Evidence map›Paper›PMID 33664363›Full record

ArticleScientific reports2021

The incidence trends of liver cirrhosis caused by nonalcoholic steatohepatitis via the GBD study 2017.

Mimi Zhai, Zhide Liu, Jianhai Long, Qingxiang Zhou, Leping Yang, Qin Zhou, Sushun Liu, Yu Dai

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
7.2field-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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
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  5. [Analysis of a study for the global trend burden of MAFLD-associated cirrhosis based on the 2024 update of the Global Burden of Disease Database].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Article
  6. Review
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  8. Liver disorders and phytotherapy.Toxicology reports · 2025
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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

8 authors at 3 institutions in 1 country.

Mimi Zhai *Xiangya Nursing School, Central South University, Changsha, 410013, Hunan, China.
Zhide Liu *Department of General Surgery, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Jianhai LongDepartment of Respiratory, Beijing Tiantan Hospital, Capital Medicine University, Beijing, 100050, China.
Qingxiang ZhouDepartment of General Surgery, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Leping YangDepartment of General Surgery, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Qin ZhouDepartment of General Surgery, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Sushun LiuDepartment of General Surgery, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China. surun9566@csu.edu.cn.
Yu DaiClinical Nursing Teaching and Research Section, Department of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China. csdaiyu@csu.edu.cn.
Central South University · CNSecond Xiangya Hospital of Central South University · CNBeijing Tian Tan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nonalcoholic steatohepatitis (NASH) has rapidly become the most common cause of chronic liver diseases. We aimed to explore the incidence and distribution characteristics of NASH by sex, region and sociodemographic index (SDI). We collected data, including sex and region, on NASH-related liver cirrhosis from the 2017 GBD study. The age-standardized incidence rates (ASRs) and estimated annual percentage changes (EAPCs) were used to estimate the incidence trend and distribution characteristics. Globally, the incidence of liver cirrhosis caused by NASH increased from 178,430 cases in 1990 to 367,780 cases in 2017, an increase of approximately 105.56%. The ASR of NASH increased by an average of 1.35% per year (95% CI 1.28-1.42). Meanwhile, large differences in the ASR and the EAPC were observed across regions. The middle-high SDI region had the highest increase among all five SDI regions, followed by middle SDI region. In addition, Eastern Europe, Andean Latin America and Central Asia showed a more significant growth trend of ASR. In contrast, the high SDI region demonstrated the slowest increasing trend of ASR, and the high-income Asia Pacific demonstrated a decreasing trend among the 21 regions. Liver cirrhosis has caused a huge and rising health burden in many countries and regions. In addition, with the growth of obesity, population and aging, NASH might replace viral hepatitis as the most important cause of liver cirrhosis in the near future. Therefore, appropriate interventions are needed in coming decades to realize early diagnosis and prevention of NASH-related liver cirrhosis.

Indexed as

AdultAgedAgingFemaleGlobal Burden of DiseaseGlobal HealthHumansLiver CirrhosisMaleMiddle AgedNon-alcoholic Fatty Liver DiseaseObesityQuality-Adjusted Life Years

Identifiers

PMID33664363
PMCPMC7933440
OpenAlexW3135217127

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Registered trials

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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.