Evidence map›Paper›PMID 32475354›Full record

SynthesisLipids in health and disease2020

Association between nonalcoholic fatty liver disease and extrahepatic cancers: a systematic review and meta-analysis.

Shou-Sheng Liu, Xue-Feng Ma, Jie Zhao, Shui-Xian Du, Jie Zhang, Meng-Zhen Dong, Yong-Ning Xin

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Lipids in health and disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 7 pooled it
6.8field-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.

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

39 citing papers in PubMed, 7 syntheses or guidelines pooled it, 77 citations in OpenAlex.

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  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
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  17. Unveiling the cancer risk nexus of the steatotic liver.Trends in endocrinology and metabolism: TEM · 2024
    Review
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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

7 authors at 2 institutions in 1 country.

Shou-Sheng LiuCentral Laboratories, Qingdao Municipal Hospital, Qingdao University, Qingdao, 266071, China.
Xue-Feng MaDepartment of Infectious Disease, Qingdao Municipal Hospital, Qingdao University, Qingdao, 266011, China.
Jie ZhaoDepartments of Nephrology, Zibo Central Hospital, Zibo, 255020, China.
Shui-Xian DuDepartment of Infectious Disease, Qingdao Municipal Hospital, Qingdao University, Qingdao, 266011, China.
Jie ZhangDepartment of Infectious Disease, Qingdao Municipal Hospital, Qingdao University, Qingdao, 266011, China.
Meng-Zhen DongDepartment of Infectious Disease, Qingdao Municipal Hospital, Qingdao University, Qingdao, 266011, China.
Yong-Ning XinDigestive Disease Key Laboratory of Qingdao, Qingdao, 266071, China. xinyongning@163.com.ORCID http://orcid.org/0000-0002-3692-7655
Qingdao University · CNCentral Hospital of Zibo · CN

Funding

National Natural Science Foundation of China 31770837
6 · The paper itself

Abstract

backgroundNAFLD is tightly associated with various diseases such as diabetes, cardiovascular disease, kidney disease, and cancer. Previous studies had investigated the association between NAFLD and various extrahepatic cancers, but the available data to date is not conclusive. The aim of this study was to investigate the association between NAFLD and various extrahepatic cancers comprehensively.

methodsSearches were conducted of various electronic databases (PubMed, EMBASE, Medline, and the Cochrane Library) to identify observational studies published between 1996 and January 2020 which investigated the association between NAFLD and extrahepatic cancers. The pooled OR/HR/IRR of the association between NAFLD and various extrahepatic cancers were analyzed.

resultsA total of 26 studies were included to investigate the association between NAFLD and various extrahepatic cancers. As the results shown, the pooled OR values of the risk of colorectal cancer and adenomas in patients with NAFLD were 1.72 (95%CI: 1.40-2.11) and 1.37 (95%CI: 1.29-1.46), respectively. The pooled OR values of the risk of intrahepatic cholangiocarcinoma and extrahepatic cholangiocarcinoma in patients with NAFLD were 2.46 (95%CI: 1.77-3.44) and 2.24 (95%CI: 1.58-3.17), respectively. The pooled OR value of the risk of breast cancer in patients with NAFLD was 1.69 (95%CI: 1.44-1.99). In addition, NAFLD was also tightly associatied with the risk of gastric cancer, pancreatic cancer, prostate cancer, and esophageal cancer.

conclusionsNAFLD could significantly increase the development risk of colorectal adenomas and cancer, intrahepatic and extrahepatic cholangiocarcinoma, breast, gastric, pancreatic, prostate, and esophageal cancer. NAFLD could be considered as one of the influencing factors during the clinical diagnosis and treatment for the extrahepatic cancers.

Indexed as

Bile Duct NeoplasmsBile Ducts, IntrahepaticCholangiocarcinomaColorectal NeoplasmsEsophageal NeoplasmsHumansNon-alcoholic Fatty Liver DiseaseRisk FactorsStomach NeoplasmsBreast cancerCholangiocarcinomaColorectal cancerExtrahepatic cancerGastric cancerNonalcoholic fatty liver disease

Identifiers

PMID32475354
PMCPMC7262754
OpenAlexW3032639228

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.