Evidence map›Paper›PMID 42193458›Full record

ReviewBiomedicines2026

Recent Advances in the Diagnosis and Management of Clinically Significant Portal Hypertension in Liver Cirrhosis: A Clinical Review.

Jan Christoph Schumacher, Joshua Leutiger, Anna Martin, Münevver Demir, Christoph Neumann-Haefelin, Philipp Kasper

Abstract readReview
In one paragraph

Review in Biomedicines, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Jan Christoph SchumacherDepartment of Gastroenterology and Hepatology, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50937 Cologne, Germany.ORCID 0000-0001-8817-2947
Joshua LeutigerDepartment of Gastroenterology and Hepatology, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50937 Cologne, Germany.ORCID 0009-0000-6294-8786
Anna MartinDepartment of Gastroenterology and Hepatology, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50937 Cologne, Germany.
Münevver DemirDepartment of Hepatology and Gastroenterology, Campus Virchow Clinic and Campus Charité Mitte, Charité University Medicine Berlin, 13353 Berlin, Germany.ORCID 0000-0002-7050-797X
Christoph Neumann-HaefelinDepartment of Gastroenterology and Hepatology, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50937 Cologne, Germany.
Philipp KasperDepartment of Gastroenterology and Hepatology, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50937 Cologne, Germany.ORCID 0000-0002-6218-2239

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinically significant portal hypertension (CSPH) is a key driver of decompensation events and complications in patients with liver cirrhosis. The manifestation of hepatic decompensation is, in turn, associated with a drastic deterioration in prognosis in this vulnerable population. Therefore, a timely identification of patients at risk as well as an optimal drug treatment are key elements in the therapeutic management of patients with cirrhosis to improve survival. While invasive measurements represent the gold standard for assessing portal hypertension, significant progress has been made in recent years in developing non-invasive methods for evaluating CSPH, including the NICER and the ANTICIPATE model. These models, combining variables such as liver and spleen stiffness in combination with biomarkers such as platelet count for risk prediction, reliably identify patients with CSPH who are at risk for hepatic decompensation. In addition to advances in diagnostics, new evidence has emerged regarding optimal drug management strategies. Non-selective beta blockers are an important treatment option, even though a certain proportion of patients respond inadequately. Therefore, updated strategies are needed to identify these non-responders and improve treatment effectiveness. This review article provides a comprehensive overview of modern diagnostic approaches for CSPH, describes current management strategies including updated approaches, and provides an outlook on emerging potential treatment options.

Indexed as

carvedilolhepatic decompensationliver cirrhosisnon-invasive testingnon-selective beta-blockersportal hypertension

Identifiers

PMID42193458
PMCPMC13204774

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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.