Evidence map›Paper›PMID 29115682›Full record

ArticleAlimentary pharmacology & therapeutics2018

Risk factors for biopsy-proven advanced non-alcoholic fatty liver disease in the Veterans Health Administration.

Y A Patel, E J Gifford, L M Glass, R McNeil, M J Turner, B Han, D Provenzale, S S Choi, C A Moylan, C M Hunt

Open access · bronzeAbstract read
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Observational
  4. Article
  5. Review
  6. [Comparative study of clinicopathological features, and risk factors of advanced fibrosis between genders with non-alcoholic fatty liver disease].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2021
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Comorbidities and Nonalcoholic Fatty Liver Disease: The Chicken, the Egg, or Both?Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019
    Article
  15. Identifying and Treating Nonalcoholic Fatty Liver Disease.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019
    Article
  16. Article
  17. Article
  18. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Y A PatelDurham, NC, USA.ORCID 0000-0002-4362-3983
E J GiffordDurham, NC, USA.
L M GlassAnn Arbor, MI, USA.
R McNeilDurham, NC, USA.
M J TurnerDurham, NC, USA.
B HanDurham, NC, USA.
D ProvenzaleDurham, NC, USA.
S S ChoiDurham, NC, USA.
C A MoylanDurham, NC, USA.
C M HuntDurham, NC, USA.ORCID 0000-0002-6874-8889
Ann Arbor Center for Independent Living · US

Funding

DUKE TRAINING GRANT IN DIGESTIVE DISEASES AND NUTRITIONT32DK007568 · NIDDK · DUKE UNIVERSITY · PI Katherine Garman, Rodger A. Liddle · 1988 to 2026
$5.6M
NIDDK NIH HHS T32 DK007568
6 · The paper itself

Abstract

backgroundWith its increasing incidence, nonalcoholic fatty liver disease (NAFLD) is of particular concern in the Veterans Health Administration (VHA).

aimsTo evaluate risk factors for advanced fibrosis in biopsy-proven NAFLD in the VHA, to identify patients at risk for adverse outcomes.

methodsIn randomly selected cases from VHA databases (2005-2015), we performed a retrospective case-control study in adults with biopsy-defined NAFLD or normal liver.

resultsOf 2091 patients reviewed, 399 met inclusion criteria. Normal controls (n = 65) had normal liver function. The four NAFLD cohorts included: NAFL steatosis (n = 76), nonalcoholic steatohepatitis (NASH) without fibrosis (n = 68), NAFLD/NASH stage 1-3 fibrosis (n = 82), and NAFLD/NASH cirrhosis (n = 70). NAFLD with hepatocellular carcinoma (HCC) was separately identified (n = 38). Most patients were older White men. NAFLD patients with any fibrosis were on average severely obese (BMI>35 kg/m

conclusionsIn the VHA, diabetes and severe obesity increased risk for advanced fibrosis in NAFLD. Of these patients, only a small proportion (~20%) had enrolled in diet/exercise programs or had bariatric surgery (~2%). These results suggest that providers should focus/tailor interventions to improve outcomes, particularly in those with diabetes and severe obesity.

Indexed as

AdultAgedBiopsyCarcinoma, HepatocellularCase-Control StudiesDisease ProgressionFemaleHumansLiver CirrhosisLiver NeoplasmsMaleMiddle AgedNon-alcoholic Fatty Liver DiseaseRetrospective StudiesRisk FactorsSeverity of Illness Index

Identifiers

PMID29115682
PMCPMC5861349
OpenAlexW2767716920

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.