Evidence mapPaperPMID 38577191Full record

ReviewWorld journal of gastroenterology2024

From liver to hormones: The endocrine consequences of cirrhosis.

Juan Eduardo Quiroz-Aldave, Elman Rolando Gamarra-Osorio, María Del Carmen Durand-Vásquez, Luciana Del Pilar Rafael-Robles, Jhean Gabriel Gonzáles-Yovera, María Alejandra Quispe-Flores, Luis Alberto Concepción-Urteaga, Alejandro Román-González, José Paz-Ibarra, Marcio José Concepción-Zavaleta

Open access · hybridAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
8.5field-weighted citation impact, top 2% 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

19 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
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  3. Observational
  4. Article
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  9. Association of Hormonal Status With Sarcopenia, Frailty and Outcome in Patients With Decompensated Cirrhosis.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Review
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  15. Article
  16. Article
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  18. Review
  19. Hepatic immune regulation and sex disparities.Nature reviews. Gastroenterology & hepatology · 2024
    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

10 authors at 8 institutions in 4 countries.

Juan Eduardo Quiroz-AldaveNon-communicable Diseases, Endocrinology Research Line, Hospital de Apoyo Chepén, Chepén 13871, Peru.
Elman Rolando Gamarra-OsorioDepartment of Endocrinology, Hospital Víctor Lazarte Echegaray, Trujillo 13006, Peru.
María Del Carmen Durand-VásquezNon-communicable Diseases, Endocrinology Research Line, Hospital de Apoyo Chepén, Chepén 13871, Peru.
Luciana Del Pilar Rafael-RoblesDepartment of Endocrinology, Clínica Javier Prado, Lima 15046, Peru.
Jhean Gabriel Gonzáles-YoveraDepartment of Gastroenterology, Hospital Nacional Guillermo Almenara Irigoyén, Lima 15018, Peru.
María Alejandra Quispe-FloresDepartment of Endocrinology, Hospital de Emergencias Grau, Lima 15001, Peru.
Luis Alberto Concepción-UrteagaInternal Medicine, Hospital Regional Docente de Trujillo, Trujillo 13011, Peru.
Alejandro Román-GonzálezDepartment of Endocrinology, Hospital Universitario de San Vicente Fundación, Medellin 050010, Colombia.
José Paz-IbarraSchool of Medicine, Universidad Nacional Mayor de San Marcos, Lima 15081, Peru.
Marcio José Concepción-ZavaletaCarrera de Medicina Humana, Universidad Científica del Sur, Lima 15067, Peru. mconcepcion@cientifica.edu.pe.
National University of Trujillo · PETen Chen Hospital · TWHospital Base Guillermo Almenara Irigoyen · PEHospital de Emergencias Jose Casimiro Ulloa · PEHospital Universitario de San Vicente Fundación · CONational University of San Marcos · PEUniversidad Científica del Sur · PEUniversidad de Lima · PE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocrinology explores the intricate relationship between liver function and the endocrine system. Chronic liver diseases such as liver cirrhosis can cause endocrine disorders due to toxin accumulation and protein synthesis disruption. Despite its importance, assessing endocrine issues in cirrhotic patients is frequently neglected. This article provides a comprehensive review of the epidemiology, pathophysiology, diagnosis, and treatment of endocrine disturbances in liver cirrhosis. The review was conducted using the PubMed/Medline, EMBASE, and Scielo databases, encompassing 172 articles. Liver cirrhosis is associated with endocrine disturbances, including diabetes, hypoglycemia, sarcopenia, thyroid dysfunction, hypogonadotropic hypogonadism, bone disease, adrenal insufficiency, growth hormone dysfunction, and secondary hyperaldosteronism. The optimal tools for diagnosing diabetes and detecting hypoglycemia are the oral glucose tolerance test and continuous glucose monitoring system, respectively. Sarcopenia can be assessed through imaging and functional tests, while other endocrine disorders are evaluated using hormonal assays and imaging studies. Treatment options include metformin, glucagon-like peptide-1 analogs, sodium-glucose co-transporter-2 inhibitors, and insulin, which are effective and safe for diabetes control. Established standards are followed for managing hypoglycemia, and hormone replacement therapy is often necessary for other endocrine dysfunctions. Liver transplantation can address some of these problems.

Indexed as

Diabetes MellitusHypoglycemiaSarcopeniaBlood GlucoseBlood Glucose Self-MonitoringEndocrine SystemHumansInsulinLiver CirrhosisBlood GlucoseInsulinDiabetes mellitusHypoglycemiaHypogonadismLiver cirrhosisMetabolic bone diseasesThyroid diseases

Identifiers

PMID38577191
PMCPMC10989500
OpenAlexW4392481657

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.