Evidence map›Paper›PMID 34760965›Full record

ArticleHepatobiliary surgery and nutrition2021

Accuracy of non-invasive liver stiffness measurement and steatosis quantification in patients with severe and morbid obesity.

Magdalena Eilenberg, Petra Munda, Judith Stift, Felix B Langer, Gerhard Prager, Michael Trauner, Katharina Staufer

2 registry-linked trialsOpen access · diamondAbstract read
In one paragraph

Article in Hepatobiliary surgery and nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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.

NCT05728697 recruitingnot on this map

Endoscopic Ultrasound Shear Wave Elastography: A Novel Tool for Fibrosis Screening in Patient With Elevated Body Mass Index and Suspected Non-Alcoholic Fatty Liver Disease or Steatohepatitis

Typeobservational_patient_registrySponsorBrigham and Women's HospitalRan2021 to 2027Enrolled150ConditionsNon-Alcoholic Fatty Liver Disease, Non-alcoholic Steatohepatitis, ObesityArmsEndoscopic ultrasound shear wave elastography
NCT05987748 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The Clock Thickens: Morning or Evening Training for the Treatment of NAFLD? (TikTac Study)

TypeinterventionalSponsorLeiden University Medical CenterRan2023 to 2024Enrolled40ConditionsNon-Alcoholic Fatty Liver DiseaseArmsExercise training
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Accuracy of Non-Invasive Imaging Techniques for the Diagnosis of MASH in Patients With MASLD: A Systematic Review.Liver international : official journal of the International Association for the Study of the Liver · 2025
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  6. Evaluation of spleen stiffness and liver stiffness as non-invasive predictors of esophageal varices in patients with cirrhosis of the liver.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
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  9. Endo-hepatology: Bridging the gap between lumen and liver.World journal of gastroenterology · 2025
    Review
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  12. MASLD, At-Risk MASH and Increased Liver Stiffness Are Associated With Young Adulthood Obesity Without Residual Risk After Losing Obesity.Liver international : official journal of the International Association for the Study of the Liver · 2025
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  15. FibroScan compared to liver biopsy for accurately staging recurrent hepatic steatosis and fibrosis after transplantation for MASH.Liver international : official journal of the International Association for the Study of the Liver · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Magdalena EilenbergDivision of General Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
Petra MundaDivision of Gastroenterology & Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Judith StiftClinical Institute of Pathology, Medical University of Vienna, Vienna, Austria.
Felix B LangerDivision of General Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
Gerhard PragerDivision of General Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
Michael TraunerDivision of Gastroenterology & Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Katharina StauferDepartment of Visceral Surgery and Medicine, Inselspital, University Hospital Bern, Bern, Switzerland.
Medical University of Vienna · ATUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVibration controlled transient elastography (VCTE) and controlled attenuation parameter (CAP™) have shown reliable performance predicting fibrosis and steatosis in normal- to overweight patients but have not been validated in severe to morbid obesity. This study aimed at determining the accuracy of VCTE, CAP™ and the composite score FibroScan-AST (FAST) in patients with a body mass index (BMI) of ≥35 kg/m

methodsPatients scheduled for bariatric-metabolic surgery underwent preoperative VCTE/CAP™ measurement, and intraoperative liver biopsy. The feasibility and accuracy of VCTE, CAP™ and the composite score FAST were retrospectively analysed to evaluate fibrosis, steatosis and active fibrotic non-alcoholic steatohepatitis [NASH + non-alcoholic fatty liver disease (NAFLD) activity score ≥4 + fibrosis grade ≥2] using per protocol (PP) and intent to diagnose (ITD) calculation.

resultsIn total, 170 patients (median BMI 44.4 kg/m

conclusionsVCTE, CAP™ and FAST show acceptable accuracy for the detection of fibrosis, steatosis and NASH in a real-life cohort of patients with obesity. Accuracy improves in patients with a BMI <44.4 kg/m

Indexed as

controlled attenuation parameter (CAP™)FibroScan-AST score (FAST score)non-alcoholic fatty liver disease (NAFLD)obesityTransient elastography

Identifiers

PMID34760965
PMCPMC8527403
OpenAlexW3161771168

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.