Evidence map›Paper›PMID 37432160›Full record

ArticleNutrients2023

Association of Serum Albumin Levels and Long-Term Prognosis in Patients with Biopsy-Confirmed Nonalcoholic Fatty Liver Disease.

Hirokazu Takahashi, Miwa Kawanaka, Hideki Fujii, Michihiro Iwaki, Hideki Hayashi, Hidenori Toyoda, Satoshi Oeda, Hideyuki Hyogo, Asahiro Morishita, Kensuke Munekage and 24 more

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.1field-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.

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

21 citing papers in PubMed, 24 citations in OpenAlex.

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  11. Inflammation Markers and HCC Aggressiveness.Journal of biomedical research & environmental sciences · 2025
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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

34 authors at 17 institutions in 1 country.

Hirokazu TakahashiLiver Center, Saga Medical School, Saga University, Saga 849-8501, Japan.ORCID 0000-0003-1900-4389
Miwa KawanakaDepartment of General Internal Medicine2, Kawasaki Medical Center, Okayama 700-8505, Japan.
Hideki FujiiDepartment of Hepatology, Graduate School of Medicine, Osaka Metropolitan University, Osaka 558-8585, Japan.ORCID 0000-0003-1267-9623
Michihiro IwakiDivision of Gastroenterology and Hepatology, Yokohama City University Graduate School of Medicine, Yokohama 236-0004, Japan.
Hideki HayashiDepartment of Gastroenterology and Hepatology, Gifu Municipal Hospital, Gifu 500-8323, Japan.
Hidenori ToyodaDepartment of Gastroenterology, Ogaki Municipal Hospital, Ogaki 503-8502, Japan.ORCID 0000-0002-1652-6168
Satoshi OedaLiver Center, Saga Medical School, Saga University, Saga 849-8501, Japan.
Hideyuki HyogoHyogo Life Care Clinic Hiroshima, Hiroshima 732-0823, Japan.
Asahiro MorishitaDepartment of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa 761-0793, Japan.ORCID 0000-0002-0760-3045
Kensuke MunekageDepartment of Gastroenterology and Hepatology, Kochi Medical School, Kochi 783-8505, Japan.
Kazuhito KawataHepatology Division, Department of Internal Medicine II, Hamamatsu University School of Medicine, Shizuoka 431-3192, Japan.ORCID 0000-0002-4986-8578
Tsubasa TsutsumiDivision of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan.ORCID 0000-0001-6571-9874
Koji SawadaLiver Disease Care Unit, Division of Metabolism and Biosystemic Science, Gastroenterology, and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Asahikawa 078-8802, Japan.ORCID 0000-0002-9708-4786
Tatsuji MaeshiroFirst Department of Internal Medicine, University of the Ryukyus Hospital, 207 Uehara, Nishihara, Nakagami, Okinawa 903-0215, Japan.
Hiroshi TobitaDepartment of Hepatology, Shimane University Hospital, 89-1 Enya-cho, Izumo 693-8501, Japan.ORCID 0000-0003-2408-2023
Yuichi YoshidaDepartment of Gastroenterology and Hepatology, Suita Municipal Hospital, Osaka 564-8567, Japan.
Masafumi NaitoDepartment of Gastroenterology and Hepatology, Suita Municipal Hospital, Osaka 564-8567, Japan.ORCID 0000-0003-4974-1152
Asuka ArakiDepartment of Hepatology, Shimane University Hospital, 89-1 Enya-cho, Izumo 693-8501, Japan.ORCID 0000-0002-2185-4828
Shingo ArakakiFirst Department of Internal Medicine, University of the Ryukyus Hospital, 207 Uehara, Nishihara, Nakagami, Okinawa 903-0215, Japan.ORCID 0000-0001-7588-2704
Takumi KawaguchiDivision of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume 830-0011, Japan.ORCID 0000-0002-7064-4325
Hidenao NoritakeHepatology Division, Department of Internal Medicine II, Hamamatsu University School of Medicine, Shizuoka 431-3192, Japan.ORCID 0000-0003-3649-5335
Masafumi OnoDivision of Innovative Medicine for Hepatobiliary & Pancreatology, Faculty of Medicine, Kagawa University, Kita 761-0793, Japan.
Tsutomu MasakiDepartment of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Kagawa 761-0793, Japan.
Satoshi YasudaDepartment of Gastroenterology, Ogaki Municipal Hospital, Ogaki 503-8502, Japan.
Eiichi TomitaDepartment of Gastroenterology and Hepatology, Gifu Municipal Hospital, Gifu 500-8323, Japan.ORCID 0000-0003-2836-0414
Masato YonedaDivision of Gastroenterology and Hepatology, Yokohama City University Graduate School of Medicine, Yokohama 236-0004, Japan.
Akihiro TokushigeDepartment of Clinical Pharmacology and Therapeutics, Graduate School of Medicine, University of the Ryukyus, Okinawa 903-0215, Japan.
Yoshihiro KamadaDepartment of Advanced Metabolic Hepatology, Osaka University Graduate School of Medicine, 1-7, Yamadaoka, Suita 565-0871, Japan.
Shinichiro UedaDepartment of Clinical Pharmacology and Therapeutics, Graduate School of Medicine, University of the Ryukyus, Okinawa 903-0215, Japan.
Shinichi AishimaDepartment of Pathology and Microbiology, Faculty of Medicine, Saga University, Saga 849-8501, Japan.
Yoshio SumidaDivision of Hepatology and Pancreatology, Department of Internal Medicine, Aichi Medical University, Nagakute 480-1195, Japan.ORCID 0000-0002-4342-1361
Atsushi NakajimaDepartment of Hepatology, Graduate School of Medicine, Osaka Metropolitan University, Osaka 558-8585, Japan.ORCID 0000-0002-6263-1436
Takeshi OkanoueHepatology Center, Saiseikai Suita Hospital, Suita 564-0013, Japan.ORCID 0000-0002-2390-3400
Japan Study Group Of Nonalcoholic Fatty Liver Disease Jsg-Nafld
University of the Ryukyus · JPKagawa University · JPSaga University · JPGifu Municipal Hospital · JPHamamatsu University School of Medicine · JPKurume University · JPOgaki Municipal Hospital · JPOsaka Metropolitan University · JPShimane University Hospital · JPSuita Municipal Hospital · JPYokohama City University · JPAichi Medical University · JPAsahikawa Medical University · JPKawasaki Medical School · JPKochi Medical School Hospital · JPSaiseikai Suita Hospital · JPThe University of Osaka · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The relationship between baseline serum albumin level and long-term prognosis of patients with nonalcoholic fatty liver disease (NAFLD) remains unknown. This is a sub-analysis of the CLIONE (Clinical Outcome Nonalcoholic Fatty Liver Disease) study. The main outcomes were: death or orthotopic liver transplantation (OLT), liver-related death, and liver-related events (hepatocellular carcinoma [HCC], decompensated cirrhosis, and gastroesophageal varices/bleeding). 1383 Japanese patients with biopsy-confirmed NAFLD were analyzed. They were divided into 3 groups based on serum albumin: high (>4.0 g/dL), intermediate (3.5-4.0 g/dL), and low (<3.5 g/dL). Unadjusted hazard ratio [HR] of the intermediate albumin group, compared with the high albumin group, were 3.6 for death or OLT, 11.2 for liver-related death, 4.6 for HCC, 8.2 for decompensated cirrhosis, and 6.2 for gastroesophageal varices (all risks were statistically significant). After adjusting confounding factors, albumin remained significantly associated with death or OLT (intermediate vs. high albumin group: HR 3.06, 95% confidence interval [CI] 1.59-5.91,

Indexed as

Non-alcoholic Fatty Liver DiseaseAdultAgedBiopsyFemaleHumansLiver CirrhosisMaleMiddle AgedPrognosisSerum Albumin, HumanSerum Albumin, HumanalbuminAsiannonalcoholic steatohepatitisprognosis

Identifiers

PMID37432160
PMCPMC10180563
OpenAlexW4366828507

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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.