Evidence map›Paper›PMID 35731428›Full record

ArticleDigestive diseases and sciences2023

Crohn's Disease Is Associated with Liver Fibrosis in Patients with Nonalcoholic Fatty Liver Disease.

Manik Aggarwal, Rajat Garg, Gopanandan Parthasarthy, Amy S Nowacki, Ruthvik Padival, Arthur McCullough, Taha Qazi, Benjamin Click, Florian Rieder, Benjamin L Cohen

Open access · greenAbstract read
In one paragraph

Article in Digestive diseases and sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

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  9. Inflammatory bowel disease type influences development of elevated liver enzymes.JGH open : an open access journal of gastroenterology and hepatology · 2022
    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 4 institutions in 1 country.

Manik AggarwalDepartment of Internal Medicine, Cleveland Clinic, 9500 Euclid Avenue, A3-208, Cleveland, OH, 44195, USA. aggarwm@ccf.org.ORCID http://orcid.org/0000-0002-6087-1700
Rajat GargDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Gopanandan ParthasarthyDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Amy S NowackiDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA.
Ruthvik PadivalGastroenterology and Hepatology, Intermountain Health, Murray, UT, USA.
Arthur McCulloughDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Taha QaziDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Benjamin ClickGastroenterology and Hepatology, University of Colorado, Aurora, CO, USA.
Florian RiederDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Benjamin L CohenDigestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.
Cleveland Clinic · USIntermountain Healthcare · USMayo Clinic in Arizona · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Creeping fat and Crohn's disease associated stricturesR01DK123233 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI RIEDER, FLORIAN · 2020 to 2024
$1.9M
NIDDK NIH HHS R01 DK123233
6 · The paper itself

Abstract

backgroundChronic inflammation in IBD is postulated to drive NAFLD progression from steatosis to fibrosis.

aimsTo study the histopathological spectrum of NAFLD in Crohn disease (CD) and Ulcerative colitis (UC).

methodsPatients with biopsy proven NAFLD at a quaternary center from 2008 to 2018 were included in this retrospective analysis. Inflammatory bowel disease (IBD) diagnosed either clinically and/or endoscopically at the time of liver biopsy. Multivariable regression and propensity score (PS) weighted analysis were conducted. Statistical analysis were performed using SAS statistical software.

resultsAmong 1009 patients with NAFLD a diagnosis of IBD was identified in 50 cases (34 CD and 16 UC). On multivariable analysis; CD was independently associated with significantly higher odds of advanced fibrosis (AF) on liver biopsy (adjusted OR = 4.09, 95% CI = 1.40-11.94) compared to NAFLD patients without IBD. Similar results were obtained with both the overlap PS weighted model (OR = 3.17, 95% CI = 1.55-6.49) and the PS matched model (OR = 3.49, 95% CI = 1.50-8.13).

conclusionIn a large cohort of patients with histologically well characterized NAFLD, AF was more common in CD patients than NAFLD patients without IBD. These findings must be confirmed in a larger cohort, but suggest CD patients with NAFLD could be at greater risk for liver fibrosis.

Indexed as

Colitis, UlcerativeCrohn DiseaseInflammatory Bowel DiseasesNon-alcoholic Fatty Liver DiseaseBiopsyHumansLiverLiver CirrhosisRetrospective StudiesRisk FactorsFibrosisInflammatory bowel diseaseNAFLDNASH

Identifiers

PMID35731428
PMCPMC10022843
OpenAlexW4283328494

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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.