Evidence map›Paper›PMID 40308827›Full record

ArticleWorld journal of hepatology2025

Multivariable prognostic models for post-hepatectomy liver failure: An updated systematic review.

Xiao Wang, Ming-Xiang Zhu, Jun-Feng Wang, Pan Liu, Li-Yuan Zhang, You Zhou, Xi-Xiang Lin, Ying-Dong Du, Kun-Lun He

Abstract read
In one paragraph

Article in World journal of hepatology, 2025. 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

9 authors.

Xiao WangDepartment of Hepatobiliary Surgery, Chinese PLA 970 Hospital, Yantai 264001, Shandong Province, China.
Ming-Xiang ZhuMedical Big Data Research Center, Chinese PLA General Hospital, Beijing 100853, China.
Jun-Feng WangDivision of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht 358 4CG, Netherlands.
Pan LiuMedical Big Data Research Center, Chinese PLA General Hospital, Beijing 100853, China.
Li-Yuan ZhangChina National Clinical Research Center for Neurological Diseases, Beijing 100853, China.
You ZhouMedical Big Data Research Center, Chinese PLA General Hospital, Beijing 100853, China.
Xi-Xiang LinMedical Big Data Research Center, Chinese PLA General Hospital, Beijing 100853, China.
Ying-Dong DuDepartment of Hepatobiliary Surgery, Chinese PLA 970 Hospital, Yantai 264001, Shandong Province, China.
Kun-Lun HeMedical Big Data Research Center, Chinese PLA General Hospital, Beijing 100853, China. hekunlun301dr@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPartial hepatectomy continues to be the primary treatment approach for liver tumors, and post-hepatectomy liver failure (PHLF) remains the most critical life-threatening complication following surgery.

aimTo comprehensively review the PHLF prognostic models developed in recent years and objectively assess the risk of bias in these models.

methodsThis review followed the Checklist for Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modelling Studies and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline. Three databases were searched from November 2019 to December 2022, and references as well as cited literature in all included studies were manually screened in March 2023. Based on the defined inclusion criteria, articles on PHLF prognostic models were selected, and data from all included articles were extracted by two independent reviewers. The PROBAST was used to evaluate the quality of each included article.

resultsA total of thirty-four studies met the eligibility criteria and were included in the analysis. Nearly all of the models (32/34, 94.1%) were developed and validated exclusively using private data sources. Predictive variables were categorized into five distinct types, with the majority of studies (32/34, 94.1%) utilizing multiple types of data. The area under the curve for the training models included ranged from 0.697 to 0.956. Analytical issues resulted in a high risk of bias across all studies included.

conclusionThe validation performance of the existing models was substantially lower compared to the development models. All included studies were evaluated as having a high risk of bias, primarily due to issues within the analytical domain. The progression of modeling technology, particularly in artificial intelligence modeling, necessitates the use of suitable quality assessment tools.

Indexed as

Hepatocellular carcinomaPostoperative liver failurePrognostic modelRisk of biasSystematic review

Identifiers

PMID40308827
PMCPMC12038414

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