Evidence map›Paper›PMID 36740046›Full record

ReviewJournal of hepatology2023

Healthcare and socioeconomic costs of NAFLD: A global framework to navigate the uncertainties.

Alina M Allen, Jeffrey V Lazarus, Zobair M Younossi

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of hepatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 2 pooled it
30.3field-weighted citation impact, top 1% 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

79 citing papers in PubMed, 2 syntheses or guidelines pooled it, 141 citations in OpenAlex.

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19 more citing papers are in PubMed but not listed here.

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

3 authors at 2 institutions in 2 countries.

Alina M AllenDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: Allen.alina@mayo.edu.
Jeffrey V LazarusBarcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, Spain; Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain; CUNY Graduate School of Public Health and Health Policy, New York, NY, USA.
Zobair M YounossiCenter for Liver Diseases, Inova Medicine, Falls Church, Virginia, USA.
Mayo Clinic · USThe Graduate Center, CUNY · US

Funding

Noninvasive detection of NASH by magnetic resonance elastography (MRE)K23DK115594 · NIDDK · MAYO CLINIC ROCHESTER · PI ALLEN, ALINA M · 2018 to 2022
$846k
Digital Phenotyping of Nonalcoholic Fatty Liver DiseaseR03DK128127 · NIDDK · MAYO CLINIC ROCHESTER · PI ALLEN, ALINA M · 2021 to 2022
$239k
NIDDK NIH HHS K23 DK115594NIDDK NIH HHS R03 DK128127
6 · The paper itself

Abstract

Left unaddressed, non-alcoholic fatty liver disease (NAFLD) will continue to have substantial health, economic and social implications. To address the challenge, a paradigm shift is needed in the way NAFLD is conceptualised. Concerted, collaborative action across medical specialities, industry sectors and governments will be vital in tackling this public health threat. To drive this change, in this review, we present data on the current global healthcare and socioeconomic costs of NAFLD and highlight priority actions. The estimated healthcare costs of patients with NAFLD are nearly twice as high as their age-matched counterparts without the disease and are highest in those with advanced fibrosis and end-stage liver disease. NAFLD is accountable for the highest increase in DALYs (disability-adjusted life years) among all liver diseases globally. NAFLD and non-alcoholic steatohepatitis (NASH)-specific drug therapies are not yet available and there is considerable uncertainty regarding cost, optimal length of treatment, and their impact on liver-related outcomes and mortality. Among the currently available bariatric procedures, sleeve gastrectomy is reported to be the most cost-effective for NASH resolution. Gastric bypass remains very expensive, while data on bariatric endoscopy are limited. Lastly, we propose a global NAFLD/NASH investment framework to guide the development of achievable yet ambitious country-specific targets and strategic actions to optimise resource allocation and reduce the prevalence of NAFLD and NASH. Its focus on high-level inputs will be critical to enabling a political and financial environment that supports clinical-level implementation of NAFLD prevention, treatment and care efforts, across all settings.

Indexed as

Non-alcoholic Fatty Liver DiseaseHealth Care CostsHumansSocioeconomic FactorsUncertaintyBurdenHealthcare costsMAFLDSocioeconomic costsSteatotic liver disease

Identifiers

PMID36740046
PMCPMC10293095
OpenAlexW4319066922

What OpenQuestion holds

Textmetadata
LicenceTDM
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.