Evidence map›Paper›PMID 41211502›Full record

ArticleGastro hep advances2026

Outcome-Specific Cardiovascular and Hypertensive Risk Profiles in Metabolic Dysfunction-Associated Steatotic Liver Disease: Insights From a Competing Risk Cohort Analysis.

Masashi Hirooka, Teruki Miyake, Ryo Yano, Yoshiko Nakamura, Yuki Okazaki, Toyoki Shimamoto, Atsushi Yukimoto, Yasunori Yamamoto, Takao Watanabe, Osamu Yoshida and 5 more

Abstract read
In one paragraph

Article in Gastro hep advances, 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. 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

15 authors.

Masashi HirookaTotal Medical Support Center, Ehime University Hospital, Toon, Japan.
Teruki MiyakeDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan.
Ryo YanoDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan.
Yoshiko NakamuraDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan.
Yuki OkazakiDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan.
Toyoki ShimamotoDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan.
Atsushi YukimotoDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan.
Yasunori YamamotoDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan.
Takao WatanabeDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan.
Osamu YoshidaDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan.
Kana HirookaDepartment of Gastroenterology and Metabology, National Hospital Organization Ehime Medical Center, Toon, Japan.
Yoshio TokumotoDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan.
Masanori AbeDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan.
Takeru IwataEhime General Health Care Association, Matsuyama, Japan.
Yoichi HiasaDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Metabolic dysfunction-associated steatotic liver disease (MASLD) is a cardiovascular risk factor affecting one in four adults globally. However, it remains unclear whether MASLD uniformly elevates risk across cardiometabolic outcomes. We investigated the outcome-specific associations of MASLD, incident cardiovascular disease (CVD), and hypertension (HTN) in a large Asian cohort. Methods: We analyzed 24,384 adults (median age 51.4 years; 51.2% women) enrolled in a retrospective Japanese health-screening program (2007-2022). MASLD was diagnosed based on the criteria of ultrasonography-confirmed hepatic steatosis and metabolic dysfunction. Primary outcomes were major adverse cardiovascular events and new-onset arterial HTN. We applied time-dependent Cox regression, multistate modeling, and Fine-Gray competing risk analysis over 127,419 person-years (median follow-up: 5.2 years). Results: Baseline MASLD prevalence was 23.8%. MASLD significantly increased the risk of CVD (adjusted hazard ratio: 1.83; 95% confidence interval: 1.63-2.07; Conclusion: MASLD substantially increased cardiovascular risk but showed minimal association with HTN. These findings challenge the assumption of a uniform cardiometabolic risk in MASLD and underscore the need for outcome-specific risk stratification and targeted CVD prevention in patients with MASLD.

Indexed as

Cardiovascular DiseaseCompeting RiskMASLDSteatosis

Identifiers

PMID41211502
PMCPMC12589983

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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.