Evidence mapPaperPMID 38546288Full record

ReviewHepatology (Baltimore, Md.)2025

Nutritional aspects of prehabilitation in adults with cirrhosis awaiting liver transplant.

Christofer Cruz, Carla M Prado, Chelsia Gillis, Robert Martindale, Chantal Bémeur, Jennifer C Lai, Puneeta Tandon

Open access · greenAbstract readReview
In one paragraph

Review in Hepatology (Baltimore, Md.), 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
1.3field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Nutritional prehabilitation in patients with head and neck cancer: an evidence mapping analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. Article
  3. 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

7 authors at 4 institutions in 2 countries.

Christofer CruzDepartment of Medicine, Division of Gastroenterology (Liver Unit), University of Alberta, Edmonton, Alberta, Canada.ORCID 0000-0001-9568-3948
Carla M PradoDepartment of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, Alberta, Canada.ORCID 0000-0002-3609-5641
Chelsia GillisSchool of Human Nutrition, McGill University, Montreal, Quebec, Canada.ORCID 0000-0002-0615-5922
Robert MartindaleDepartment of Surgery, Oregon Health and Science University, Portland, Oregon, USA.ORCID 0000-0002-9159-4486
Chantal BémeurDepartment of Nutrition, Université de Montréal, Montreal, Quebec, Canada.ORCID 0000-0003-2757-5958
Jennifer C LaiDepartment of Surgery, Oregon Health and Science University, Portland, Oregon, USA.ORCID 0000-0003-2092-6380
Puneeta TandonDepartment of Medicine, Division of Gastroenterology (Liver Unit), University of Alberta, Edmonton, Alberta, Canada.ORCID 0000-0003-0486-0174
University of Alberta · CAOregon Health & Science University · USMcGill University · CAUniversité de Montréal · CA

Funding

UCSF Liver CenterP30DK026743 · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 1986 to 2025
$6.5M
The spectrum of cognitive impairment including Alzheimer’s Disease and Related Dementias after liver transplantationR01AG059183 · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2025 to 2025
$1.4M
Investigating the role of frailty on outcomes in acutely ill patients with cirrhosis undergoing liver transplantation in the acute care settingR01DK133527 · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2025 to 2025
$704k
The Impact of Frailty on Liver Transplant Outcomes in Older Adults with Hepatocellular CarcinomaK24AG080021 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2024 to 2025
$377k
NIA NIH HHS K24 AG080021NIA NIH HHS R01 AG059183NIDDK NIH HHS P30 DK026743NIDDK NIH HHS R01 DK133527
6 · The paper itself

Abstract

Malnutrition, sarcopenia (low muscle mass), and physical frailty have gained increasing recognition in candidates for liver transplant (LT) as these conditions can impact postoperative functional capacity. Multidimensional prehabilitation programs have been proposed as a safe intervention in adults awaiting LT but the nutritional pillar of prehabilitation has been understudied. This review summarizes the nutritional recommendations for prehabilitation for individuals with cirrhosis awaiting LT. Three major aspects of nutritional prehabilitation are discussed: (1) Assess: Evaluate nutritional status and assess for malnutrition, sarcopenia, and frailty to guide the nutritional prehabilitation intervention intensity, increasing across universal, targeted, and specialist levels; (2) Intervene: Prescribe a nutritional prehabilitation intervention to meet established nutrition guidelines in cirrhosis with a targeted focus on improving nutritional status and muscle health; (3) Reassess: Follow-up based on the required intensity of nutritional care with as needed intervention adjustment. Topics covered in the review include nutritional care levels for prehabilitation, energy prescriptions across body mass index strata, detailed considerations around protein intake (amount, distribution, and quality), carbohydrate and fat intake, other nutritional considerations, and the potential role of dietary supplements and nutraceuticals. Future research is warranted to more accurately evaluate energy needs, evaluate emerging dietary supplementation strategies, and establish the role of nutraceuticals alongside food-based interventions. While the general principles of nutritional prehabilitation are ready for immediate application, future large-scale randomized controlled trials in this space will help to quantify the benefit that can be gained by transitioning the LT approach from passive "transplant waitlist time" to active "transplant preparation time."

Indexed as

Liver CirrhosisLiver TransplantationMalnutritionPreoperative CareAdultDietary SupplementsFrailtyHumansNutritional StatusSarcopeniaWaiting Lists

Identifiers

PMID38546288
PMCPMC11828479
OpenAlexW4393257461

What Socratic holds

Textmetadata
LicenceTDM
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.