Evidence map›Paper›PMID 40287653›Full record

SynthesisBMC gastroenterology2025

The prognostic value of sarcopenia in acute-on-chronic liver failure: a systematic review and meta-analysis.

Sike He, Chang-Hai Liu, Yuan Wang, Ziqi Li, Zhenhua Liu, Hao Zeng, Guangxi Sun

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

7 authors.

Sike He *Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China. hsk010117@163.com.
Chang-Hai Liu *Center of Infectious Diseases, West China Hospital of Sichuan University, Chengdu, China.
Yuan WangDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.
Ziqi LiDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.
Zhenhua LiuDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.
Hao ZengDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China. kucaizeng@163.com.
Guangxi SunDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China. sungx077@126.com.

Funding

Science and Technology Support Program of Sichuan Province 2024YFFK0275
6 · The paper itself

Abstract

backgroundSarcopenia is prevalent in patients with chronic liver diseases, especially in cirrhosis patients. While sarcopenia is identified as a predictor of mortality in cirrhosis, its influence on acute-on-chronic liver failure (ACLF) remains unclear. This systematic review with meta-analysis aimed to explore the prognostic value of sarcopenia in ACLF patients.

methodsA comprehensive online literature search was performed in Medline (via PubMed), Web of Science, Embase, and Cochrane Library, and eligible studies were screened according to the predetermined criteria. The quality of the included studies was assessed by using the revised Cochrane Collaboration Risk of Bias Tool for randomized-control studies and the Newcastle-Ottawa Quality Assessment Scale for observational studies. Available outcomes measured by odds ratio (OR), hazard ratio (HR), and risk ratio (RR) with a 95% confidence interval (CI) were extracted and further included in the meta-analysis. Stata (version 18.0) was used for all statistical analyses.

resultsNine studies were included in further analysis. The pooled prevalence of sarcopenia was 53.3% (95% CI: 53.26 - 71.23%). The presence of sarcopenia was positively associated with 28-day mortality (HR = 2.11, 95% CI: 1.50-2.95, p < 0.001, I

conclusionCurrent evidence illustrates that sarcopenia is an unfavorable factor for both short- and long-term prognosis. More studies are needed to validate these findings in the future.

Indexed as

Acute-On-Chronic Liver FailureSarcopeniaHumansPrevalencePrognosisAcute-on-chronic liver failureFrailtyMeta-analysisPrognosticSarcopenia

Identifiers

PMID40287653
PMCPMC12032651

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.