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4/21/2026 8:57:43 AM | Browse: 3 | Download: 1
Publication Name World Journal of Hepatology
Manuscript ID 118038
Country India
Received
2025-12-25 01:25
Peer-Review Started
2025-12-25 01:26
First Decision by Editorial Office Director
2026-01-06 09:06
Return for Revision
2026-01-06 09:06
Revised
2026-01-08 19:58
Publication Fee Transferred
Second Decision by Editor
2026-02-05 02:37
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-02-05 07:18
Articles in Press
2026-02-05 07:18
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-04-10 06:26
Publish the Manuscript Online
2026-04-21 08:57
ISSN 1948-5182 (online)
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/
Copyright The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Gastroenterology & Hepatology
Manuscript Type Meta-Analysis
Article Title Diagnostic accuracy of blood-based non-invasive tests for prediction of varices in pediatric portal-hypertension: A systematic review and meta-analysis
Manuscript Source Invited Manuscript
All Author List Kalpana Panda, Devi P Dash, Girish K Pati, Arjun Maria and Vipul Gautam
ORCID
Author(s) ORCID Number
Kalpana Panda http://orcid.org/0000-0002-7280-5743
Devi P Dash http://orcid.org/0009-0001-3700-4289
Girish K Pati http://orcid.org/0000-0002-9389-1425
Arjun Maria http://orcid.org/0009-0003-8585-0791
Vipul Gautam http://orcid.org/0000-0001-9053-5751
Funding Agency and Grant Number
Corresponding Author Kalpana Panda, Associate Professor, Department Pediatric Gastroenterology and Hepatology, Institute of Medical Sciences and SUM Hospital, Kalinga Nagar, Bhubaneshwar 751003, Odisha, India. drkalpanapanda@gmail.com
Key Words Pediatric; Portal hypertension; Platelet count; Aspartate aminotransferase to platelet ratio index; Liver cirrhosis; Varices; Clinically significant varices; Non-invasive tests
Core Tip Blood-based non-invasive tests offer a pragmatic approach for risk stratification of varices in children with portal hypertension. This meta-analysis reveals that commonly used indices, such as aminotransferase-to-platelet ratio index, platelet count, demonstrate moderate diagnostic accuracy and may help identify children at lower risk who could safely defer immediate endoscopic surveillance. Their advantages include wide availability, low cost, and ease of repeat testing, making them particularly relevant in resource-limited settings. However, substantial heterogeneity, variability in applied cut-off thresholds, and low-to-moderate certainty of evidence limit their reliability as standalone tools. Prospective pediatric studies with standardised and aetiology-specific cut-offs are essential before implementing routine guidelines.
Publish Date 2026-04-21 08:57
Citation

Panda K, Dash DP, Pati GK, Maria A, Gautam V. Diagnostic accuracy of blood-based non-invasive tests for prediction of varices in pediatric portal-hypertension: A systematic review and meta-analysis. World J Hepatol 2026; 18(4): 118038

URL https://www.wjgnet.com/1948-5182/full/v18/i4/118038.htm
DOI https://dx.doi.org/10.4254/wjh.v18.i4.118038
Full Article (PDF) WJH-18-118038-with-cover.pdf
PRISMA 2009 Checklist 118038-PRISMA-2009-Checklist.pdf
Manuscript File 118038_Auto_Edited_065320.docx
Answering Reviewers 118038-answering-reviewers.pdf
Audio Core Tip 118038-audio.mp3
Biostatistics Review Certificate 118038-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 118038-conflict-of-interest-statement.pdf
Copyright License Agreement 118038-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 118038-non-native-speakers.pdf
Supplementary Material 118038-supplementary-material.pdf
Peer-review Report 118038-peer-reviews.pdf
Scientific Misconduct Check 118038-scientific-misconduct-check.png
Scientific Editor Work List 118038-scientific-editor-work-list.pdf
CrossCheck Report 118038-crosscheck-report.pdf