Evidence map›Paper›PMID 37703863›Full record

ArticleDigestive diseases (Basel, Switzerland)2023

Global Epidemiology of Cirrhosis: Changing Etiological Basis and Comparable Burden of Nonalcoholic Steatohepatitis between Males and Females.

Darren Tan, Kai En Chan, Zhen Yu Wong, Cheng Han Ng, Jieling Xiao, Wen Hui Lim, Phoebe Tay, Ansel Tang, Clarissa Elysia Fu, Mark Muthiah and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Digestive diseases (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
6.0field-weighted citation impact, top 3% 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

14 citing papers in PubMed, 29 citations in OpenAlex.

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  11. The Rising Burden of Hepatocellular Carcinoma: Is the Gender Gap Narrowing?Journal of clinical and translational hepatology · 2024
    Article
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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

18 authors at 4 institutions in 2 countries.

Darren TanYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Kai En ChanYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Zhen Yu WongNottingham Hospitals University Trust, Nottingham, UK.
Cheng Han NgYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Jieling XiaoYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Wen Hui LimYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Phoebe TayYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Ansel TangYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Clarissa Elysia FuYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Mark MuthiahYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Benjamin NahYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Eunice X TanYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Margaret L P TengYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Mohammad Shadab SiddiquiDivision of Gastroenterology, Department of Internal Medicine, Hepatology and Nutrition, Virginia Commonwealth University, Richmond, Virginia, USA.
Yock Young DanYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Seng Gee LimYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Rohit LoombaDivision of Gastroenterology, NAFLD Research Center, University of California at San Diego, La Jolla, California, USA.
Daniel Q HuangYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
National University of Singapore · SGNational University Health System · SGUniversity of California, San Diego · USVirginia Commonwealth University · US

Funding

Yeast Genetics and Stress Response Genes-BiomedicalP42ES010337 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI TUKEY, ROBERT H · 2000 to 2022
$69.8M
San Diego Digestive Diseases Research CenterP30DK120515 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Bernd G. Schnabl · 2019 to 2026
$10.8M
NIDDK NIH HHS P30 DK120515NIEHS NIH HHS P42 ES010337
6 · The paper itself

Abstract

introductionThe etiology of liver diseases has changed significantly, but its impact on the comparative burden of cirrhosis between males and females is unclear. We estimated sex differences in the burden of cirrhosis across 204 countries and territories from 2010 to 2019.

methodsWe analyzed temporal trends in the burden of cirrhosis using the methodology framework of the 2019 Global Burden of Disease study. We estimated annual frequencies and age-standardized rates (ASRs) of cirrhosis incidence, death, and disability-adjusted life-years (DALYs) by sex, region, country, and etiology.

resultsIn 2019, the frequency of incident cases, deaths, and DALYs due to cirrhosis was 1,206,125, 969,068, and 31,781,079 in males versus 845,429, 502,944, and 14,408,336 in females, respectively. From 2010 to 2019, the frequency of cirrhosis deaths increased by 9% in males and 12% in females. Incidence ASRs remained stable in males but increased in females, while death ASRs declined in both. Death ASRs for both sexes declined in all regions, except in the Americas where they remained stable. In 2019, alcohol was the leading cause of cirrhosis deaths in males, and hepatitis C in females. Death ASRs declined for all etiologies in both sexes, except in nonalcoholic steatohepatitis (NASH). The ratio of female-to-male incidence ASRs in 2019 was lowest in alcohol(0.5), and highest in NASH(1.3), while the ratio of female-to-male death ASRs was lowest in alcohol(0.3) and highest in NASH(0.8).

conclusionThe global burden of cirrhosis is higher in males. However, incidence and death ASRs from NASH cirrhosis in females are comparable to that of males.

Indexed as

Non-alcoholic Fatty Liver DiseaseFemaleGlobal Burden of DiseaseGlobal HealthHumansIncidenceLiver CirrhosisMaleQuality-Adjusted Life YearsRisk FactorsAlcoholCirrhosisEpidemiologyEtiologyNonalcoholic steatohepatitis

Identifiers

PMID37703863
PMCPMC10716870
OpenAlexW4386726211

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.