morbidity and mortality globally and in India. This systematic review and meta-analysis aimed to ascertain the etiological spectrum and changing trends of cirrhosis in India. Methods: We searched electronic databases, including Pubmed/Medline, Scopus, and Embase. We included original studies that reported the etiology of cirrhosis in the Indian population. Results: We included 158 studies (adults: 147, children: 11). The overall pooled estimate of alcohol as a cause of cirrhosis in adults was 43.2% (95% confidence interval (CI) 39.8-46.6%; I Conclusions: Alcohol is the most common etiology of cirrhosis in adults in India. The proportions of alcohol and NAFLD-related cirrhosis are increasing, and those of viral hepatitis-related cirrhosis are reducing. The results of our meta-analysis will help formulate health policies and the allocation of resources.

Indexed as

alcoholchronic liver diseasehepatitis Bhepatitis C

Identifiers

PMID38544766
PMCPMC10964076
OpenAlexW4387454880

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.