Evidence map›Paper›PMID 33562292›Full record

ReviewNutrients2021

Malnutrition in Patients with Liver Cirrhosis.

Julia Traub, Lisa Reiss, Benard Aliwa, Vanessa Stadlbauer

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 1 pooled it
13.5field-weighted citation impact, top 1% of its field
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

76 citing papers in PubMed, 1 synthesis or guideline pooled it, 161 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Systematic Nutritional Clinical Assessment (SyNCA): Instrument Development, Delphi Protocol for Content, and Semantic Validation.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Article
  7. Review
  8. Lipidome remodeling in primary biliary cholangitis.Lipids in health and disease · 2026
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Observational

16 more citing papers are in PubMed but not listed here.

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

4 authors at 2 institutions in 1 country.

Julia TraubDepartment of Clinical Medical Nutrition, University Hospital Graz, 8036 Graz, Austria.ORCID 0000-0001-6984-9748
Lisa ReissDepartment of Clinical Medical Nutrition, University Hospital Graz, 8036 Graz, Austria.
Benard AliwaDepartment of Gastroenterology and Hepatology, Medical University of Graz, 8036 Graz, Austria.
Vanessa StadlbauerDepartment of Gastroenterology and Hepatology, Medical University of Graz, 8036 Graz, Austria.
Graz University Hospital · ATMedical University of Graz · AT

Funding

Austrian Science Fund FWF KLI 741
6 · The paper itself

Abstract

Liver cirrhosis is an increasing public health threat worldwide. Malnutrition is a serious complication of cirrhosis and is associated with worse outcomes. With this review, we aim to describe the prevalence of malnutrition, pathophysiological mechanisms, diagnostic tools and therapeutic targets to treat malnutrition. Malnutrition is frequently underdiagnosed and occurs-depending on the screening methods used and patient populations studied-in 5-92% of patients. Decreased energy and protein intake, inflammation, malabsorption, altered nutrient metabolism, hypermetabolism, hormonal disturbances and gut microbiome dysbiosis can contribute to malnutrition. The stepwise diagnostic approach includes a rapid prescreen, the use of a specific screening tool, such as the Royal Free Hospital Nutritional Prioritizing Tool and a nutritional assessment by dieticians. General dietary measures-especially the timing of meals-oral nutritional supplements, micronutrient supplementation and the role of amino acids are discussed. In summary malnutrition in cirrhosis is common and needs more attention by health care professionals involved in the care of patients with cirrhosis. Screening and assessment for malnutrition should be carried out regularly in cirrhotic patients, ideally by a multidisciplinary team. Further research is needed to better clarify pathogenic mechanisms such as the role of the gut-liver-axis and to develop targeted therapeutic strategies.

Indexed as

Amino AcidsDietary SupplementsDysbiosisGastrointestinal MicrobiomeHumansLiver CirrhosisMalnutritionMicronutrientsNutritional StatusNutrition AssessmentPrevalenceAmino AcidsMicronutrientscirrhosisdysbiosisgut–liver axismacronutrientsmalnutritionmicronutrientsnutritional assessmentnutritional screening

Identifiers

PMID33562292
PMCPMC7915767
OpenAlexW3127261112

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.