Evidence map›Paper›PMID 41401990›Full record

ArticleBMJ open2025

Burden and trends of NASH-related liver cancer associated with high fasting plasma glucose in China and globally from 1990 to 2021: a population-based analysis of the global burden of disease study.

Youjian Yao, Caifa Ji, ChenChen Zhou, Mei Gui

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Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Youjian YaoSchool of Public Health, Hainan Medical University, Haikou, Hainan, China.ORCID http://orcid.org/0009-0005-5291-241X
Caifa JiSchool of Public Health, Hainan Medical University, Haikou, Hainan, China.ORCID http://orcid.org/0009-0001-4417-3654
ChenChen ZhouHuazhong University of Science and Technology Tongji Medical College School of Nursing, Wuhan, Hubei, China.
Mei GuiSchool of Public Health, Hainan Medical University, Haikou, Hainan, China guimei0812@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyse the trends in the burden of non-alcoholic steatohepatitis (NASH)-related liver cancer associated with high fasting plasma glucose (HFPG) globally and in China from 1990 to 2021, and to project the burden over the next 15 years.

designPopulation-based secondary analysis of data from the Global Burden of Disease (GBD) 2021 study.

settingGlobal and Chinese populations included in the GBD 2021 database.

participantsData were derived from individuals aged 20 years and older included in the GBD 2021 study, covering both sexes across all age groups. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcomes were mortality and disability-adjusted life years (DALYs) of NASH-related liver cancer associated with HFPG. Secondary outcomes included years lived with disability and years of life lost. Trends were described using the annual percentage change and average annual percentage change. Age-standardised mortality rates and DALY rates were projected to 2036.

resultsIn 2021, the burden of NASH-related liver cancer associated with HFPG was higher in men than in women in both the global and Chinese populations and was predominantly concentrated among older age groups. From 1990 to 2021, the burden substantially increased globally and in China, showing a significant upward trend. Projections indicate that the global burden will continue to rise among men but decline among women, whereas both sexes in China are expected to experience a decline in burden over the next 15 years.

conclusionsFrom 1990 to 2021, the burden of NASH-related liver cancer associated with HFPG increased substantially in both global and Chinese populations. High-risk groups, including men, older individuals, those with elevated fasting plasma glucose and patients with NASH, should be closely monitored. Targeted screening and preventive strategies for these populations may help manage the disease burden. Future studies are needed to determine whether effective blood glucose control can reduce the risk of NASH-related liver cancer.

Indexed as

Blood GlucoseLiver NeoplasmsNon-alcoholic Fatty Liver DiseaseAdultAgedChinaCost of IllnessDisability-Adjusted Life YearsFastingFemaleGlobal Burden of DiseaseGlobal HealthHumansMaleMiddle AgedYoung AdultBlood Glucoseepidemiologyhealth economicsoncology

Identifiers

PMID41401990
PMCPMC12706221

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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.