Evidence map›Paper›PMID 41933920›Full record

ArticleLiver international : official journal of the International Association for the Study of the Liver2026

Impact of Disease-Specific Treatment and Non-Selective Beta Blockers on Risk of PVT in Cirrhotic Patients With HCV or PBC.

Humberto C Gonzalez, Stuart C Gordon, Sheri Trudeau, Trueman Wu, Lora Rupp, Christina Melkonian, Mark A Schmidt, Yihe G Daida, Amandeep K Sahota, Christopher L Bowlus and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Liver international : official journal of the International Association for the Study of the Liver, 2026. 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. Impact of Disease-Specific Treatment and Non-Selective Beta Blockers on Risk of PVT in Cirrhotic Patients With HCV or PBC.Liver international : official journal of the International Association for the Study of the Liver · 2026
    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

11 authors.

Humberto C GonzalezDivision of Gastroenterology and Hepatology, Henry Ford Health, Detroit, Michigan, USA.ORCID 0000-0003-3351-1846
Stuart C GordonDivision of Gastroenterology and Hepatology, Henry Ford Health, Detroit, Michigan, USA.ORCID 0000-0001-8666-3849
Sheri TrudeauDepartment of Public Health Sciences, Henry Ford Health, Detroit, Michigan, USA.
Trueman WuDepartment of Public Health Sciences, Henry Ford Health, Detroit, Michigan, USA.
Lora RuppCenter for Health Policy and Health Services Research, Henry Ford Health, Detroit, Michigan, USA.
Christina MelkonianDepartment of Public Health Sciences, Henry Ford Health, Detroit, Michigan, USA.
Mark A SchmidtCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA.
Yihe G DaidaCenter for Integrated Health Care Research, Kaiser Permanente Hawaii, Honolulu, Hawaii, USA.
Amandeep K SahotaDepartment of Research and Evaluation, Kaiser Permanente Southern California, Los Angeles, California, USA.
Christopher L BowlusDivision of Gastroenterology and Hepatology, University of California, Davis, California, USA.
Mei LuCollege of Human Medicine, Michigan State University, East Lansing, Michigan, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPortal vein thrombosis (PVT) is a common sequela of cirrhosis. Despite regression of fibrosis/cirrhosis observed among some patients after disease-specific treatment, few studies have considered the role of treatment and response on risk of PVT among patients with cirrhosis across different liver disease states. We considered aetiological treatment and response as well as whether non-selective beta-blockers (NSBBs), statins, and anticoagulants were associated with risk of PVT.

methodsWe used data for patients with cirrhosis (compensated or decompensated) from two large, US-based multisite cohort studies. Patients with hepatitis C (HCV) were drawn from the Chronic Hepatitis Cohort Study. Patients with primary biliary cholangitis (PBC) were drawn from the Fibrotic Liver Disease Consortium. Risk for PVT was assessed using a discrete survival model that includes both fixed covariates and time-dependent variables.

resultsAmong 6659 HCV patients, 274 developed PVT across ~13 years of follow-up. Significant risk factors included time-varying decompensated cirrhosis (adjusted hazard ratio [aHR] 27.41, 95% confidence interval [CI] 15.89-47.30), male sex (aHR 1.48, 95% CI 1.12-1.94), and use of NSBBs (aHR 2.07, 95% CI 1.61-2.67). Among 786 PBC patients, 67 developed PVT across ~8 years of follow-up. Use of NSBBs was the only significant PVT risk factor in these patients (aHR 2.56, 95% CI 1.52-4.31). Neither sustained virological response [SVR] after antiviral treatment (HCV patients) nor response to ursodeoxycholic acid [UDCA] treatment (PBC patients) was associated with risk of PVT.

conclusionsIn two large well-characterized samples of cirrhotic patients with HCV or PBC, disease-specific treatments were not associated with PVT risk. NSBB treatment was independently associated with > 2 times the risk of PVT in both samples, regardless of compensated or decompensated status.

Indexed as

Adrenergic beta-AntagonistsHepatitis C, ChronicLiver CirrhosisLiver Cirrhosis, BiliaryPortal VeinVenous ThrombosisAdultAgedAntiviral AgentsFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedProportional Hazards ModelsRisk FactorsAdrenergic beta-AntagonistsAntiviral AgentsHydroxymethylglutaryl-CoA Reductase InhibitorsUrsodeoxycholic AcidAASLDdecompensated cirrhosisstatinssustained virological response (SVR)ursodeoxycholic acid (UDCA)

Identifiers

PMID41933920
PMCPMC13049362

What OpenQuestion holds

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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.