Evidence map›Paper›PMID 29551054›Full record

SynthesisThe Korean journal of internal medicine2019

Ezetimibe decreased nonalcoholic fatty liver disease activity score but not hepatic steatosis.

Hyo Young Lee, Dae Won Jun, Hyun Jung Kim, Hyunwoo Oh, Waqar Khalid Saeed, Hyeongsik Ahn, Ramsey C Cheung, Mindie H Nguyen

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in The Korean journal of internal medicine, 2019. 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
2.4field-weighted citation impact, top 11% 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, 36 citations in OpenAlex.

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  16. The utility of ezetimibe therapy in nonalcoholic fatty liver disease.The Korean journal of internal medicine · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Hyo Young LeeDepartment of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
Dae Won JunDepartment of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
Hyun Jung KimDepartment of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
Hyunwoo OhDepartment of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
Waqar Khalid SaeedDepartment of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
Hyeongsik AhnDepartment of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
Ramsey C CheungDivision of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, CA, USA.
Mindie H NguyenDivision of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, CA, USA.
Hanyang University · KRKorea University · KRStanford University · US

Funding

Hanyang University HY-2014-C
6 · The paper itself

Abstract

BACKGROUND/

aimsA number of clinical trials reported varying effects of cholesterol lowering agents in nonalcoholic fatty liver disease (NAFLD) patients. We, therefore, assessed the changes in hepatic steatosis and NAFLD activity score (NAS) after treatment with cholesterol lowering agents in NAFLD patients by metaanalysis.

methodsThe Cochrane Library, the MEDLINE, and the Embase databases were searched until May 2015, without any language restrictions, for randomized controlled trials (RCTs) and nonrandomized studies (NRSs). Additional references were obtained from review of bibliography of relevant articles. The quality of evidence was assessed using the grading of recommendations assessment, development and evaluation guidelines.

resultsThree RCTs (n = 98) and two NRSs (n = 101) met our study inclusion criteria (adult, NAFLD, liver biopsy). Liver biopsy was performed in all five studies, but only the three studies reported NAS. Ezetimibe significantly decreased NAS (standardized mean difference [SMD], -0.30; 95% confidence interval [CI], -0.57 to -0.03) but not hepatic steatosis in RCT (SMD, -0.1; 95% CI, -0.53 to 0.32), while the effect was significant for both NAS and intrahepatic content in NRSs (SMD, -3.0; 95% CI, -6.9 to 0.91).

conclusionEzetimibe decreased NAS without improving hepatic steatosis.

Indexed as

Anticholesteremic AgentsEzetimibeHumansNon-alcoholic Fatty Liver DiseaseSeverity of Illness IndexAnticholesteremic AgentsEzetimibeEzetimibeHydroxymethylglutaryl-CoA reductase inhibitorsMeta-analysisNon-alcoholic fatty liver disease

Identifiers

PMID29551054
PMCPMC6406097
OpenAlexW2792110352

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.