Evidence map›Paper›PMID 40761701›Full record

ArticleGastro hep advances2025

Clinical and Genetic Profile of Pediatric and Adult Wilson's Disease in India.

Anand V Kulkarni, Govardhan Bale, Ravikanth Vishnubotla, Anuhya Rambhatla, Mithun Sharma, Swapnali Sabhapandit, Archana Chintam, Manasa Alla, Shantan Venishetty, Sowmya Iyengar and 9 more

Abstract read
In one paragraph

Article in Gastro hep advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. [Research progress of inherited liver disease in 2025].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  2. 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

19 authors.

Anand V KulkarniDepartment of Hepatology, AIG Hospitals, Hyderabad, India.
Govardhan BaleDepartment of Genomics, Asian Healthcare Foundation, Hyderabad, India.
Ravikanth VishnubotlaDepartment of Genomics, Asian Healthcare Foundation, Hyderabad, India.
Anuhya RambhatlaDepartment of Transplant Anesthesia, AIG Hospitals, Hyderabad, India.
Mithun SharmaDepartment of Hepatology, AIG Hospitals, Hyderabad, India.
Swapnali SabhapanditDepartment of Ophthalmology, AIG Hospitals, Hyderabad, India.
Archana ChintamDepartment of Hepatology, AIG Hospitals, Hyderabad, India.
Manasa AllaDepartment of Hepatology, AIG Hospitals, Hyderabad, India.
Shantan VenishettyDepartment of Hepatology, AIG Hospitals, Hyderabad, India.
Sowmya IyengarDepartment of Hepatology, AIG Hospitals, Hyderabad, India.
Ravi Babu KomallaDepartment of Pediatrics, AIG Hospitals, Hyderabad, India.
Sumana Kolar RamachandranDepartment of Liver Transplantation, AIG Hospitals, Hyderabad, India.
Balachandran MenonDepartment of Liver Transplantation, AIG Hospitals, Hyderabad, India.
Rakesh KalapalaDepartment of Hepatology, AIG Hospitals, Hyderabad, India.
Rajesh GuptaDepartment of Hepatology, AIG Hospitals, Hyderabad, India.
Padaki Nagaraj RaoDepartment of Hepatology, AIG Hospitals, Hyderabad, India.
Duvvur Nageshwar ReddyDepartment of Hepatology, AIG Hospitals, Hyderabad, India.
Michael L SchilskyDivision of Digestive Diseases, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut.
K Rajender ReddyDivision of Gastroenterology and Hepatology, University of Pennsylvania, Philadelphia, Pennsylvania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Wilson's disease (WD) is a disorder of copper metabolism caused by a mutation in the Methods: This was a single-center retrospective study conducted at AIG Hospitals, Hyderabad, India. Patients diagnosed and treated for WD both in outpatient and inpatient settings from June 2020 to April 2024 were included. Results: A total of 156 patients (women being 33.3%) with a median age of 19 years (2-57) were included from June 2020 to April 2024. Forty eight percent (n = 75) patients were of pediatric age <19 years. Clinical presentation with liver disease in the pediatric population included 26.7% with acute liver failure and 20% as acute-on-chronic liver failure compared to 30.9% with decompensated cirrhosis in the adults. On Kaplan-Meier analysis, in the pediatric group, the transplant-free survival was 72% (95% confidence interval [CI], 60.4-81.8) compared to 87.7% (95% CI, 78.5-93.9) in the adult group ( Conclusion: Pediatric patients with WD present more often with an acute illness and have lower transplant-free survival compared to adults, with ATP7B mutations identified in over half of those tested, highlighting the need for early genetic evaluation and tailored management.

Indexed as

Acute Liver FailureAcute-on-Chronic Liver FailureATP7B GeneCirrhosisLeipzig ScoreLiver Transplantation

Identifiers

PMID40761701
PMCPMC12320151

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.