Evidence map›Paper›PMID 32245414›Full record

ArticleBMC gastroenterology2020

Incidence, aetiology and related comorbidities of cirrhosis: a Swedish population-based cohort study.

Juan Vaz, Berne Eriksson, Ulf Strömberg, David Buchebner, Patrik Midlöv

Abstract read
In one paragraph

Article in BMC gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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

22 citing papers in PubMed.

  1. Review
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  4. Observational
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  14. An update on the genetics of alcoholic liver disease.Frontiers in gastroenterology (Lausanne, Switzerland) · 2022
    Review
  15. Article
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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

5 authors.

Juan VazDepartment of Clinical Sciences in Malmö, Center for Primary Health Care Research, Lund University, Malmö, Sweden. juan_andres.vaz_leonidas@med.lu.se.
Berne ErikssonKrefting Research Centre, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Ulf StrömbergDepartment of Research and Development, Region Halland, Halmstad, Sweden.
David BuchebnerDepartment of Internal Medicine, Halland Hospital Halmstad, Halmstad, Sweden.
Patrik MidlövDepartment of Clinical Sciences in Malmö, Center for Primary Health Care Research, Lund University, Malmö, Sweden.

Funding

Region Halland HALLAND-859 921
6 · The paper itself

Abstract

backgroundThe incidence of cirrhosis for individuals in Sweden has previously been reported as stable/low among European countries. However, Swedish population-based studies are scarce and none of them included data from the most recent decade (2010-2019). We aimed to describe the incidence and aetiology of cirrhosis in the Halland region from 2011 to 2018, and to describe the severity and prevalence of liver-related complications and other primary comorbidities at the time of cirrhosis diagnosis.

methodsWe conducted a retrospective cohort study of all patients with cirrhosis in Halland, which has a population of 310,000 inhabitants. Medical records and histopathology registries were reviewed.

resultsA total of 598 patients with cirrhosis were identified. The age-standardised incidence was estimated at 23.2 per 100,000 person-years (95% CI 21.3-25.1), 30.5 (95% CI 27.5-33.8) for men and 16.4 (95% CI 14.3-18.7) for women. When stratified by age, the highest incidence rates were registered at age 60-69 years. Men had a higher incidence rate for most age groups when compared to women. The most common aetiology was alcohol (50.5%), followed by cryptogenic cirrhosis (14.5%), hepatitis C (13.4%), and non-alcoholic fatty liver disease (5.7%). Most patients had at least one liver-related complication at diagnosis (68%). The most common comorbidities at diagnosis were arterial hypertension (33%), type 2 diabetes (29%) and obesity (24%).

conclusionsBased on previous Swedish studies, our results indicate that the incidence of cirrhosis in Sweden might be considerably higher than previously reported. It is uncertain if the incidence of cirrhosis has previously been underestimated or if an actual increment has occurred during the course of the most recent decade. The increased incidence rates of cirrhosis reported in Halland are multifactorial and most likely related to higher incidence rates among the elderly. Pre-obesity and obesity are common in cirrhosis and non-alcoholic fatty liver disease has become an important cause of cirrhosis in Halland.

Indexed as

AgedAged, 80 and overAge DistributionAscitesCarcinoma, HepatocellularComorbidityDiabetes Mellitus, Type 2End Stage Liver DiseaseEsophageal and Gastric VaricesFemaleGastrointestinal HemorrhageHepatic EncephalopathyHepatitis, AutoimmuneHepatitis C, ChronicHumansHypertensionAetiologyCirrhosisComorbiditiesIncidenceSweden

Identifiers

PMID32245414
PMCPMC7118963

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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.