Importance of comprehensive nutritional assessment in predicting survival in cirrhosis

doi:10.4254/wjh.v17.i5.106606

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May 27, 2025 (publication date) through May 30, 2025

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World Journal of Hepatology

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1948-5182

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Letter to the Editor

World J Hepatol. May 27, 2025; 17(5): 106606
Published online May 27, 2025. doi: 10.4254/wjh.v17.i5.106606

Importance of comprehensive nutritional assessment in predicting survival in cirrhosis

Shinichiro Kobayashi

Shinichiro Kobayashi, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagagasaki 852-8501, Nagasaki, Japan

Author contributions: Kobayashi S wrote the original draft and read and approved the final version of the manuscript.

Supported by Grant-in-Aid for Scientific Research C, No. 24K11935.

Conflict-of-interest statement: There are no financial or other relations that could lead to a conflict of interest regarding this study.

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Shinichiro Kobayashi, MD, PhD, Assistant Professor, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Ohmura, Nagagasaki 852-8501, Nagasaki, Japan. skobayashi1980@gmail.com

Received: March 4, 2025
Revised: March 20, 2025
Accepted: April 2, 2025
Published online: May 27, 2025
Processing time: 86 Days and 4.9 Hours

Core Tip

Core Tip: Carteri et al highlighted the role of the Child-Turcotte-Pugh score in cirrhosis prognosis but neglected comprehensive nutrition. This letter emphasizes standardized tools such as Subjective Global Assessment and bioelectrical impedance analysis for risk assessment and hepatic encephalopathy management. We advocate longitudinal studies and multidisciplinary care to improve outcomes, particularly post-transplantation outcomes.