Evidence map›Paper›PMID 40584471›Full record

ArticleWorld journal of gastrointestinal surgery2025

Risk factors for recurrence of primary sclerosing cholangitis in pediatric liver transplant recipients: A meta-analysis.

Bei Sun, Dong Guan, Yu-Geng Gao, Jing-Yi Chen, Yi-Hui Rong, Zuo-Ming Guo

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Article in World journal of gastrointestinal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Bei SunDepartment of Infectious Diseases, Peking University International Hospital, Beijing 102206, China.
Dong GuanDepartment of Neurosurgery, Qingdao Traditional Chinese Medicine Hospital (Qingdao Hiser Hospital) Affiliated to Qingdao University, Qingdao 266000, Shandong Province, China.
Yu-Geng GaoDepartment of Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim 68167, Germany.
Jing-Yi ChenDepartment of Breast Radiotherapy, Harbin Medical University Cancer Hospital, Harbin 150000, Heilongjiang Province, China.
Yi-Hui RongDepartment of Infectious Diseases, Peking University International Hospital, Beijing 102206, China. aihandeye@163.com.
Zuo-Ming GuoDepartment of Hepatobiliary and Pancreatic Surgery, Harbin Medical University Cancer Hospital, Harbin 150040, Heilongjiang Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary sclerosing cholangitis (PSC) is a long-term liver condition defined by the inflammation and scarring of the bile ducts, resulting in complications such as liver cirrhosis, portal hypertension, and cholangiocarcinoma. Although PSC predominantly affects adults, the incidence in pediatric patients is rising. For individuals in the advanced stages of liver disease, liver transplantation (LT) is the sole curative treatment option. However, the recurrence of PSC in the transplanted liver, known as recurrent PSC (rPSC), remains a significant concern.

aimTo identify the potential risk factors for the recurrence of PSC in pediatric patients after undergoing LT.

methodsA literature search was carried out across databases, including PubMed, Embase, Cochrane Library, and Scopus, covering studies published from 1990 through 2024. The Newcastle-Ottawa scale was utilized to assess the quality of the selected studies. Statistical analyses were conducted using RevMan 5.3 software, where the risk of recurrence was quantified using hazard ratios (HR) with 95%CI.

resultsA total of nine reports with 2524 pediatric patients with PSC were included in this analysis. The findings revealed several important risk factors connected to the rPSC in pediatric patients who had received a liver transplant, including concurrent inflammatory bowel disease (IBD), elevated liver enzyme levels, and the presence of PSC-autoimmune hepatitis (AIH) overlap syndrome (all

conclusionThe present systematic review and meta-analysis have identified various risk factors associated with the recurrence of PSC in pediatric patients who underwent LT, including IBD, elevated liver enzyme levels, and PSC-AIH overlap syndrome.

Indexed as

Autoimmune hepatitisInflammatory bowel diseaseLiver enzymesLiver transplantationMeta-analysisOverlap syndromePediatricPrimary sclerosing cholangitisRecurrenceRisk factors

Identifiers

PMID40584471
PMCPMC12188605

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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.