Evidence map›Paper›PMID 38846811›Full record

ArticleAnnals of medicine and surgery (2012)2024

Efficacy and safety of albumin for the treatment of hepatic encephalopathy: an updated systematic review and meta-analysis of randomized controlled trials.

Farhan Murtaza, Midhun Mathew, Oluwaseun Fagbamila, Sachin Subramani, Simran Nimal, Veeramachaneni Naga Nyshita, Vishnu Priya, Abu Talha Sany, Yamanth Kumar, Laura Cicani and 2 more

Abstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

12 authors.

Farhan MurtazaDepartment of Medicine, Allama Iqbal Medical College.
Midhun MathewDepartment of Medicine, Pennsylvania Hospital, Philadelphia, PA.
Oluwaseun FagbamilaSaint Elizabeth Health Care Center, Mississauga, ON, Canada.
Sachin SubramaniDepartment of Medicine, ESIC Medical College and Hospital, Gulbarga.
Simran NimalDepartment of Medicine, BJ Medical College, Pune.
Veeramachaneni Naga NyshitaDepartment of Medicine, Andhra Medical College, Visakhapatnam.
Vishnu PriyaDepartment of Medicine, Government Kilpauk Medical College, Chennai, India.
Abu Talha SanyDepartment of Medicine, Brahmanbaria Medical College & Hospital, Brahmanbaria, Bangladesh.
Yamanth KumarDepartment of Medicine, Government Kilpauk Medical College, Chennai, India.
Laura CicaniDepartment of Medicine, International University of Health Sciences, Las Vegas, NV.
Muhammad EhsanDepartment of Medicine, King Edward Medical University, Lahore, Pakistan.
Kamal KandelKathmandu University, Dhulikhel, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Albumin acts as a scavenger of reactive oxygen species and an inhibitor of inflammatory processes that underlie hepatic encephalopathy (HE). However, the role of albumin in hepatic encephalopathy is not well-established. The authors performed this meta-analysis to evaluate the efficacy and safety of albumin in the management of hepatic encephalopathy. Methods: The authors carried out an extensive search across multiple databases, including MEDLINE (via PubMed), Embase, CENTRAL, and various trial registries, to identify randomized controlled trials (RCTs) evaluating the impact of albumin administration in HE. The authors used a random-effects model for analyses and presented dichotomous outcomes and continuous outcomes as relative risk and mean difference, along with corresponding 95% CIs, respectively. Heterogeneity was assessed using both the I Results: Our meta-analysis included 4 RCTs involving 306 patients. Our primary outcomes, mortality, and persistence of HE were reported by all four studies. Albumin was found to significantly decrease mortality in patients with HE [risk ratio (RR) 0.52, 95% CI 0.32-0.83; Conclusion: Albumin administration in patients with hepatic encephalopathy decreases mortality but does not significantly impact the persistence of HE. Further high-quality, large-scale randomized controlled trials are needed to provide conclusive evidence.

Indexed as

albumincirrhosishepatic encephalopathymeta-analysis

Identifiers

PMID38846811
PMCPMC11152777

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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.