Evidence map›Paper›PMID 41482383›Full record

ArticleIn vivo (Athens, Greece)

Prurigo Nodularis Increases Risk of Non-alcoholic Fatty Liver Disease and Liver Cirrhosis: A Global-federated Retrospective Cohort Study.

Hui-Chin Chang, Chen-Yu Lin, Hsin-Yo Lu, Tsu-Man Chiu, Shao-Wei Lo, Chih-Lung Wu, Wen-Chieh Liao, Yi-Jen Fang, Shuo-Yan Gau

Abstract read
In one paragraph

Article in In vivo (Athens, Greece). 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

9 authors.

Hui-Chin ChangEvidence-based Medicine Center, Chung Shan Medical University Hospital, Taichung, Taiwan, R.O.C.
Chen-Yu LinSchool of Medicine, Chung Shan Medical University, Taichung, Taiwan, R.O.C.
Hsin-Yo LuSchool of Medicine, Chung Shan Medical University, Taichung, Taiwan, R.O.C.
Tsu-Man ChiuSchool of Medicine, Chung Shan Medical University, Taichung, Taiwan, R.O.C.
Shao-Wei LoHarvard T.H. Chan School of Public Health, Boston, MA, U.S.A.
Chih-Lung WuSchool of Medicine, Chung Shan Medical University, Taichung, Taiwan, R.O.C.
Wen-Chieh LiaoDepartment of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan, R.O.C.
Yi-Jen FangDepartment of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan, R.O.C.; fangyj1109@nchu.edu.tw.
Shuo-Yan GauDepartment and Graduate Institute of Business Administration, National Taiwan University, Taipei, Taiwan, R.O.C.; 07947@cych.org.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimPrurigo nodularis (PN) is a chronic inflammatory skin disorder characterized by intense pruritus and nodular lesions. Emerging evidence suggests PN may be associated with systemic conditions, including liver diseases. This study aimed to investigate the relationship between PN and non-alcoholic fatty liver disease (NAFLD) and liver fibrosis/cirrhosis. PATIENTS AND

methodsThis study was conducted using the TriNetX Research Network. Adults diagnosed with PN between 2005 and 2018 were compared with a propensity score-matched control group without PN. Patients with prior liver disease or neoplasms were excluded. The outcomes of interest were incident NAFLD, liver fibrosis, and cirrhosis, assessed using ICD-10-CM codes. Hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated and sensitivity and stratification analyses were conducted to evaluate the robustness of the findings.

resultsAmong 28,390 PN patients and matched controls, PN was associated with an elevated risk of NAFLD (HR=1.27, 95% CI=1.17-1.38) and liver fibrosis/cirrhosis (HR=2.01, 95% CI=1.65-2.45) over a 15-year follow-up. Stratified analyses revealed higher risks in males and younger patients (18-64 years). Sensitivity analyses confirmed consistent findings across various definitions, follow-up durations, and active comparators.

conclusionPN is associated with an increased risk of NAFLD, liver fibrosis, and cirrhosis. These findings highlight the need for monitoring and proactive management of liver health in PN patients. Further research is warranted to elucidate the mechanisms underlying this association and explore potential therapeutic strategies.

Indexed as

Liver CirrhosisNon-alcoholic Fatty Liver DiseasePrurigoAdolescentAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsYoung Adultcohortelectronic medical recordsepidemiologyliver cirrhosisnon-alcoholic fatty liver diseasePrurigo nodularis

Identifiers

PMID41482383
PMCPMC12764197

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LicenceCC BY-NC-ND
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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.