Evidence map›Paper›PMID 40510081›Full record

ArticleCureus2025

Temporal Trends and Disparities in Chronic Liver Disease Mortality: An Analysis Using National Center for Health Statistics (NCHS) Data Ranging From 1999 to 2023.

Victor C Ezeamii, Chukwujindu I Arinzechi, Oghenemaro O Oghotuoma, Uwakmfonabasi Umoudoh, Afolake A Adebayo, Ogechukwu H Nnabude, Taiwo Ajani, Bolaji Ayinde, Chinelo Anyaorah, Gift Ojukwu

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

10 authors.

Victor C EzeamiiPublic Health, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, USA.
Chukwujindu I ArinzechiInternal Medicine, May Pen Hospital, May Pen, JAM.
Oghenemaro O OghotuomaGeneral Internal Medicine, Walsall Healthcare NHS Trust, Walsall, GBR.
Uwakmfonabasi UmoudohGeneral Practice, Mersey Care NHS Foundation Trust, Southport, GBR.
Afolake A AdebayoFamily Medicine, Nnamdi Azikiwe University, Nnewi, NGA.
Ogechukwu H NnabudeGeneral Medicine, Windsor University School of Medicine, Cayon, USA.
Taiwo AjaniInternal Medicine, Obafemi Awolowo University, Ile-Ife, NGA.
Bolaji AyindeInternal Medicine, Northeast Georgia Medical Center Gainesville, Gainesville, USA.
Chinelo AnyaorahAccident and Emergency, Kingston Hospital, Kingston, JAM.
Gift OjukwuGeneral Practice, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic liver disease (CLD) remains a significant global health concern, with fluctuating mortality trends over the past two decades. This study analyzes age-adjusted CLD mortality rates using data from the Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) from 1999 to 2023, highlighting temporal trends and demographic disparities.

methodsWe conducted a retrospective analysis of CLD mortality rates stratified by year, gender, race, age group, and Hispanicity. Age-adjusted mortality rates were computed using direct standardization, and trends were examined over different periods.

resultsBetween 1999 and 2006, CLD mortality rates declined from 9.6 to 8.8 per 100,000 population. However, from 2007 onward, mortality rates increased, peaking at 14.5 in 2021, largely driven by the COVID-19 pandemic. Males exhibited consistently higher mortality rates than females. Racial disparities were evident, with American Indian/Alaska Native populations experiencing the highest mortality rates. Age-related trends showed the greatest burden in older adults, while mortality rates in younger populations also rose in recent years. Hispanic individuals demonstrated a significant increase in CLD mortality, particularly post-2010.

conclusionCLD mortality has risen significantly since 2007, with a pronounced peak in 2021. Despite a post-pandemic decline, rates remain above pre-2019 levels. These findings emphasize the significance of customized public health interventions and strategies tackling alcohol use, various metabolic risk factors, and healthcare access, especially for high-risk individuals and populations.

Indexed as

chronic liver diseasecovid-19epidemiologygender disparitiesmortality trendspublic healthracial disparities

Identifiers

PMID40510081
PMCPMC12158815

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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.