Evidence map›Paper›PMID 40757482›Full record

ArticleThe Cochrane database of systematic reviews2025

Aspartate aminotransferase-to-platelet ratio index (APRI) for staging of fibrosis in adults with chronic hepatitis C.

Ekaterina Dreytser, Oleg Blyuss, Anastasiya Mudrova, Taisiia Turankova, Kurinchi Selvan Gurusamy, Chavdar S Pavlov

Abstract read
In one paragraph

Article in The Cochrane database of systematic reviews, 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. 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

6 authors.

Ekaterina DreytserI.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Oleg BlyussWolfson Institute of Population Health, Queen Mary University of London, London, UK.
Anastasiya MudrovaI.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Taisiia TurankovaDepartment of Therapy, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Kurinchi Selvan GurusamyDivision of Surgery and Interventional Science, UCL, London, UK.
Chavdar S PavlovDepartment of Therapy, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis is a protocol for a Cochrane Review (diagnostic). The objectives are as follows: To determine the diagnostic accuracy of the aspartate aminotransferase-to-platelet ratio index (APRI) for staging and screening fibrosis in adults with chronic hepatitis C infection when compared with liver biopsy as the reference standard. To achieve this, we will compare at least significant fibrosis (stages F2-F4) to no significant fibrosis (stages F0-F1) as this group of people is prioritised for treatment; at least advanced fibrosis (stages F3-F4) compared to no advanced fibrosis (stages F0-F2) as this group of people is at high risk for developing complications, i.e. hepatocellular carcinoma; cirrhosis (stage F4) compared to no cirrhosis (stages F0-F3) as the duration and effectiveness of treatment in these population groups of people are different. Secondary objectives We also aim to identify the pooled sensitivity and specificity of the most common cut-off values of APRI for the staging of fibrosis in adults with chronic hepatitis C. We plan to investigate heterogeneity for the following covariates if adequate data are available (Investigations of heterogeneity). METHODOLOGICAL QUALITY: a) studies with high methodological quality; b) studies with low or unclear methodological quality Interval of liver biopsy and APRI: a) done in one day; b) more than one day, but less than or equal to three months Mean length of biopsy samples: a) less than 15 mm; b) mean length equal to or more than 15 mm Number of portal tracts in a biopsy sample: a) less than 11; b) number of portal tracts equal to or more than 11.

Indexed as

Aspartate AminotransferasesHepatitis C, ChronicLiver CirrhosisAdultBiomarkersBiopsyHumansLiverPlatelet CountSensitivity and SpecificityAspartate AminotransferasesBiomarkers

Identifiers

PMID40757482
PMCPMC12320214

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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.