Evidence map›Paper›PMID 39959695›Full record

ReviewLiver research (Beijing, China)2023

Current and emerging therapies for alcohol-associated hepatitis.

Francisco Idalsoaga, Gustavo Ayares, Luis Antonio Díaz, Jorge Arnold, María Ayala-Valverde, David Hudson, Marco Arrese, Juan Pablo Arab

Abstract readReview
In one paragraph

Review in Liver research (Beijing, China), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Review
  3. Observational
  4. Article
  5. Cigarette smoking and alcohol-related liver disease.Liver research (Beijing, China) · 2024
    Review
  6. Article
  7. 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

8 authors.

Francisco IdalsoagaDepartment of Gastroenterology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Gustavo AyaresDepartment of Gastroenterology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Luis Antonio DíazDepartment of Gastroenterology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Jorge ArnoldDepartment of Gastroenterology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
María Ayala-ValverdeInternal Medicine Service, Hospital El Pino, Critical Patient Unit, Clinica Davila, Santiago, Chile.
David HudsonDivision of Gastroenterology, Department of Medicine, Schulich School of Medicine, Western University & London Health Sciences Centre, London, Ontario, Canada.
Marco ArreseDepartment of Gastroenterology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Juan Pablo ArabDepartment of Gastroenterology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alcohol-related liver disease (ALD) encompasses a spectrum of diseases caused by excessive alcohol consumption. ALD includes hepatic steatosis, steatohepatitis, variable degrees of fibrosis, cirrhosis, and alcohol-associated hepatitis (AH), the latter being the most severe acute form of the disease. Severe AH is associated with high mortality (reaching up to 30%-50%) at 90 days. The cornerstone of ALD, and particularly AH, treatment continues to be abstinence, accompanied by support measures such as nutritional supplementation and management of alcohol withdrawal syndrome (AWS). In severe AH with model for end-stage liver disease (MELD) score ≥21, corticosteroids can be used, especially MELD score between 25 and 39, where the highest benefit is achieved. Other key aspects of treatment include the early identification of infections and their associated management and the proper identification of potential candidates for liver transplantation. The development of new therapies based on the pathophysiology and mechanisms of liver injury are underway. This includes the modulation and management of the innate immune response, gut dysbiosis, bacterial translocation, and bacteria-derived products from the intestine. These hold promise for the future of AH treatment.

Indexed as

Alcohol-associated hepatitis (AH)Alcohol-related liver disease (ALD)Alcohol use disorder (AUD)AUD treatmentCirrhosisFibrosisNutritional therapySteroids therapy

Identifiers

PMID39959695
PMCPMC11792060

What OpenQuestion holds

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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.