Evidence map›Paper›PMID 39563725›Full record

ArticleTransplantation direct2024

Cardiorespiratory Fitness From Cardiopulmonary Exercise Testing Is a Comprehensive Risk-stratifying Tool in Liver Transplant Candidates.

Dempsey L Hughes, Blanca Lizaola-Mayo, Courtney M Wheatley-Guy, Hugo E Vargas, Pamela M Bloomer, Cody Wolf, Elizabeth J Carey, Daniel E Forman, Andres Duarte-Rojo

Abstract read
In one paragraph

Article in Transplantation direct, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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

9 authors.

Dempsey L HughesDivision of Gastroenterology and Hepatology, Northwestern University, Chicago, IL.
Blanca Lizaola-MayoDivision of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, AZ.
Courtney M Wheatley-GuyDepartment of Cardiovascular Diseases, Mayo Clinic, Scottsdale, AZ.
Hugo E VargasDivision of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, AZ.
Pamela M BloomerDivision of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh, Pittsburgh, PA.
Cody WolfDepartment of Medicine, University of Pittsburgh; and the Pittsburgh Geriatric, Research, Education and Clinical Center (GRECC), VA Pittsburgh Healthcare System; Pittsburgh, PA.
Elizabeth J CareyDivision of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, AZ.
Daniel E FormanDepartment of Medicine, University of Pittsburgh; and the Pittsburgh Geriatric, Research, Education and Clinical Center (GRECC), VA Pittsburgh Healthcare System; Pittsburgh, PA.
Andres Duarte-RojoDivision of Gastroenterology and Hepatology, Northwestern University, Chicago, IL.ORCID https://orcid.org/0000-0002-5377-9295

Funding

Pittsburgh Liver Research CenterP30DK120531 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DAVID A GELLER · 2019 to 2026
$10.9M
NIDDK NIH HHS P30 DK120531
6 · The paper itself

Abstract

Background: Cardiovascular disease and physical decline are prevalent and associated with morbidity/mortality in liver transplant (LT) patients. Cardiopulmonary exercise testing (CPX) provides comprehensive cardiopulmonary and exercise response assessments. We investigated cardiorespiratory fitness (CRF) and cardiac stress generated during CPX in LT candidates. Methods: LT candidates at 2 centers underwent CPX. Standard-of-care cardiac stress testing (dobutamine stress echocardiography, DSE) results were recorded. Physical function was assessed with liver frailty index and 6-min walk test. CPX/DSE double products were calculated to quantify cardiac stress. To better study the association of CPX-derived metrics with physical function, the cohort was divided into 2 groups based on 6-min walk test median (372 m). Results: Fifty-four participants (62 ± 8 y; 65% men, Model for End-Stage Liver Disease-Na 14 [10-18]) underwent CPX. Peak oxygen consumption was 14.1 mL/kg/min for an anerobic threshold of 10.2 mL/kg/min, with further CRF decline in the lower 6MWT cohort despite lack of liver frailty index-frailty in 90%. DSE was nondiagnostic in 18% versus 4% of CPX ( Conclusions: CPX provided efficient and effective combined cardiopulmonary risk and frailty assessments of LT candidates in a 1-stop test. The CRF was found to be very low despite preserved physical function or lack of frailty.

Identifiers

PMID39563725
PMCPMC11576030

What OpenQuestion holds

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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.