Evidence map›Paper›PMID 34986486›Full record

SynthesisDigestive diseases (Basel, Switzerland)2022

Increased Risk of Liver-Related Outcomes in Chronic Hepatitis B Patients with Metabolic Syndrome: A Systematic Review and Meta-Analysis.

Khin Naing Thin, Andrew Tran, Jie Li, Eunice Yewon Lee, Hongli Yang, Fajuan Rui, Chuanli Liu, Christopher D Stave, Ramsey C Cheung, Mindie H Nguyen

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Digestive diseases (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

10 citing papers in PubMed, 10 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
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  9. Article
  10. Article
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

10 authors at 8 institutions in 3 countries.

Khin Naing ThinDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, California, USA.
Andrew TranDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, California, USA.
Jie LiDepartment of Infectious Diseases, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.
Eunice Yewon LeeDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, California, USA.
Hongli YangDepartment of Infectious Disease, Shandong Provincial Hospital Affiliated to Shandong Frist Medical University, Jinan, China.
Fajuan RuiDepartment of Infectious Disease, Shandong Provincial Hospital Affiliated to Shandong Frist Medical University, Jinan, China.
Chuanli LiuDepartment of Infectious Disease, Shandong Provincial Hospital Affiliated to Shandong Frist Medical University, Jinan, China.
Christopher D StaveLane Medical Library, Stanford University School of Medicine, Stanford, California, USA.
Ramsey C CheungDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, California, USA.
Mindie H NguyenDepartment of Medicine, Division of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, California, USA.
Shandong University · CNStanford Medicine · USDuke University · USEast Yangon General Hospital · MMNanjing Drum Tower Hospital · CNShandong Provincial Hospital · CNStanford University · USVeterans Health Administration · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChronic hepatitis B (CHB) patients with metabolic syndrome (MetS) may present increased risk of liver-related outcomes (LROs), but prior studies were limited by small sample size and/or conflicting results. Using a systematic review and meta-analytic approach, we aimed to determine the association between MetS and LROs in CHB.

methodsTwo researchers independently screened studies from the PubMed, Embase, Web of Science, and Cochrane Library databases from inception to January 21, 2020, and extracted the data. Estimates were pooled using a random-effects model.

resultsWe screened 2,228 articles and included 10 eligible studies (18,360 CHB patients, 2,557 with MetS). MetS was significantly associated with LROs overall (odds ratio = 2.45, 95% confidence interval = 1.39-4.32) but not the individual LRO components but subgroup analyses were limited by small study numbers. DISCUSSION/

conclusionMetS is associated with almost 3-folds higher risk of LROs in CHB and should be considered in management decisions. However, additional studies are needed.

Indexed as

Hepatitis B, ChronicMetabolic SyndromeHumansOdds RatioDiabetesHepatocellular carcinomaLiver fibrosisMortalityPrognosis

Identifiers

PMID34986486
PMCPMC9808743
OpenAlexW4205342135

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.