Evidence map›Paper›PMID 40485820›Full record

ArticleJournal of clinical and experimental hepatology

Liver-related Events and Outcomes in Patients With Metabolic Dysfunction-associated Steatotic Liver Disease Varies With the Type of Cardiometabolic Risk Factor.

Shekhar Swaroop, Sagnik Biswas, Shubham Mehta, Arnav Aggarwal, Umang Arora, Samagra Agarwal, Amitkumar Chavan, Baibaswata Nayak, Shalimar

Abstract read
In one paragraph

Article in Journal of clinical and experimental hepatology. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. Article
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.

Shekhar SwaroopDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, 110029, Delhi, India.
Sagnik BiswasDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, 110029, Delhi, India.
Shubham MehtaDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, 110029, Delhi, India.
Arnav AggarwalDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, 110029, Delhi, India.
Umang AroraDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, 110029, Delhi, India.
Samagra AgarwalDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, 110029, Delhi, India.
Amitkumar ChavanDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, 110029, Delhi, India.
Baibaswata NayakDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, 110029, Delhi, India.
ShalimarDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, 110029, Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The long-term impact of individual cardiometabolic risk factors (CMRFs) and their combinations on outcomes in patients with metabolic dysfunction-associated steatotic liver disease (MASLD) remains poorly defined. Methods: In this single-center retrospective analysis, all consecutive patients diagnosed with MASLD from August 2001 to January 2024 were included. CMRFs were defined as per established criteria, with body mass index threshold of 23 kg/m Results: Of 1395 screened patients, 1043 were analyzed (median follow-up: 5.3 (3.8-6.7) years). LREs occurred in 30 (2.9%) patients, with an incidence of 5.04 (3.48-7.30) per 1000 person-years (PY). All-cause mortality occurred in 32 (3.0%) patients, with an incidence of 5.36 (95% CI: 3.79-7.58) per 1000 PY, including 14 (1.3%) liver-related mortality. Among individual CMRFs, diabetes was associated with the greatest proportion of mortality (4.1%), LREs (7.0%), and extrahepatic events (4.5%), while dyslipidemia was associated with the lowest proportions (2.4%, 2.4% and 2.2%, respectively). Patients with all five CMRFs had the highest rates of all-cause mortality (13.6 per 1000 PY) and LREs (8.8 per 1000 PY), though these differences were not statistically significant compared to those with fewer CMRFs. When assessing CMRF combinations, those with hypertension, low high density lipoprotein, obesity, and diabetes had the highest LRE (17.4 per 1000 PY) and all-cause mortality (21.1 per 1000 PY). Liver stiffness measurement (LSM) ≥10 kPa was an independent predictor of LRE and all-cause mortality. Conclusion: The type of CMRF plays a more critical role than the number of CMRFs in determining MASLD outcomes. Among the CMRFs, diabetes is associated with higher rates of LREs and deaths in patients with MASLD. LSM ≥10 kPa is a key predictor of clinical outcomes.

Indexed as

enzymeshearthepatitisNAFLDvirus

Identifiers

PMID40485820
PMCPMC12138427

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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.