Evidence map›Paper›PMID 39365139›Full record

ReviewHepatology communications2024

Infections in decompensated cirrhosis: Pathophysiology, management, and research agenda.

Jessica Ferguson Toll, Elsa Solà, Maria Alejandra Perez, Salvatore Piano, Alice Cheng, Aruna K Subramanian, W Ray Kim

Abstract readReview
In one paragraph

Review in Hepatology communications, 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
–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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Home Management of Refractory Ascites in Decompensated Cirrhosis With Long-Term Abdominal Drains, a Pilot Study.JGH open : an open access journal of gastroenterology and hepatology · 2025
    Article
  6. Article
  7. 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

7 authors.

Jessica Ferguson TollDepartment of Medicine, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0001-5169-221
Elsa SolàInstitute for Immunity, Transplantation and Infection, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0001-6897-2760
Maria Alejandra PerezDepartment of Medicine, San Vicente Fundación, Medellín, Colombia.
Salvatore PianoDepartment of Medicine, University Hospital of Padova, Padova, Italy.ORCID 0000-0002-9356-5830
Alice ChengDepartment of Medicine, University of Chicago, Chicago, Illinois, USA.ORCID 0000-0001-6070-6732
Aruna K SubramanianDepartment of Medicine, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-1373-6768
W Ray KimDepartment of Medicine, Mayo Clinic Arizona, Scottsdale, Arizona, USA.ORCID 0000-0002-3030-860

Funding

Stanford TRANSFORM I2T ProgramR25AI147369 · NIAID · STANFORD UNIVERSITY · PI CHERTOW, GLENN MATTHEW, SINGH, UPINDER · 2019 to 2023
$1.8M
NIAID NIH HHS R25 AI147369
6 · The paper itself

Abstract

Bacterial infections in patients with cirrhosis lead to a 4-fold increase in mortality. Immune dysfunction in cirrhosis further increases the risk of bacterial infections, in addition to alterations in the gut microbiome, which increase the risk of pathogenic bacteria. High rates of empiric antibiotic use contribute to increased incidence of multidrug-resistant organisms and further increases in mortality. Despite continous advances in the field, major unknowns regarding interactions between the immune system and the gut microbiome and strategies to reduce infection risk and improve mortality deserve further investigation. Here, we highlight the unknowns in these major research areas and make a proposal for a research agenda to move toward improving disease progression and outcomes in patients with cirrhosis and infections.

Indexed as

Bacterial InfectionsGastrointestinal MicrobiomeLiver CirrhosisAnti-Bacterial AgentsDisease ProgressionHumansAnti-Bacterial Agents

Identifiers

PMID39365139
PMCPMC11458171

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.