Evidence map›Paper›PMID 40813520›Full record

SynthesisDigestive diseases and sciences2026

Clinical Outcomes of Acute Pancreatitis in Patients with Metabolic Dysfunction-Associated Fatty Liver Disease (MAFLD): A Systematic Review and Meta-Analysis.

Quanfeng Zhang, Pi Liu, Xuan Xu, Yuchen Yang, Yuwen Xiong

Abstract readSystematic ReviewMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Digestive diseases and sciences, 2026. 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. 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

5 authors.

Quanfeng ZhangDepartment of Gastroenterology, People's Hospital of Longhua, NO. 38 Jinglong construction Road, Shenzhen, 518109, Guangdong, China. 398471960@qq.com.
Pi LiuDepartment of Gastroenterology, People's Hospital of Longhua, NO. 38 Jinglong construction Road, Shenzhen, 518109, Guangdong, China.
Xuan XuDepartment of Gastroenterology, People's Hospital of Longhua, NO. 38 Jinglong construction Road, Shenzhen, 518109, Guangdong, China.
Yuchen YangDepartment of Gastroenterology, People's Hospital of Longhua, NO. 38 Jinglong construction Road, Shenzhen, 518109, Guangdong, China.
Yuwen XiongDepartment of Gastroenterology, People's Hospital of Longhua, NO. 38 Jinglong construction Road, Shenzhen, 518109, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetabolic dysfunction-associated fatty liver disease (MAFLD) is being increasingly identified in patients with acute pancreatitis (AP). However, their prognostic significance remains debatable.

objectiveWe conducted a systematic review and meta-analysis to examine the association between MAFLD and the clinical outcomes of AP.

methodsComprehensive searches were conducted in the PubMed, Embase, Web of Science, Cochrane Library, Scopus, and Ovid databases up to June 2, 2025. This analysis included observational studies that compared acute pancreatitis (AP) outcomes in patients with and without metabolic-associated fatty liver disease (MAFLD). Pooled odds ratios (ORs), mean differences (MDs), and 95% confidence intervals (CIs) were calculated using fixed or random-effects models depending on the heterogeneity observed. Subgroup and sensitivity analyses were also performed.

resultsA total of ten studies involving 6,436 patients were analyzed. Patients with metabolic-associated fatty liver disease (MAFLD) had a significantly higher risk of severe acute pancreatitis (Odds Ratio [OR] = 1.86), organ failure (OR = 1.65), and in-hospital mortality (OR = 1.71) than those without MAFLD. Additionally, MAFLD was linked to greater local complications and more extended hospital stay. Sensitivity and subgroup analyses confirmed the reliability of these findings.

conclusionMetabolic-associated fatty liver disease (MAFLD) is associated with poor clinical outcomes in patients with acute pancreatitis (AP), including increased severity, complications, and mortality rates. These findings indicate that MAFLD should be incorporated into the clinical risk stratification and management strategies for AP.

Indexed as

Fatty LiverPancreatitisAcute DiseaseHospital MortalityHumansPrognosisAcute pancreatitisFatty liverMAFLDMeta-analysisPrognosis

Identifiers

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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.