Evidence map›Paper›PMID 39009897›Full record

ReviewHepatology international2024

Immunosuppression in adult liver transplant recipients: a 2024 update from the Italian Liver Transplant Working Group.

Tommaso Maria Manzia, Barbara Antonelli, Amedeo Carraro, Grazia Conte, Nicola Guglielmo, Andrea Lauterio, Laura Mameli, Umberto Cillo, Luciano De Carlis, Massimo Del Gaudio and 6 more

Erratum issuedAbstract readReview
In one paragraph

Review in Hepatology international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Induction of Clinical Operational Tolerance Through Immunosuppression Minimization: Less Is More?Liver international : official journal of the International Association for the Study of the Liver · 2026
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  3. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Tommaso Maria ManziaDepartment of Surgical Science, University of Rome Tor Vergata, Rome, Italy.
Barbara AntonelliFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Amedeo CarraroLiver Transplant Unit, University Hospital Trust of Verona, Verona, Italy.
Grazia ConteClinica di Chirurgia Epatobiliare, Pancreatica e dei Trapianti, Azienda Ospedaliera Universitaria delle Marche, Ancona, Italy.
Nicola GuglielmoGeneral Surgery and Liver Transplantation Unit, Azienda Ospedaliera San Camillo-Forlanini, Rome, Italy.
Andrea LauterioASST Grande Ospedale Metropolitano Niguarda, University of Milano-Bicocca, Milan, Italy.
Laura MameliAzienda Ospedaliera G. Brotzu, Cagliari, Italy.
Umberto CilloHepatobiliary and Liver Transplant Unit, University Hospital of Padua, Padua, Italy.
Luciano De CarlisDepartment of General Surgery and Transplantation, Niguarda Hospital, Milan, Italy.
Massimo Del GaudioDepartment of General Surgery and Transplantation, Policlinico S. Orsola-Malpighi, Bologna, Italy.
Paolo De SimoneHepatobiliary Surgery and Liver Transplantation Unit, University of Pisa Medical School Hospital, Pisa, Italy.
Stefano FagiuoliGastroenterology, Department of Medicine, University of Milano-Bicocca and Gastroenterology Hepatology and Transplantation, Papa Giovanni XXIII Hospital, Piazza OMS, 124127, Bergamo, Italy. sfagiuoli@asst-pg23.it.ORCID http://orcid.org/0000-0001-8308-0701
Francesco LupoDepartment of General Surgery, Azienda Ospedaliera Città Della Salute e Della Scienza, Turin, Italy.
Giuseppe TisoneAzienda Ospedaliera G. Brotzu, Cagliari, Italy.
Riccardo VolpesMediterranean Institute for Transplantation and Advanced Specialized Therapies (ISMETT/IRCCS), Palermo, Italy.
Italian Liver Transplant Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdvances in surgical procedures and immunosuppressive therapies have considerably improved the outcomes of patients who have undergone liver transplantation in the past few decades. In 2020, the Italian Liver Transplant Working Group published practice-oriented algorithms for immunosuppressive therapy (IT) in adult liver transplant (LT) recipients. Due to the rapidly evolving LT field, regular updates to the recommendations are required. This review presents a consensus- and evidence-based update of the 2020 recommendations.

methodsThe Italian Liver Transplant Working Group set out to address new IT issues, which were discussed based on supporting literature and the specialists' personal experiences. The panel deliberated on and graded each statement before consensus was reached.

resultsA series of consensus statements were formulated and finalized on: (i) oncologic indications for LT; (ii) management of chronic LT rejection; (iii) combined liver-kidney transplantation; (iv) immunosuppression for transplantation with an organ donated after circulatory death; (v) transplantation in the presence of frailty and sarcopenia; and (vi) ABO blood group incompatibility between donor and recipient. Algorithms were updated in the following LT groups: standard patients, critical patients, oncology patients, patients with specific etiology, and patients at high immunologic risk. A steroid-free approach was generally recommended, except for patients with autoimmune liver disease and those at high immunologic risk.

conclusionThe updated consensus- and evidence-based 2024 recommendations for immunosuppression regimens in adult patients with ABO-compatible LT address a range of clinical variables that should be considered to optimize the choice of the immunosuppression treatment in clinical practice in Italy.

Indexed as

Immunosuppression TherapyImmunosuppressive AgentsLiver TransplantationAdultAlgorithmsConsensusGraft RejectionHumansItalyImmunosuppressive AgentsCalcineurinHepatocellular cancerImmunosuppressionLiver metastasisLiver transplantationmTOR inhibitorNephrotoxicityRecurrenceRejection

Identifiers

PMID39009897
PMCPMC11461624

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.