Evidence map›Paper›PMID 25339805›Full record

ReviewWorld journal of gastroenterology2014

Review of nonalcoholic fatty liver disease in women with polycystic ovary syndrome.

Carly E Kelley, Ann J Brown, Anna Mae Diehl, Tracy L Setji

2 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 46 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 4 pooled it
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03576755 phase1 / phase2completednot on this mapstarted 2019, after this paper: background citation

Pilot Randomized Controlled Trial of Spironolactone in Young Women With Nonalcoholic Steatohepatitis (NASH)

TypeinterventionalSponsorUniversity of California, San FranciscoRan2019 to 2023Enrolled20ConditionsNASH - Nonalcoholic SteatohepatitisArmsSpironolactone 100mg, Placebo oral capsule
NCT03617263 phase2terminatednot on this mapstarted 2019, after this paper: background citation

Phase 2A, Double-blind, Randomized Clinical Trial to Evaluate the Efficacy and Safety of Saroglitazar Mg 4 mg Tablet Vs Placebo for Treating Nonalcoholic Fatty Liver Disease (NAFLD) in Women With Polycystic Ovary Syndrome (PCOS)

TypeinterventionalSponsorZydus Therapeutics Inc.Ran2019 to 2024Enrolled60ConditionsNon-alcoholic Fatty Liver Disease in Women With PCOSArmsSaroglitazar Magnesium 4 mg Tablet, Placebo
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 4 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Pooled it
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  5. Trial
  6. Review
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  8. Article
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  13. Polycystic ovary syndrome as a metabolic disease.Nature reviews. Endocrinology · 2025
    Review
  14. [Metabolic-associated fatty liver disease (MAFLD): a multisystemic disease beyond the liver].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Review
  15. Review
  16. Metabolic Implications of PCOS.Current pediatrics reports · 2025
    Article
  17. Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Carly E KelleyCarly E Kelley, Ann J Brown, Tracy L Setji, Department of Medicine, Division of Endocrinology, Duke University Medical Center, Durham, NC 27710, United States.
Ann J BrownCarly E Kelley, Ann J Brown, Tracy L Setji, Department of Medicine, Division of Endocrinology, Duke University Medical Center, Durham, NC 27710, United States.
Anna Mae DiehlCarly E Kelley, Ann J Brown, Tracy L Setji, Department of Medicine, Division of Endocrinology, Duke University Medical Center, Durham, NC 27710, United States.
Tracy L SetjiCarly E Kelley, Ann J Brown, Tracy L Setji, Department of Medicine, Division of Endocrinology, Duke University Medical Center, Durham, NC 27710, United States.
Duke University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in reproductive-aged women. Women with PCOS frequently have metabolic complications including insulin resistance (IR), early diabetes, hypertension and dyslipidemia. Recent studies have demonstrated an association between PCOS and another metabolic complication: nonalcoholic fatty liver disease (NAFLD). NAFLD occurs as a result of abnormal lipid handling by the liver, which sensitizes the liver to injury and inflammation. It can progress to nonalcoholic steatohepatitis (NASH), which is characterized by hepatocyte injury and apoptosis. With time and further inflammation, NASH can progress to cirrhosis. Thus, given the young age at which NAFLD may occur in PCOS, these women may be at significant risk for progressive hepatic injury over the course of their lives. Many potential links between PCOS and NAFLD have been proposed, most notably IR and hyperandrogenemia. Further studies are needed to clarify the association between PCOS and NAFLD. In the interim, clinicians should be aware of this connection and consider screening for NAFLD in PCOS patients who have other metabolic risk factors. The optimal method of screening is unknown. However, measuring alanine aminotransferase and/or obtaining ultrasound on high-risk patients can be considered. First line treatment consists of lifestyle interventions and weight loss, with possible pharmacologic interventions in some cases.

Indexed as

Cardiovascular DiseasesComorbidityFemaleHumansNon-alcoholic Fatty Liver DiseasePolycystic Ovary SyndromePredictive Value of TestsPrevalencePrognosisRisk AssessmentRisk FactorsFatty liverNonalcoholic fatty liver diseaseNonalcoholic steatohepatitisPolycystic ovary syndrome

Identifiers

PMID25339805
PMCPMC4202347
OpenAlexW2052560165

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.