Evidence map›Paper›PMID 38126928›Full record

ArticleHepatology communications2024

The changing epidemiology of adult liver transplantation in the United States in 2013-2022: The dominance of metabolic dysfunction-associated steatotic liver disease and alcohol-associated liver disease.

Zobair M Younossi, Maria Stepanova, Reem Al Shabeeb, Katherine E Eberly, Dipam Shah, Veronica Nguyen, Janus Ong, Linda Henry, Saleh A Alqahtani

Open access · goldAbstract read
In one paragraph

Article in Hepatology communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 3 pooled it
23.6field-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

75 citing papers in PubMed, 3 syntheses or guidelines pooled it, 110 citations in OpenAlex.

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15 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

9 authors at 2 institutions in 3 countries.

Zobair M YounossiBeatty Liver and Obesity Research Program, Inova Health System, Falls Church, Virginia, USA.ORCID 0000-0001-9313-577
Maria StepanovaBeatty Liver and Obesity Research Program, Inova Health System, Falls Church, Virginia, USA.
Reem Al ShabeebBeatty Liver and Obesity Research Program, Inova Health System, Falls Church, Virginia, USA.
Katherine E EberlyBeatty Liver and Obesity Research Program, Inova Health System, Falls Church, Virginia, USA.
Dipam ShahBeatty Liver and Obesity Research Program, Inova Health System, Falls Church, Virginia, USA.
Veronica NguyenBeatty Liver and Obesity Research Program, Inova Health System, Falls Church, Virginia, USA.
Janus OngThe Global NASH Council, Washington, District of Columbia, USA.
Linda HenryBeatty Liver and Obesity Research Program, Inova Health System, Falls Church, Virginia, USA.
Saleh A AlqahtaniBeatty Liver and Obesity Research Program, Inova Health System, Falls Church, Virginia, USA.
Inova Health System · USUniversity of the Philippines Manila · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe high prevalence of obesity in the United States drives the burden of NASH, recently renamed as metabolic dysfunction-associated steatohepatitis (MASH). We assessed the most recent trends in liver transplantation in the United States.

methodsThe Scientific Registry of Transplant Recipients (SRTR 2013-2022) was used to select adult (18 years or above) candidates who underwent liver transplant.

resultsThere were 116,292 candidates who underwent liver transplant with known etiology of chronic liver disease. In candidates without HCC, the most common etiology was alcohol-associated liver disease (ALD), increasing from 23% (2013) to 48% (2022), followed by NASH/MASH, which increased from 19% to 27%; the rates of viral hepatitis decreased (chronic hepatitis C: 28%-4%; chronic hepatitis B: 1.8%-1.1%) (all trend p<0.01). The proportion of HCC decreased from 25% (2013-2016) to 17% (2021-2022). Among HCC cohort, the proportion of chronic hepatitis C decreased from 60% (2013) to 27% (2022), NASH/MASH increased from 10% to 31%, alcohol-associated liver disease increased from 9% to 24% (trend p<0.0001), and chronic hepatitis B remained stable between 5% and 7% (trend p=0.62). The rapid increase in the proportion of NASH/MASH in HCC continued during the most recent study years [20% (2018), 28% (2020), 31% (2022)]; the trend remained significant after adjustment for age, sex, ethnicity, obesity, and type 2 diabetes.

conclusionsLiver transplant etiologies in the United States have changed over the last decade. Alcohol-associated liver disease and NASH/MASH remain the 2 most common indications for transplantation among those without HCC, and NASH/MASH is the most common in patients with HCC.

Indexed as

Carcinoma, HepatocellularDiabetes Mellitus, Type 2Hepatitis B, ChronicHepatitis C, ChronicLiver Diseases, AlcoholicLiver NeoplasmsLiver TransplantationNon-alcoholic Fatty Liver DiseaseAdultHumansObesityUnited States

Identifiers

PMID38126928
PMCPMC10749707
OpenAlexW4390061656

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.