Evidence map›Paper›PMID 39927433›Full record

ArticleLiver international : official journal of the International Association for the Study of the Liver2025

The Global Burden of Cirrhosis and Other Chronic Liver Diseases in 2021.

Ethan Kai Jun Tham, Darren Jun Hao Tan, Pojsakorn Danpanichkul, Cheng Han Ng, Nicholas Syn, Benjamin Koh, Ryan Yan Zhe Lim, Karn Wijarnpreecha, Magaret Li Peng Teng, Benjamin Kai Yi Nah and 10 more

Abstract read
In one paragraph

Article in Liver international : official journal of the International Association for the Study of the Liver, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. The Role ofInternational journal of molecular sciences · 2026
    Review
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  8. [Ultrasound technologies' new clinical application for chronic liver diseases].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
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  18. The Health Benefits ofNutrients · 2026
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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

20 authors.

Ethan Kai Jun ThamYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID 0009-0008-9786-6922
Darren Jun Hao TanYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Pojsakorn DanpanichkulDepartment of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.ORCID 0000-0002-9121-165X
Cheng Han NgDivision of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore, Singapore.
Nicholas SynYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Benjamin KohYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Ryan Yan Zhe LimYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Karn WijarnpreechaDepartment of Internal Medicine, Bassett Medical Center, Cooperstown, New York, USA.ORCID 0000-0002-6232-6343
Magaret Li Peng TengDivision of Gastroenterology, Department of Medicine, Alexandra Hospital, Singapore, Singapore.
Benjamin Kai Yi NahDivision of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore, Singapore.
Benedix Kuan Loo SimDivision of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore, Singapore.
Xianda ChengYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Zixuan ZhangYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID 0000-0002-3446-0772
Kartik MitraYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Toru NakamuraDivision of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume, Japan.
Hirokazu TakahashiDivision of Metabolism and Endocrinology, Faculty of Medicine, Saga University, Saga, Japan.
Rohit LoombaDivision of Gastroenterology, Department of Medicine and Division of Epidemiology, Department of Family and Preventive Medicine, University of California, San Diego, California, USA.
Ming-Hua ZhengDepartment of Hepatology, MAFLD Research Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Mark MuthiahYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID 0000-0002-9724-4743
Daniel Q HuangYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID 0000-0002-5165-5061

Funding

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 DK120515
6 · The paper itself

Abstract

BACKGROUND AND

aimThe burden of cirrhosis and other chronic liver diseases has changed in recent years due to shifts in the contributing aetiologies. We estimated the burden of cirrhosis and other chronic liver diseases, including etiological and regional differences, across 204 countries and territories from 2010 to 2021. APPROACH AND

resultsWe analysed temporal trends in the burden of cirrhosis and other chronic liver diseases utilising data from the Global Burden of Disease Study 2021. We estimated annual frequencies and age-standardised rates (ASRs) of incident cases, deaths and disability-adjusted life-years (DALYs) by sex, country, World Health Organisation region and its contributing aetiologies. In 2021, there were an estimated 58 417 006 incident cases, 1 425 142 deaths and 46 417 777 DALYs related to cirrhosis and other chronic liver diseases. From 2010 to 2021, there was a rise in age-standardised incidence rates (ASIRs) (APC: +0.35%) but age-standardised death rates (ASDRs) (APC: -1.74%) and age-standardised disability-adjusted life-years (ASDALYs) (APC: -1.85%) declined. Cirrhosis related to metabolic dysfunction-associated steatohepatitis (MASH) contributed to 48 310 981 incident cases in 2021 and was largely responsible for the overall increase in ASIRs from 2010 to 2021. Cirrhosis and other chronic liver diseases related to MASH were the only aetiology with a rise in ASIR (APC: +0.86%). Age-standardised deaths related to all aetiologies of cirrhosis and other chronic liver diseases declined during the study period. Age-standardised deaths and DALYs related to MASH increased in the Americas, unlike all other world regions where they declined or remained stable.

conclusionsAge-adjusted deaths related to cirrhosis and other chronic liver diseases are declining. However, the age-adjusted incidence of cirrhosis and other chronic liver diseases is increasing, driven by increases in the incidence of MASH.

Indexed as

Global Burden of DiseaseLiver CirrhosisLiver DiseasesAdultAgedChronic DiseaseDisability-Adjusted Life YearsFemaleGlobal HealthHumansIncidenceMaleMiddle Agedchronic liver diseasecirrhosisglobal burden

Identifiers

PMID39927433
PMCPMC11808647

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.