Evidence map›Paper›PMID 39672583›Full record

ArticleBMJ open2024

Prevalence and characteristics of liver steatosis and fibrosis in type 2 diabetes mellitus (T2DM) patients: a cross-sectional study in populations of eastern China.

Hekai Yu, Xianghui Su, Wenxuan Tao, Weixia Sun, Xiaoyan Zhang, Qing Han, Zhuoxiao Zhao, Yan Zhang, Xiaoqian Chen, Xinliang Liu and 3 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05597709 (Prevalence of Metabolic Associated Fatty Liver Disease in Patients With Type 2 Diabetes in Jiangsu Province of China), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05597709 recruitingnot on this map

Prevalence of Metabolic Associated Fatty Liver Disease in Patients With Type 2 Diabetes in Jiangsu Province of China: a Prospective, Multicenter, Real-world Study

TypeobservationalSponsorWuxi Hisky Medical Technology Co LtdRan2022 to 2027Enrolled2,900ConditionsType 2 Diabetes Mellitus in Remission, Metabolic Associated Fatty Liver DiseaseArmsUltrasound attenuation parameter measurement, fasting blood glucose and fasting insulin determination
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

13 authors.

Hekai Yu *Department of Endocrinology, Southeast University, Nanjing, Jiangsu, China.
Xianghui Su *Department of Endocrinology, First Affiliated Hospital of Xinjiang Medical University, Xinjiang, Xinjiang, China.
Wenxuan Tao *Department of Endocrinology, Southeast University, Nanjing, Jiangsu, China.
Weixia SunDepartment of Endocrinology, Southeast University, Nanjing, Jiangsu, China.
Xiaoyan ZhangDepartment of Endocrinology, Southeast University, Nanjing, Jiangsu, China.
Qing HanDepartment of Endocrinology, Southeast University, Nanjing, Jiangsu, China.
Zhuoxiao ZhaoNanjing Gaochun Hospital of Traditional Chinese Medicine, Nanjing, Jiangsu, China.
Yan ZhangDepartment of Endocrinology, The Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China.
Xiaoqian ChenDepartment of Endocrinology, Nanjing Central Hospital, Nanjing, Jiangsu, China.
Xinliang LiuKangda College of Nanjing Medical University, Lianyungang, Jiangsu, China.
Dianrong JiaDepartment of Endocrinology, Taizhou Jiangyan Hospital of Traditional Chinese Medicine, Taizhou, Jiangsu, China dr_liling@126.com jiadianrong-1111@163.com 15836364293@163.com.
Li FangNanjing Gaochun Hospital of Traditional Chinese Medicine, Nanjing, Jiangsu, China dr_liling@126.com jiadianrong-1111@163.com 15836364293@163.com.
Ling LiDepartment of Endocrinology, School of Medicine, Southeast University Zhongda Hospital, Nanjing, Jiangsu, China dr_liling@126.com jiadianrong-1111@163.com 15836364293@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe the prevalence, clinical characteristics and risk factors of liver steatosis and fibrosis in type 2 diabetes mellitus (T2DM) patients in eastern China.

designA cross-sectional, multicentre study based on an ongoing cohort study.

setting16 clinics in eastern China, including primary clinics to tertiary hospitals.

participants1816 patients with T2DM diagnosis who met the inclusion criteria were recruited into the study.

interventionParticipants underwent elastography examination.

main outcome measuresDescriptive analysis was performed to calculate the prevalence and characteristics of liver steatosis and fibrosis. The correlated factors were analysed using single- and multivariate logistic regression analysis.

resultsThe prevalence of liver steatosis in T2DM patients is 69.7%, with 46% moderate to severe steatosis. 34.6% and 6.7% of the patients were detected with liver fibrosis and cirrhosis. Steatosis patients were younger, had higher body mass index (BMI), higher levels of insulin resistance and more severe lipid metabolism disorders. Similar trends of differences were observed in patients with fibrosis. Female gender (OR=0.574, 95% CI 0.381 to 0.865), BMI (OR=1.491, 95% CI 1.375 to 1.616), disease duration, inflammation and serum lipid profile markers were risk factors of steatosis, while BMI (OR=1.204, 95% CI 1.137 to 1.275) and female gender (OR=0.672, 95% CI 0.470 to 0.961) were still the most significant predictors of liver fibrosis.

conclusionsThe prevalence of liver steatosis and fibrosis were high in patients with T2DM. Liver steatosis and fibrosis in these patients appeared to be more associated with lipid metabolism disorders and insulin resistance rather than glucose levels. TRIAL REGISTRATION NUMBER: Clinical trial: NCT05597709.

Indexed as

Diabetes Mellitus, Type 2Elasticity Imaging TechniquesLiver CirrhosisAdultAgedBody Mass IndexChinaCross-Sectional StudiesFatty LiverFemaleHumansInsulin ResistanceLogistic ModelsMaleMiddle AgedPrevalenceDiabetes Mellitus, Type 2Hepatobiliary diseaseLipid disorders

Identifiers

PMID39672583
PMCPMC11647396

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Registered trials

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.