User:Paixaochampilamaud/sandbox

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Practice Editing Here (Nov 23rd in-class Wiki session work)

 * This is a place to practice clicking the "edit" button and practice adding references (via the citation button).

cirrhosis

example of something that needs to be cited

Assignment # 3
1. Outline of Proposed Changes:

I have included the epidemiology section of the Cirrhosis article below and have bolded my proposed changes.

"Each year, approximately one million deaths are due to complications of cirrhosis, making cirrhosis the 11th most common cause of death globally. [65] Cirrhosis and chronic liver disease were the tenth leading cause of death for men and the twelfth for women in the United States in 2001, killing about 27,000 people each year.[59]

The cause of cirrhosis can vary; alcohol and non-alcoholic fatty liver disease are main causes in western and industrialized countries, whereas viral hepatitis is the predominant cause in low and middle income countries. [65] Interestingly, cirrhosis is more common in men than in women across the globe. [60] The cost of cirrhosis in terms of human suffering, hospital costs, and lost productivity is high.

Established cirrhosis has a 10-year mortality of 34–66%, largely dependent on the cause of the cirrhosis; alcoholic cirrhosis has a worse prognosis than primary biliary cholangitis and cirrhosis due to hepatitis. The risk of death due to all causes is increased twelvefold; if one excludes the direct consequences of the liver disease, there is still a fivefold increased risk of death in all disease categories."

[65] Asrani SK, Devarbhavi H, Eaton J, Kamath PS. (2019). Burden of liver diseases in the world. J Hepatol. 70(1):151-171. doi: 10.1016/j.jhep.2018.09.014. Epub 2018 Sep 26. PMID: 30266282.

2. Rationale for Proposed Change:

The current article is very USA-centric, and does indeed lack a global perspective particularly in regards to epidemiology. Although there is much information that I could add relating to the global prevalence and implications of cirrhosis, I thought that sharing information on the overall global burden (11th most common cause of death) will help readers appreciate the extent to which cirrhosis affects individuals around the world. As well, I thought sharing some information on the different causes of cirrhosis globally can help instill in others an understanding of how our health systems and economic status can really impact our health in a myriad of ways, in this case readers may read the sentence and think of the implications of preventative measures such as vaccinations that reduce mortality rates. Often, individuals fail to consider how significantly context can impact health, and so I thought this was a great opportunity to briefly shed light on the implications. I also proposed adding an “interestingly” and moving the position of the fact relating to prevalence in males v.s. females to improve the overall flow of the section.

I used the reference as it is a comprehensive review article solely focused on the global implications of liver cirrhosis from an epidemiological perspective. It presents numerous valuable statistics, offering a global perspective, and is a very recent (2018) publication. Importantly, there is also no conflict of interest and simply grant funding was used. Although I was quite interested in the Lancet article, is a systematic analysis as opposed to review.

3. Controversy or Varied Opinions:

There are no relevant subjects or topics of controversy regarding the selected article or the epidemiology of cirrhosis.

4. Critique of Source:

I do not have any concerns with the source. The article did outline potential impacts to the data gathered quite comprehensively at the beginning of the article with reasons including sparse cause-specific mortality data for regions where liver disease is highly prevalent or underestimations of liver diseases and cirrhosis as the main cause of death in official death records. However, the article does address these limitations and from my search did appear to be the most up-to date systematic review on the global burden of liver disease.

What to post on the talk page?

 * This will also be covered on Nov 23rd in class. Your group should use the below template to share an outline of your proposed improvements (including your new wording and citations). Article talk pages are not places to share your assignment answers. The Wikipedia community will be more interested in viewing your exact article improvement suggestions including where you plan to improve the article (which section), what wording you suggest, and the exact citation (Note: all citations must meet WP:MEDRS)
 * You will not be able to paste citations directly from your sandbox to talk pages (unless you are interested in editing/learning Wiki-code in the "source editing" mode). We suggest re-adding your citations on the talk page manually (using the cite button and populating the citation by pasting in the DOI, website, or PMID). You will have to repeat this process yet again when you edit the actual article live.
 * Talk Page Template: CARL Medical Editing Initiative/Fall 2020/Talk Page Template