Evidence map›Paper›PMID 40454859›Full record

SynthesisClinical transplantation2025

Postoperative Outcomes Following Liver Transplantation for Wilson's Disease: A Systematic Review and Meta-Analysis.

Austine Wang, Noor Bakir, Clarissa Ngo, Justin Kang, Felipe Rodriguez, Tyler McKechnie, Cagla Eskicioglu, Maja Segedi, Pablo E Serrano

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Clinical transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Letter to the editor concerning "Wilson disease: time frame for improvement of neurological symptomology may exceed a decade".Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  2. Article
  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.

Austine WangMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0002-9642-2819
Noor BakirDivision of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
Clarissa NgoMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Justin KangBachelor of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Felipe RodriguezMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Tyler McKechnieDepartment of Health Research Methodology, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
Cagla EskiciogluMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Maja SegediDepartment of Surgery, Vancouver General Hospital, Vancouver, British Columbia, Canada.
Pablo E SerranoMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLiver transplant is indicated in patients with Wilson's disease for acute hepatic failure, advanced cirrhosis, and disease refractory to chelation therapy. This study aims to systematically review data about overall morbidity, hepatic, neuropsychiatric, and survival outcomes following liver transplantation for Wilson disease.

methodsMEDLINE, Embase, and Central were searched from inception until July 2023. Peer-reviewed articles and published abstracts evaluating patients diagnosed with Wilson's disease and undergoing any type of liver transplant as a result of the disease were eligible for inclusion. A restricted maximum likelihood random effects model was used to generate the pooled proportion of each outcome. The risk of bias for each included observational study was assessed using the Methodological Index for Non-Randomized Studies tool.

resultsA total of 39 studies met all inclusion criteria. All studies were observational. Specific indications for liver transplant were most commonly acute liver failure (36.73%), chronic liver failure (45.02%), and acute-on-chronic liver failure (8.35%). The pooled proportions of mortality at 30 days, 1, and 5 years were 0.10 (95% CI 0.08, 0.13; I

conclusionOverall, reporting quality and consistency of outcomes included in the studies was poor as assessed using the MINORS score. Pooled proportions for 30-day, 1- and 5-year mortality are similar, suggesting most postoperative deaths are acute in nature. Future research should incorporate objective measures and the reporting of standardized parameters to allow more robust comparisons between studies.

Indexed as

Hepatolenticular DegenerationLiver TransplantationPostoperative ComplicationsHumansPrognosisSurvival Ratehepatobiliary surgeryliver transplantationmeta‐analysissystematic reviewWilson's disease

Identifiers

PMID40454859
PMCPMC12128750

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.