Evidence map›Paper›PMID 40489025›Full record

SynthesisHepatology international2025

Impact of myosteatosis on outcomes after liver transplantation: a systematic review and meta-analysis.

Lingpeng Yang, Kunlin Chen, Guangjun Li, Wentao Wang

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Hepatology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Abdominal Organ Transplantation: Noteworthy Literature in 2025.Seminars in cardiothoracic and vascular anesthesia · 2026
    Review
  4. Article
  5. 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

4 authors.

Lingpeng Yang *Department of Liver Surgery, West China Hospital of Sichuan University, Chengdu, 610041, Sichuan, China.
Kunlin Chen *Department of Liver Surgery, West China Hospital of Sichuan University, Chengdu, 610041, Sichuan, China.
Guangjun Li *Department of Liver Surgery, West China Hospital of Sichuan University, Chengdu, 610041, Sichuan, China.
Wentao WangDepartment of Liver Surgery, West China Hospital of Sichuan University, Chengdu, 610041, Sichuan, China. wwtdoctor02@163.com.ORCID http://orcid.org/0000-0002-6966-2665

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe impact of myosteatosis on clinical outcomes following liver transplantation (LT) remains unclear.

methodsArticles evaluating the relationship between myosteatosis and the clinical outcomes of LT recipients were comprehensively retrieved from the Embase, PubMed, and Cochrane Library Central databases up to 1 October 2024.

resultsThirteen articles involving 3351 cases were included. Myosteatosis was related to increased mortality risk in patients undergoing LT (HR, 1.764; 95% CI, 1.469-2.120; p < 0.01). Patients with myosteatosis had significantly lower rates of 1-year (OR, 0.376; 95% CI, 0.299-0.473; p  < 0.01), 3-year (OR, 0.429; 95% CI, 0.353-0.522; p  < 0.01), and 5-year (OR, 0.448; 95% CI, 0.343-0.585; p  < 0.01) overall survival (OS), higher rates of postoperative complications (OR, 2.482; 95% CI, 1.710-3.601; p  < 0.01), 90-day mortality (OR, 4.097; 95% CI, 2.522-6.658; p  < 0.01), and early allograft dysfunction (EAD) (OR, 2.197; 95% CI, 1.572-3.071; p  < 0.01), and longer intensive care unit (ICU) (SMD, 0.411; 95% CI, 0.122-0.701; p  < 0.01) and hospital stays (SMD, 0.682; 95% CI, 0.503-0.860; p  < 0.01) than those without myosteatosis.

conclusionMyosteatosis is a potent predictor of poor prognosis and adverse perioperative outcomes in LT recipients. Early detection of myosteatosis can assist in guiding interventions and supportive care to improve the prognosis in the LT population. Furthermore, it is necessary to incorporate myosteatosis into clinical decision-making and selection criteria for LT.

Indexed as

Liver TransplantationPostoperative ComplicationsHumansLiver transplantationMeta-analysisMuscleMyosteatosisSystematic review

Identifiers

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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.