Evidence map›Paper›PMID 39980749›Full record

ArticleJHEP reports : innovation in hepatology2025

Global burden of metabolic dysfunction-associated steatotic liver disease, 2010 to 2021.

Gong Feng, Giovanni Targher, Christopher D Byrne, Yusuf Yilmaz, Vincent Wai-Sun Wong, Cosmas Rinaldi Adithya Lesmana, Leon A Adams, Jerome Boursier, George Papatheodoridis, Mohamed El-Kassas and 61 more

Abstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing 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

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

  1. Pooled it
  2. Glucagon-Like Peptide-1 Receptor Agonists Improve MASH and Liver Fibrosis: A Meta-Analysis of Randomised Controlled Trials.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Pooled it
  3. A probioticGut microbes · 2026
    Article
  4. Review
  5. Review
  6. Journal of microbiology and biotechnology · 2026
    Article
  7. MASLD In PBC: A Shift From Liver-Centred to Cardiometabolic Risk Assessment?Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Review

28 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

71 authors.

Gong FengXi'an Medical University, Xi'an, China.
Giovanni TargherDepartment of Medicine, University of Verona, Verona, Italy.
Christopher D ByrneSouthampton National Institute for Health and Care Research Biomedical Research Centre, University Hospital Southampton and University of Southampton, Southampton General Hospital, Southampton, UK.
Yusuf YilmazDepartment of Gastroenterology, School of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey.
Vincent Wai-Sun WongDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Cosmas Rinaldi Adithya LesmanaHepatobiliary Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National General Hospital, Medical Faculty Universitas Indonesia, Jakarta, Indonesia.
Leon A AdamsDepartment of Hepatology, Sir Charles Gairdner Hospital, Perth, Australia.
Jerome BoursierHIFIH Laboratory, UPRES EA3859, Angers University, Angers, France.
George PapatheodoridisDepartment of Gastroenterology, Laiko General Hospital, Medical School of National and Kapodistrian University of Athens, Athens, Greece.
Mohamed El-KassasEndemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt.
Nahum Méndez-SánchezLiver Research Unit, Medica Sur Clinic & Foundation, Mexico City, Mexico.
Silvia SookoianConsejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina.
Laurent CasteraUniversité Paris Cité, UMR1149 (CRI), INSERM, Paris, France, Service d'Hépatologie, Hôpital Beaujon, Assistance Publique-Hôpitaux de Paris (AP-HP), Clichy, France.
Wah-Kheong ChanGastroenterology and Hepatology Unit, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Feng YeThe First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Sombat TreeprasertsukFaculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Helena Cortez-PintoClínica Universitária de Gastrenterologia, Laboratório de Nutrição, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal.
Hon Ho YuDepartment of Gastroenterology and Hepatology, Kiang Wu Hospital, Macau, China.
Won KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Manuel Romero-GómezUCM Digestive Diseases, University Hospital Virgen del Rocio, Institute of Biomedicine of Seville (CSIC/HUVR/US), Ciberehd, University of Seville, Sevilla, Spain.
Atsushi NakajimaDepartment of Gastroenterology and Hepatology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Khin Maung WinDepartment of Medical Research, Union of Myanmar, Naypyidaw, Myanmar.
Seung Up KimDepartment of Internal Medicine, Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, South Korea.
Adriaan G HolleboomDepartment of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Giada SebastianiDivision of Gastroenterology and Hepatology, Chronic Viral Illness Service, McGill University Health Centre, Royal Victoria Hospital, Montreal, Canada.
Ponsiano OcamaDepartment of Medicine, Makerere University of College of Health Sciences, Kampala, Uganda.
John D RyanDepartment of Hepatology, RCSI School of Medicine and Medical Sciences, Dublin/Beaumont Hospital, Dublin, Ireland.
Monica Lupșor-PlatonDepartment of Medical Imaging, "Prof. Dr. Octavian Fodor" Regional Institute of Gastroenterology and Hepathology, "Iuliu Hațieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Hasmik GhazinyanGastroenterology and Hepatology Service, Yerevan Scientific Medical Center, Yerevan, Armenia.
Mamun Al-MahtabDepartment of Hepatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Saeed HamidDepartment of Medicine, Aga Khan University, Karachi, Pakistan.
Nilanka PereraDepartment of Medicine, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
Khalid A AlswatLiver Disease Research Center, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Qiuwei PanDepartment of Gastroenterology and Hepatology, Erasmus MC-University Medical Center, Rotterdam, The Netherlands.
Michelle T LongSection of Gastroenterology, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.
Vasily IsakovDepartment of Gastroenterology and Hepatology, Federal Research Center for Nutrition, Biotechnology and Food Safety, Moscow, Russian Federation.
Man MiXi'an Medical University, Xi'an, China.
Marco ArreseDepartamento de Gastroenterología, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Arun J SanyalStravitz-Sanyal Institute for Liver Disease and Metabolic Health, VCU School of Medicine, Richmond, VA, USA.
Shiv Kumar SarinDepartment of Hepatology and Liver Transplant, Institute of Liver and Biliary Sciences, New Delhi, India.
Nathalie Carvalho LeiteDivision of Hepatology, Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Luca ValentiDepartment of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy.
Philip N NewsomeInstitute of Hepatology, Faculty of Life Sciences and Medicine, King's College London and King's College Hospital, London, UK.
Hannes HagströmDepartment of Medicine, Huddinge, Karolinska Institutet, Stockholm, Sweden.
Salvatore PettaSezione di Gastroenterologia, PROMISE, University of Palermo, Palermo, Italy.
Hannele Yki-JärvinenDepartment of Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Jörn M SchattenbergDepartment of Internal Medicine II, Saarland University Medical Center, Homburg, Germany.
Marlen I Castellanos FernándezInstitute of Gastroenterology, University of Medical Sciences of Havana, Havana, Cuba.
Isabelle A LeclercqUCLouvain, Université catholique de Louvain, Institute of Experimental and Clinical Research, Laboratory of Hepato-Gastroenterology, Brussels, Belgium.
Gulnara AghayevaInternal Diseases Department, Baku branch, Sechenov Medical University, Baku, Azerbaijan.
Abdel-Naser ElzoukiDepartment of Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Ali TumiDepartment of Medicine, Tripoli University, Tripoli, Libya.
Ala I ShararaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Asma LabidiDepartment of Gastroenterology and Hepatology, Rabta Hospital, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Faisal M SanaiGastroenterology Section, Department of Medicine, King Abdulaziz Medical City, King Abdullah International Medical Research Center, Jeddah, Saudi Arabia.
Khaled MatarGastroenterology Department, European Gaza Hospital, Gaza, Palestine.
Maen Al-MattooqDepartment of Gastroenterology and Hepatology, Jaber AlAhmad & Farwaniya Hospital, Al Ahmadi, Kuwait.
Maisam Waid AkroushDepartment of Gastroenterology and Hepatology, the Mediterranean Taskforce for Cancer Control (MTCC), Amman, Jordan.
Mustapha BenazzouzService of Medicine C, Centre Hospitalier Universaitaire Ibn Sina, Rabat, Morocco.
Nabil DebziService d'Hépatologie, CHU Mustapha Bacha, Alger, Algeria.
Maryam AlkhatryDepartment of Gastroenterology, Obaidulla Hospital, Ras Al Khaimah, Emirates Health Services, Ministry of Health, Ras Al Khaimah, UAE.
Salma BarakatNational Center for Gastrointestinal and Liver Diseases, Ibn Sina Hospital, Ministry of Health, Khartoum, Sudan.
Said A Al-BusafiDepartment of Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
John RwegashaDepartment of Hepatology and Gastroenterology, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Wah YangDepartment of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Agyei AdwoaDepartment of Medicine, Korle Bu Teaching Hospital, Accra, Ghana.
Christopher Kenneth OpioDepartment of Medicine, Aga Khan University, Nairobi, Kenya.
Mohammadjavad SotoudeheianPhysiology Research Center, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Yu Jun WongDepartment of Gastroenterology & Hepatology, Changi General Hospital, Singapore, Singapore.
Jacob GeorgeStorr Liver Centre, Westmead Institute for Medical Research, Westmead Hospital and University of Sydney, Sydney, NSW, Australia.
Ming-Hua ZhengMAFLD Research Center, Department of Hepatology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & Aims: This study used the Global Burden of Disease data (2010-2021) to analyze the rates and trends of point prevalence, annual incidence, and years lived with disability (YLDs) for metabolic dysfunction-associated steatotic liver disease (MASLD) in 204 countries. Methods: Total numbers and age-standardized rates per 100,000 population for MASLD prevalence, annual incidence, and YLDs were compared across regions and countries by age, sex, and sociodemographic index (SDI). Smoothing spline models were used to evaluate the relationship between the burden of MASLD and SDI. Estimates were reported with uncertainty intervals (UI). Results: Globally, in 2021, the age-standardized rates per 100,000 population of point prevalence of MASLD were 15,018.1 cases (95% UI 13,756.5-16,361.4), annual incidence rates were 608.5 cases (598.8-617.7), and YLDs were 0.5 (0.3-0.8) years. MASLD point prevalence was higher in men than women (15,731.4 Conclusions: MASLD is a global health concern, with the highest prevalence reported in Kuwait, Egypt, and Qatar. Raising awareness about risk factors and prevention is essential in every country, especially in China, Sudan and India, where disease incidence and prevalence are rapidly increasing. Impact and implications: This research provides a comprehensive analysis of the global burden of MASLD, highlighting its rising prevalence and incidence, particularly in countries with varying sociodemographic indices. The findings are significant for both clinicians and policymakers, as they offer critical insights into the regional disparities in MASLD burden, which can inform targeted prevention and intervention strategies. However, the study's reliance on modeling and available data suggests cautious interpretation, and further research is needed to validate these findings in clinical and real-world settings.

Indexed as

EpidemiologyMetabolic dysfunction-associated fatty liver diseaseMetabolic dysfunction-associated steatotic liver diseaseNon-alcoholic fatty liver disease

Identifiers

PMID39980749
PMCPMC11840544

What OpenQuestion holds

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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.