Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

1,494 questions · 1,521 findings · 132 reviews · Hepato-Biliary

No studies found 303 · 19.9%GRADE not reported 39 · 2.6%Very low 876 · 57.6%Low 216 · 14.2%Moderate 65 · 4.3%High 22 · 1.4%

Cysteamine vs no intervention

Hepatotoxicity (aspartate aminotransferase > 1000 IU/L) · people with paracetamol (acetaminophen) overdose

Cysteamine may leads to lower hepatotoxicity (aspartate aminotransferase > 1000 IU/L) compared with no intervention (low certainty).

1 finding from 1 review

Cysteamine vs methionine (randomised trials)

Hepatotoxicity (aspartate aminotransferase > 1000 IU/L) · people with paracetamol (acetaminophen) overdose

It is very uncertain whether cysteamine changes hepatotoxicity (aspartate aminotransferase > 1000 U/L) compared with methionine (randomised trials) (very low certainty).

1 finding from 1 review

Glucocorticosteroid avoidance or withdrawal vs glucocorticosteroid‐based immunosuppression

All‐cause mortality · liver transplanted patients

Glucocorticosteroid avoidance or withdrawal showed no clear difference in all‐cause mortality compared with glucocorticosteroid‐based immunosuppression (low certainty).

1 finding from 1 review

Glucocorticosteroid avoidance or withdrawal vs glucocorticosteroid‐based immunosuppression

Graft loss including death · liver transplanted patients

Glucocorticosteroid avoidance or withdrawal showed no clear difference in graft loss including death compared with glucocorticosteroid‐based immunosuppression (low certainty).

1 finding from 1 review

Glucocorticosteroid avoidance or withdrawal vs glucocorticosteroid‐based immunosuppression

Acute rejection · liver transplanted patients

Glucocorticosteroid avoidance or withdrawal may leads to higher acute rejection compared with glucocorticosteroid‐based immunosuppression (low certainty).

1 finding from 1 review

Glucocorticosteroid avoidance or withdrawal vs glucocorticosteroid‐based immunosuppression

Infection · liver transplanted patients

It is very uncertain whether glucocorticosteroid avoidance or withdrawal changes infection compared with glucocorticosteroid‐based immunosuppression (very low certainty).

1 finding from 1 review