Evidence map›Paper›PMID 36809487›Full record

ArticleHepatology international2023

Association of MAFLD with end-stage kidney disease: a prospective study of 337,783 UK Biobank participants.

Shen Chen, Juan Pang, Rong Huang, Hongliang Xue, Xu Chen

Abstract read
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In one paragraph

Article in Hepatology international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
9.0field-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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Shen Chen *Department of Toxicology, School of Public Health, Sun Yat-Sen University, Guangzhou, People's Republic of China.
Juan Pang *Department of Nutrition, School of Public Health, Sun Yat-Sen University (Northern Campus), No.74, 2nd Zhongshan Road, Guangzhou, 510080, People's Republic of China.
Rong HuangMedical Science and Technology Innovation Center, Jinan Central Hospital, Shandong First Medical University, Taian, Jinan, China.
Hongliang XueDepartment of Nutrition, School of Public Health, Guangzhou Medical University, 195 Dongfeng W Rd., Guangzhou, 510080, People's Republic of China. rossxue666@gmail.com.
Xu ChenDepartment of Nutrition, School of Public Health, Sun Yat-Sen University (Northern Campus), No.74, 2nd Zhongshan Road, Guangzhou, 510080, People's Republic of China. cxu1024@gmail.com.ORCID http://orcid.org/0000-0003-4735-2364
Sun Yat-sen University · CNGuangzhou Medical University · CNJinan Central Hospital · CN

Funding

National Natural Science Foundation of China 82103823
6 · The paper itself

Abstract

introductionMetabolic dysfunction-associated fatty liver (MAFLD) has been found to be associated with the prevalence of chronic kidney disease (CKD). However, it is unknown whether MAFLD is associated with CKD development and the incidence of end-stage kidney disease (ESKD). We aimed to clarify the association between MAFLD and incident ESKD in the prospective UK Biobank cohort.

methodsWe analyzed the data of 337,783 UK Biobank participants and relative risks for the ESKD were calculated by using the Cox regression analysis.

resultsAmong 337,783 participants over a median duration of 12.8 years follow-up, a total of 618 ESKD cases were diagnosed. Participants with MAFLD were twice likely to develop ESKD (hazard ratio [HR] 2.03, 95% confidence interval [CI] 1.68-2.46, p < 0.001). The association of MAFLD with ESKD risk remained significant in both non-CKD and CKD participants. Our results also showed that there were graded associations between liver fibrosis scores and the risk of ESKD in MAFLD cases. Compared to non-MAFLD individuals, the adjusted HRs for incident ESKD in MAFLD patients with increasing levels of NAFLD fibrosis score were 1.23 (95% CI 0.96-1.58), 2.45 (1.98-3.03) and 7.67 (5.48-10.73), respectively. Furthermore, the risking alleles of PNPLA3 rs738409, TM6SF2 rs58542926, GCKR rs1260326 and MBOAT7 rs641738 amplified the MAFLD effect on ESKD risk. In conclusion, MAFLD is associated with incident ESKD.

conclusionMAFLD may help identify the subjects at high risk of ESKD development and MAFLD interventions should be encouraged to slow down CKD progression.

Indexed as

Fatty LiverKidney Failure, ChronicNon-alcoholic Fatty Liver DiseaseRenal Insufficiency, ChronicBiological Specimen BanksHumansProspective StudiesUnited KingdomEnd-stage kidney diseaseLiver fibrosis scoresMAFLDPolygenic risk scoreUK Biobank

Identifiers

PMID36809487
OpenAlexW4321437695

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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.