Evidence map›Paper›PMID 41171731›Full record

ArticlePloS one2025

Comparative mortality outcomes in metabolic dysfunction-associated steatotic liver disease and nonalcoholic fatty liver disease subtypes in the United States.

Pengwei Zhang, Sijia Yang, Rong Hu, Tianfang Peng, Peipei Yu, Yijun Zeng, Chunhong Ye, Panpan Wang, Xianhui Dong, Zhiying Che

Abstract readComparative Study
In one paragraph

Article in PloS one, 2025. 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

10 authors.

Pengwei ZhangHubei University of Chinese Medicine, Hubei, China.
Sijia YangHaining Traditional Chinese Medicine Hospital, Zhejiang, China.
Rong HuThe Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China.
Tianfang PengThe Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China.
Peipei YuThe Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China.
Yijun ZengPingxiang Health Vocational College, Jiangxi, China.
Chunhong YeHangzhou Normal University, Hangzhou, China.
Panpan WangHangzhou Normal University, Hangzhou, China.
Xianhui DongThe Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China.ORCID https://orcid.org/0000-0003-1761-7923
Zhiying CheTraditional Chinese Medicine (Zhong Jing) School, Henan University of Chinese Medicine, Zhengzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2023, experts from the European and American regions proposed the concepts of steatotic liver disease (SLD) and metabolic dysfunction-associated steatotic liver disease (MASLD). MASLD was proposed as a replacement for nonalcoholic fatty liver disease (NAFLD). We compared the long-term outcomes of patients with MASLD, NAFLD, and various subtypes of SLD.

methodsWe conducted a retrospective study using the NHANESIII database. Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for all-cause mortality and cause-specific mortality among patients with subtypes of SLD, MASLD, and NAFLD.

resultsDuring a follow-up period of 31 years (median 25 years), the adjusted risks of all-cause death for patients with MASLD was 1.19 (95% CI 1.06-1.34; P = 0.006) vs. the non-SLD group. There was a moderate level of consistency between MASLD and NAFLD (Cohen's kappa coefficient of 0.62545). Advanced fibrosis was the most serious risk factor for all-cause mortality in MASLD, and high C-reactive protein concentration was the most serious risk factor for all-cause mortality in NAFLD, followed by type 2 diabetes.

conclusionsMASLD is associated with a higher risk of all-cause mortality, and this association is independent of patients' demographic or metabolic characteristics, despite a relatively small hazard ratio. Our research findings further support that MASLD is a pathological disease related to liver disease itself. Therefore, redefining NAFLD as MASLD may help improve our understanding of predictive factors that increase the risk of death.

Indexed as

Fatty LiverNon-alcoholic Fatty Liver DiseaseAdultAgedCause of DeathFemaleHumansMaleMiddle AgedNutrition SurveysProportional Hazards ModelsRetrospective StudiesRisk FactorsUnited States

Identifiers

PMID41171731
PMCPMC12578175

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.