Evidence map›Paper›PMID 40786130›Full record

ReviewJGH open : an open access journal of gastroenterology and hepatology2025

Efficacy and Safety of Anticoagulants in Patients With Cirrhosis and Portal Vein Thrombosis: A Systematic Review and Meta-Analysis of Randomized and Non-Randomized Studies.

Muhammad Hassan Waseem, Zain Ul Abideen, Marium Khan, Barka Sajid, Noor Ul Huda Ramzan, Rabeya Farid, Javed Iqbal, Jalib Ahmed, Aqsa Kabir, Maryam Shahzad and 5 more

Abstract readReview
In one paragraph

Review in JGH open : an open access journal of gastroenterology and hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Comparative Effectiveness and Safety of Various Anticoagulation Regimens for Portal Venous Thrombosis in Cirrhosis: A Systematic Review and Network Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  2. Article
  3. Review
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

15 authors.

Muhammad Hassan WaseemAllama Iqbal Medical College Lahore Pakistan.
Zain Ul AbideenKing Edward Medical University Neela Gumbad Lahore Pakistan.ORCID https://orcid.org/0009-0001-8990-7738
Marium KhanJinnah Sindh Medical University Karachi Pakistan.
Barka SajidJinnah Sindh Medical University Karachi Pakistan.
Noor Ul Huda RamzanUniversity Medical and Dental College Faisalabad Pakistan.
Rabeya FaridJinnah Sindh Medical University Karachi Pakistan.
Javed IqbalNursing Department Hamad Medical Corporation Doha Qatar.ORCID https://orcid.org/0000-0003-2627-685X
Jalib AhmedDow Medical College Karachi Pakistan.ORCID https://orcid.org/0009-0001-7705-9890
Aqsa KabirDow Medical College Karachi Pakistan.
Maryam ShahzadDow Medical College Karachi Pakistan.
Javeria AsifZiauddin Medical College Karachi Pakistan.
Muhammad OsamaKhyber Medical College Peshawar Pakistan.ORCID https://orcid.org/0000-0003-0197-4264
Sania AimenQuetta Institute of Medical Sciences Quetta Pakistan.
Ammad Javaid ChaudharyHenry Ford Hospital Detroit USA.
Ameer Haider CheemaUT Southwestern Medical Center Dallas USA.ORCID https://orcid.org/0009-0002-2508-4370

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Portal vein thrombosis (PVT) contributes substantially to morbidity and mortality in cirrhotic patients. A clear insight into the anticoagulation therapy benefits in these patients could improve clinical decision-making. This meta-analysis aimed to assess the efficacy and safety of Anticoagulants in cirrhotic patients with PVT. Methods: PubMed, Cochrane Library, and ScienceDirect were searched from inception to September 2024. The Risk Ratios (RR) with 95% Confidence Interval (CI) were pooled for dichotomous outcomes under the random effects model using Review Manager 5.4.1. The primary endpoint of interest is PVT recanalization. Quality assessment was done through the Newcastle Ottawa Scale and the Cochrane RoB2.0 tool. Leave-one-out sensitivity analysis was done to investigate the cause of heterogeneity. Publication bias was assessed through funnel plots. Results: Twenty-three studies (including 19 cohorts and 4 Randomized trials), pooling 81,599 patients, were included in the analysis. Anticoagulants significantly increased the PVT recanalization (RR = 2.00; 95% CI: [1.59, 2.52]; Conclusion: Anticoagulants significantly increased PVT recanalization and PVT improvement while decreasing PVT stability and PVT progression in cirrhotic patients. Other outcomes were comparable between the two groups.

Indexed as

anticoagulantsliver cirrhosismeta‐analysisportal vein thrombosisPVT

Identifiers

PMID40786130
PMCPMC12333073

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.