Evidence map›Paper›PMID 41551471›Full record

ArticlePeerJ2026

The simple multivariable model for predicting liver fibrosis in Vietnamese male adults: a combination of Bayesian model averaging and stepwise method.

Nghia Nhu Nguyen, Bao The Nguyen, Huyen Thi Ngoc Le, Hoang Nhat Dang, Hao Minh Pham, Duong Dai Ngo, Duy Khanh Tran Nguyen, Tam Thai Thanh Tran, Hung Thanh Kim, Tan Ngoc Huynh Mai

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Article in PeerJ, 2026. 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

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10 authors.

Nghia Nhu NguyenCan Tho University of Medicine and Pharmacy, Can Tho, Vietnam.
Bao The NguyenCan Tho University of Medicine and Pharmacy, Can Tho, Vietnam.
Huyen Thi Ngoc LeCan Tho University of Medicine and Pharmacy, Can Tho, Vietnam.
Hoang Nhat DangCan Tho University of Medicine and Pharmacy, Can Tho, Vietnam.
Hao Minh PhamCan Tho University of Medicine and Pharmacy, Can Tho, Vietnam.
Duong Dai NgoCan Tho University of Medicine and Pharmacy, Can Tho, Vietnam.
Duy Khanh Tran NguyenCan Tho University of Medicine and Pharmacy, Can Tho, Vietnam.
Tam Thai Thanh TranCan Tho University of Medicine and Pharmacy, Can Tho, Vietnam.
Hung Thanh Kim121 Military Hospital, Can Tho, Vietnam.
Tan Ngoc Huynh MaiCan Tho University of Medicine and Pharmacy, Can Tho, Vietnam.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Liver fibrosis is a significant health burden in Vietnamese male adults, driven by high rates of hepatitis B and hepatitis C, excessive alcohol consumption, and genetic and environmental factors. Despite progress in diagnostic tools, there is a pressing need for cost-effective screening methods tailored to this high-risk group, particularly in resource-limited settings. Methods: This study enrolled 952 Vietnamese male adults over 40 years old undergoing FibroScan, excluding those with conditions affecting test accuracy. Data on demographics, clinical history, and anthropometrics were collected, and fibrosis stages were classified using the METAVIR system. Model development combined Bayesian model averaging and forward stepwise methods, with predictive performance validated Results: Among 952 male participants, the prevalence of liver fibrosis was 19.9%, with most cases classified as mild (F1). Multivariate analysis identified significant risk factors, including advanced age (odds ratio (OR) = 1.6; 95% confidence interval (CI) [1.02-2.51]), alcohol abuse (OR = 4.44; 95% CI [2.65-7.42]), hepatitis B (OR = 6.76; 95% CI [3.14-14.54], hepatitis C (OR = 33.04; 95% CI [5.26-207.42]), family history of cirrhosis (OR = 16.14; 95% CI [3.28-79.55]), and hepatic steatosis (OR = 4.02; 95% CI [2.57-6.28]). The predictive model demonstrated good discriminative performance with an AUC of 0.769 (95% CI [0.734-0.800]) and showed satisfactory calibration through bootstrap resampling, indicating close agreement between predicted and observed risks. Conclusion: The current prevalence of liver fibrosis among Vietnamese male adults was found to be 19.9%, and the developed risk prediction model effectively identifies high-risk individuals, enabling early diagnosis and targeted prevention, particularly in resource-limited settings. However, the lack of external validation and the sample restricted to Vietnamese male adults limit the generalizability of the model, which should be further evaluated in other populations.

Indexed as

Liver CirrhosisAdultBayes TheoremHumansMaleMiddle AgedMultivariate AnalysisPrevalenceRisk FactorsROC CurveSoutheast Asian PeopleVietnamBayesian model averagingLiver fibrosisPredictive modelStepwise

Identifiers

PMID41551471
PMCPMC12811970

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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.