Evidence map›Paper›PMID 42249618›Full record

ArticleLiver international : official journal of the International Association for the Study of the Liver2026

Steatotic Liver Disease at Primary Biliary Cholangitis Diagnosis: Association With Ursodeoxycholic Acid Response and Outcomes.

María Del Barrio, Margarita Sala, Judith Gómez, Diana Horta, Manuel Hernández-Guerra, Magdalena Salcedo, Silvia Goñi, Raquel Ríos-León, Ángela Martínez Herreros, Jesús M González-Santiago and 29 more

Abstract readMulticenter Study
In one paragraph

Article in Liver international : official journal of the International Association for the Study of the Liver, 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. Steatotic Liver Disease at Primary Biliary Cholangitis Diagnosis: Association With Ursodeoxycholic Acid Response and Outcomes.Liver international : official journal of the International Association for the Study of the Liver · 2026
    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

39 authors.

María Del BarrioGastroenterology and Hepatology Department, Clinical and Translational Research in Digestive Diseases, Valdecilla Research Institute (IDIVAL), Marqués de Valdecilla University Hospital, Santander, Spain.ORCID 0000-0002-6276-7405
Margarita SalaServicio Digestivo, Institut d' Investigació Biomèdica de Girona (IDIBGI), Hospital Universitari Dr. Josep Trueta, Ciberehd, Spain.ORCID 0000-0003-4879-1780
Judith GómezServicio de Aparato Digestivo, Hospital Universitario de Burgos, Burgos, Spain.
Diana HortaServicio de Aparato Digestivo, Hospital Universitari Mutua de Terrassa, Terrassa, Spain.
Manuel Hernández-GuerraServicio de Aparato Digestivo, Hospital Universitario de Canarias, La Laguna, Spain.ORCID 0000-0003-1949-1295
Magdalena SalcedoServicio de Aparato Digestivo, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Silvia GoñiServicio de Aparato Digestivo, Hospital Universitario de Navarra, Pamplona, Spain.
Raquel Ríos-LeónServicio de Aparato Digestivo, Hospital Universitario General de Villalba, Collado Villalba, Spain.
Ángela Martínez HerrerosServicio de Aparato Digestivo, Hospital Universitario San Pedro de Logroño, Logroño, Spain.
Jesús M González-SantiagoServicio de Aparato Digestivo, Complejo Asistencial Universitario de Salamanca, Laboratorio de Hepatología Experimental y Vectorización de Fármacos (HEVEPHARM), CIBERehd. IBSAL, Salamanca, Spain.
Javier MartínezServicio de Aparato Digestivo, Hospital Universitario Ramón y Cajal, CIBERehd, IRYCIS, Madrid, Spain.
Nerea C QuintansServicio de Aparato Digestivo, Xerencia Xestion Integrada de Vigo, SERGAS, Grupo de Investigación en Patología Digestiva, Instituto de Investigación Sanitaria Galicia Sur (IIS Galicia Sur), SERGAS-UVIGO, Vigo, Spain.
Javier AmpueroHospital Universitario Virgen del Rocío, Instituto de Biomedicina de Sevilla, Universidad de Sevilla. CIBERehd, Seville, Spain.
María Dolores AntónServicio de Aparato Digestivo, Hospital Universitario Doctor Peset, Valencia, Spain.
Margarita Fernández-de la VargaUnidad de Gestión clínica de Aparato Digestivo, Hospital Álvarez Buylla, Mieres, Spain.ORCID 0000-0003-2785-5888
Desamparados EscuderoHospital Clínico Universitario de Valencia, Valencia, Spain.
Ismael El HajraHospital Universitario Puerta de Hierro de Majadahonda, Majadahonda, Spain.
Francisca Cuenca AlarcónUnidad de Hígado, Servicio de Aparato Digestivo Hospital Clínico San Carlos, Madrid, Spain.
Sara LorenteDepartment of Hepatology and Liver Transplantation, Hospital Clínico Universitario Lozano Blesa, Instituto de Investigaciones Sanitarias de Aragón (IIS Aragón), Zaragoza, Spain.
Raúl J AndradeServicio de Aparato Digestivo, Instituto de Investigación Biomédica de Málaga-IBIMA Plataforma Bionand, Hospital Universitario Virgen de la Victoria, Universidad de Málaga, Málaga, Spain.ORCID 0000-0002-1565-0757
Mar Riveiro-BarcielaLiver Unit, Internal Medicine Department, Hospital Universitari Vall D'hebron, Vall D'hebron Barcelona Hospital Campus, Barcelona, Spain, CIBERehd, European Reference Network on Rare Liver Disorders (ERN-Liver), Barcelona, Spain.
Inmaculada CastelloServicio de Aparato Digestivo, Hospital General Universitari de Valencia, Valencia, Spain.
Mercè VergaraUnitat D'hepatologia, Servei D'aparell Digestiu, Hospital Universitari Parc Taulí, Institut D'investigació i Innovació I3PT, Universitat Autònoma de Barcelona, Departament de Medicina, Universitat de Vic - Universitat Central de Catalunya (UVic-UCC) Vic, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Sabadell, Spain.
Raisa QuiñonesComplejo Asistencial Universitario de León, León, Spain.
Ana Arencibía AlmeidaSección de Hepatología, Servicio de Aparato Digestivo, Hospital Universitario Nuestra Señora de la Candelaria, Tenerife, Spain.
Sonia Blanco SampascualServicio de Aparato Digestivo, Hospital Universitario Basurto, OSI Bilbao Basurto, Bilbao, Spain.
Carles LealGastroenterology and Hepatology Department, Consorci Hospitalari de Vic, Universitat de Vic, Vic, Spain.
Montserrat García-RetortilloSección de Hepatología, Servicio de Digestivo, Hospital del Mar, Institut de Recerca Hospital del Mar, Barcelona, Spain.
Indhira Pérez-MedranoComplexo Hospitalario Universitario de Pontevedra, Instituto de Investigación Sanitaria Galicia Sur (IISGS), Pontevedra, Spain.
Miguel Fernández-BermejoHospital Universitario de Cáceres, Cáceres, Spain.
Rosa M MorillasUnidad de Hepatología, Hospital Germans Trias i Pujol, Instituto de Investigación Germans Trias i Pujol (IGTP), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Badalona, Spain.
Elena GómezServicio de Aparato Digestivo, Hospital Universitario 12 de Octubre, Madrid, Spain.
Javier Tejedor-TejadaDepartment of Gastroenterology, Hospital Universitario de Cabueñes, Gijón (Asturias), Spain.ORCID 0000-0002-3585-5733
Mercè RogetUnidad de Hepatología, Servicio de Aparato Digestivo, Consorci Sanitari de Terrassa, Terrassa, Spain.
Sergio Rodríguez-TajesLiver Unit, Hospital Clínic de Barcelona, Health Care Provider of the European Reference Network on Rare Liver Disorders (ERN-Liver), Institut D'investigacions Biomédiques August Pi i Sunyer (IDIBAPS), Centro de investigación biomédica en Red de Enfermedades Hepáticas y Digestivas, CIBERehd, University of Barcelona, Barcelona, Spain.ORCID 0000-0002-3189-7557
Marta Alonso-PeñaDepartamento de Anatomía y Biología Celular, Universidad de Cantabria, Gastroenterology and Hepatology Department, Clinical and Traslational Research in Digestive Diseases, IDIVAL, Santander, Spain.
Ana Álvarez-CanceloGastroenterology and Hepatology Department, Clinical and Translational Research in Digestive Diseases, Valdecilla Research Institute (IDIVAL), Marqués de Valdecilla University Hospital, Santander, Spain.
María-Carlota LondoñoLiver Unit, Hospital Clínic de Barcelona, Health Care Provider of the European Reference Network on Rare Liver Disorders (ERN-Liver), Institut D'investigacions Biomédiques August Pi i Sunyer (IDIBAPS), Centro de investigación biomédica en Red de Enfermedades Hepáticas y Digestivas, CIBERehd, University of Barcelona, Barcelona, Spain.ORCID 0000-0002-6533-1586
Álvaro Díaz-GonzálezGastroenterology and Hepatology Department, Clinical and Translational Research in Digestive Diseases, Valdecilla Research Institute (IDIVAL), Marqués de Valdecilla University Hospital, Santander, Spain.ORCID 0000-0003-3610-2263

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimSteatotic liver disease (SLD) is becoming increasingly prevalent, leading to a higher frequency of primary biliary cholangitis (PBC) cases coexisting with SLD. However, data on its impact in patients with PBC remain scarce. The aim is to assess the impact of SLD on treatment response and prognosis in patients with PBC receiving ursodeoxycholic acid (UDCA).

methodsA retrospective, multicenter cohort study including patients diagnosed with PBC enrolled in the Spanish ColHai registry.

resultsA total of 469 patients with available data required for the study were included. Among them, 158 (33.7%) had SLD, and 124 (78.5%) met the diagnostic criteria for MASLD. Patients with PBC and SLD had lower baseline levels of alkaline phosphatase and higher liver stiffness at diagnosis. Regarding treatment response, no significant differences were observed across the different response criteria (Paris II, GLOBE, UK-PBC, deep response and complete normalization). Additionally, the presence of SLD was not associated with UDCA response at 1-year (Paris II: OR 1.04 [0.69-1.56]; GLOBE: OR 0.91 [0.58-1.44]; deep response: OR 1.08 [0.72-1.63]; complete normalization: OR 0.82 [0.52-1.30]). Baseline SLD was not associated with an increased risk of liver related-events in either the univariate analysis (HR 1.19, 95% CI 0.71-2.02) or in the different multivariate models evaluated. After inverse probability of treatment weighting (IPTW) using propensity scores, SLD still showed no significant impact on hepatic event development (HR 1.62; 95% CI 0.92-2.83).

conclusionAlthough SLD is frequently observed in PBC, it does not appear to adversely affect UDCA response or long-term hepatic outcomes.

Indexed as

Cholagogues and CholereticsFatty LiverLiver Cirrhosis, BiliaryUrsodeoxycholic AcidAgedAlkaline PhosphataseFemaleHumansMaleMiddle AgedMultivariate AnalysisPrognosisRegistriesRetrospective StudiesSpainTreatment OutcomeAlkaline PhosphataseCholagogues and CholereticsUrsodeoxycholic AcidcholestasisMASLDprimary biliary cholangitisprognosis

Identifiers

PMID42249618
PMCPMC13241753

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.