Implications of anaemia and response to anaemia treatment on outcomes in patients with cirrhosis

Autor: Jassin Rashidi-Alavijeh, Nargiz Nuruzade, Alexandra Frey, Eva-Maria Huessler, Anne Hörster, Amos Cornelius Zeller, Andreas Schütte, Hartmut Schmidt, Katharina Willuweit, Christian Markus Lange
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: JHEP Reports, Vol 5, Iss 4, Pp 100688- (2023)
Druh dokumentu: article
ISSN: 2589-5559
DOI: 10.1016/j.jhepr.2023.100688
Popis: Background & Aims: Anaemia is frequently observed in patients with cirrhosis and was identified as a predictor of adverse outcomes, such as increased mortality and occurrence of acute-on-chronic liver failure. To date, the possible effects of iron supplementation on these adverse outcomes are not well described. We therefore aimed to assess the role of iron supplementation in patients with cirrhosis and its capability to improve prognosis. Methods: Laboratory diagnostics were performed in consecutive outpatients with cirrhosis admitted between July 2018 and December 2019 to the University Hospital Essen. Associations with transplant-free survival were assessed in regression models. Results: A total of 317 outpatients with cirrhosis were included, of whom 61 received a liver transplant (n = 19) or died (n = 42). In multivariate Cox regression analysis, male sex (hazard ratio [HR] = 3.33, 95% CI [1.59, 6.99], p = 0.001), model for end-stage liver disease score (HR = 1.19, 95% CI [1.11, 1.27], p
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