Evidence map›Paper›PMID 30720002›Full record

ArticleSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association

Greater prevalence of comorbidities with increasing age: Cross-sectional analysis of chronic hepatitis B patients in Saudi Arabia.

Faisal M Sanai, Hamdan Alghamdi, Khalid A Alswat, Mohammed A Babatin, Mona H Ismail, Waleed K Alhamoudi, Abduljaleel M Alalwan, Yaser Dahlan, Abdullah S Alghamdi, Faleh Z Alfaleh and 8 more

Open access · diamondAbstract readComparative Study
In one paragraph

Article in Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 33 citations in OpenAlex.

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  13. Saudi Association for the Study of Liver diseases and Transplantation practice guidelines on the diagnosis and management of hepatocellular carcinoma.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2020
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  16. Time trends of causes of upper gastrointestinal bleeding and endoscopic findings.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
  17. Review
  18. Quantitative HBsAg: Not helpful to evaluate fibrosis in HBeAg-negative chronic hepatitis B patients.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
  19. Hepatitis B care pathway in Saudi Arabia: Current situation, gaps and actions.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Review
  20. Quantitative HBsAg levels do not identify hepatic fibrosis in HBeAg-negative chronic hepatitis B patients.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 3 institutions in 1 country.

Faisal M SanaiDepartment of Medicine, Gastroenterology Unit, King Abdulaziz Medical City, Jeddah, Saudi Arabia.
Hamdan AlghamdiHepatology Division, Department of Hepatobiliary Sciences and Organ Transplant Center, King Abdulaziz Medical City; King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Khalid A AlswatDepartment of Medicine, Gastroenterology Unit, King Fahad Hospital, Jeddah, Saudi Arabia.
Mohammed A BabatinLiver Disease Research Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Mona H IsmailDepartment of Internal Medicine, King Fahd Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.
Waleed K AlhamoudiDepartment of Medicine, Gastroenterology Unit, King Fahad Hospital, Jeddah, Saudi Arabia.
Abduljaleel M AlalwanHepatology Division, Department of Hepatobiliary Sciences and Organ Transplant Center, King Abdulaziz Medical City; King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Yaser DahlanDepartment of Medicine, Gastroenterology Unit, King Abdulaziz Medical City, Jeddah; King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Abdullah S AlghamdiLiver Disease Research Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Faleh Z AlfalehDepartment of Medicine, Gastroenterology Unit, King Fahad Hospital, Jeddah, Saudi Arabia.
Abdulrahman A AljumahHepatology Division, Department of Hepatobiliary Sciences and Organ Transplant Center, King Abdulaziz Medical City; King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Ibrahim H AltraifHepatology Division, Department of Hepatobiliary Sciences and Organ Transplant Center, King Abdulaziz Medical City; King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Khalid AlbeladiDepartment of Medicine, Gastroenterology Unit, King Abdulaziz Medical City, Jeddah; King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Faisal BatwaDepartment of Medicine, Gastroenterology Unit, King Abdulaziz Medical City, Jeddah; King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Waleed AlshumraniDepartment of Medicine, Gastroenterology Unit, King Abdulaziz Medical City, Jeddah; King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Drifa BelhadiAmaris, Health Economics and Market Access (HEMA) Department, Levallois-Perret, France.
Victor GenestierAmaris, Health Economics and Market Access (HEMA) Department, Levallois-Perret, France.
Ayman A AbdoDepartment of Medicine, Gastroenterology Unit, King Fahad Hospital, Jeddah, Saudi Arabia.
King Fahad Hospital Jeddah · SAKing Saud University · SAKing Abdulaziz Medical City · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsMiddle Eastern countries, including Saudi Arabia to some extent, are endemic for chronic hepatitis B (CHB) infection which could be associated with high mortality and comorbidities risk. However, limited data characterizing this CHB population exists. Our aim was to characterize and compare CHB patients in 2015 with those in 2010 and 2012 in Saudi Arabia. PATIENTS AND

methodsWe conducted and compared three cross-sectional analyses of adult patients with CHB defined as either positive hepatitis B surface antigen or documented CHB history in 2010, 2012, and 2015. Data were accessed from the multicenter Systematic Observatory Liver Disease Registry (SOLID).

resultsA total of 765 CHB patients were identified in 2010 (n = 274), 2012 (n = 256), and 2015 (n = 235). Median age was significantly higher in 2015 (47 years) compared to 2010 and 2012 (42 years;P < 0.05). The proportions of patients with hepatocellular carcinoma (range 1-12%) and cirrhosis (range 5-23%) were significantly higher in 2015 compared to 2010 and 2012 (P < 0.05). Compared to 2010, patients in 2015 had significantly (P < 0.05) higher prevalence of coronary artery disease (10% vs. 4%) and hyperbilirubinemia (18% vs. 9%). Although not significant, there was a numerical increase in 2015 in chronic kidney disease (9% vs. 7% in 2010;P= 0.559) and hepatic steatosis (32% vs. 25% in 2010;P= 0.074). Significantly more patients in 2015 (P < 0.05) were treatment experienced (23% vs. 5% in 2010/2012) and switched treatment (17% vs. 1-2% in 2010/2012).

conclusionsBetween 2010 and 2015, the CHB population in Saudi Arabia had significantly aged and was more likely to develop liver disease sequelae and other comorbidities.

Indexed as

AdultAgedCarcinoma, HepatocellularClinical ProtocolsComorbidityCoronary Artery DiseaseCross-Sectional StudiesFatty LiverFemaleHepatitis B, ChronicHepatitis B virusHumansHyperbilirubinemiaLiver CirrhosisLiver NeoplasmsMaleComorbiditieshepatitis B virusSaudi Arabiatreatment patterns

Identifiers

PMID30720002
PMCPMC6526730
OpenAlexW2914076141

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.