Evidence map›Paper›PMID 39604811›Full record

ArticleAlimentary pharmacology & therapeutics2025

Impact of Nonalcoholic Fatty Liver Disease on the Survival of People Living With HIV.

Juan Macias, Mario Frias, Juan Antonio Pineda, Diana Corona-Mata, Anais Corma-Gomez, Antonio Rivero-Juarez, Marta Santos, Miguel García-Deltoro, Antonio Rivero, Carmen Ricart-Olmos and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Observational
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

12 authors.

Juan MaciasUnit of Infectious Diseases and Microbiology, Hospital Universitario Virgen de Valme, Sevilla, Spain.ORCID https://orcid.org/0000-0002-4778-790X
Mario FriasCentro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Madrid, Spain.
Juan Antonio PinedaMedicine Department, University of Sevilla, Seville, Spain.
Diana Corona-MataCentro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Madrid, Spain.
Anais Corma-GomezUnit of Infectious Diseases and Microbiology, Hospital Universitario Virgen de Valme, Sevilla, Spain.
Antonio Rivero-JuarezCentro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Madrid, Spain.ORCID https://orcid.org/0000-0002-5813-6889
Marta SantosUnit of Infectious Diseases and Microbiology, Hospital Universitario Virgen de Valme, Sevilla, Spain.
Miguel García-DeltoroUnit of Infectious Diseases, Hospital General Universitario de Valencia, Valencia, Spain.
Antonio RiveroCentro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Madrid, Spain.
Carmen Ricart-OlmosUnit of Infectious Diseases, Hospital General Universitario de Valencia, Valencia, Spain.
Alejandro Gonzalez-SernaUnit of Infectious Diseases and Microbiology, Hospital Universitario Virgen de Valme, Sevilla, Spain.
Luis Miguel RealUnit of Infectious Diseases and Microbiology, Hospital Universitario Virgen de Valme, Sevilla, Spain.ORCID https://orcid.org/0000-0003-4932-7429

Funding

Instituto de Salud Carlos III CM21/00263Instituto de Salud Carlos III CP18/00111Instituto de Salud Carlos III CP18/00146Instituto de Salud Carlos III IM22/INF/10Instituto de Salud Carlos III PI018/00606Instituto de Salud Carlos III PI18/011270Instituto de Salud Carlos III PI20/01457Instituto de Salud Carlos III PI23/01089Servicio Andaluz de Salud B-0061-2021
6 · The paper itself

Abstract

backgroundNonalcoholic fatty liver disease (NAFLD) is an increasing concern for people living with HIV (PLWH). However, information on the impact of NAFLD on the prognosis of PLWH is very scarce.

aimsTo investigate the influence of NAFLD on the overall and liver-related mortality in PLWH.

methodsPLWH followed in three Spanish centres were included in a prospective cohort at the date of the first transient elastography evaluation. Survival data were recorded, and the causes of death were centrally monitored. The risk of all-cause death and liver-related death was evaluated by applying time-to-event analyses.

resultsA total of 2151 PLWH were included in the cohort and followed for a median (Q1-Q3) of 7.3 (3.5-10.4) years. There were 174 (8.1%) deaths. The probability of overall death and liver-related death was associated with liver stiffness measurement (LSM) and with FibroScan-AST (FAST) score. Among 844 PLWH with potential for NALFD, LSM was independently associated with all-cause mortality (adjusted hazard ratio [AHR], by 1 kPa increase: 1.06; 95% confidence interval [95% CI]: 1.04-1.08; p < 0.001). In a separate model and after adjustment, FAST score ≥ 0.67 was related to survival (AHR: 1.87; 95% CI: 1.40-2.50; p < 0.001). The AUROC (95% CI) of the models were based on LSM, 0.812 (0.739-0.885); and FAST, 0.825 (0.753-0.897) (p = 0.386).

conclusionsFor PLWH, advanced liver fibrosis increases the risk of overall death and liver-related death. LSM and the FAST score are similar predictors of survival for PLWH with potential for NAFLD.

Indexed as

Elasticity Imaging TechniquesHIV InfectionsNon-alcoholic Fatty Liver DiseaseAdultCause of DeathFemaleHumansLiver CirrhosisMaleMiddle AgedPrognosisProspective StudiesRisk FactorsSpainFAST scoreHIVliver stiffnessMASLDNAFLDsurvival

Identifiers

PMID39604811
PMCPMC11707644

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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.