Evidence map›Paper›PMID 37691484›Full record

ArticleClinical and molecular hepatology2023

Differences in liver and mortality outcomes of non-alcoholic fatty liver disease by race and ethnicity: A longitudinal real-world study.

Vy H Nguyen, Isaac Le, Audrey Ha, Richard Hieu Le, Nicholas Ajit Rouillard, Ashley Fong, Surya Gudapati, Jung Eun Park, Mayumi Maeda, Scott Barnett and 2 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and molecular hepatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.6field-weighted citation impact, top 3% of its field
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

23 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Statin use and liver-related prognosis among patients with MASLD.JHEP reports : innovation in hepatology · 2025
    Article
  12. Article
  13. Article
  14. Intervening on Metabolic Dysfunction-Associated Steatotic Liver Disease in Latino/a and Black Patients with Diabetes: A Feasibility Pilot.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Vy H NguyenDivision of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, CA, USA.
Isaac LeDivision of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, CA, USA.
Audrey HaDivision of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, CA, USA.
Richard Hieu LeDivision of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, CA, USA.
Nicholas Ajit RouillardDivision of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, CA, USA.
Ashley FongDivision of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, CA, USA.
Surya GudapatiDivision of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, CA, USA.
Jung Eun ParkDivision of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, CA, USA.
Mayumi MaedaDivision of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, CA, USA.
Scott BarnettDivision of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, CA, USA.
Ramsey CheungDivision of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, CA, USA.
Mindie H NguyenDivision of Gastroenterology and Hepatology, Stanford University Medical Center, Palo Alto, CA, USA.
Stanford Medicine · USEmory University · USHarvard University · USWashington University in St. Louis · USWilliam Carey University · US

Funding

NCI NIH HHS
6 · The paper itself

Abstract

BACKGROUND/

aimsUnderstanding of nonalcoholic fatty liver disease (NAFLD) continues to expand, but the relationship between race and ethnicity and NAFLD outside the use of cross-sectional data is lacking. Using longitudinal data, we investigated the role of race and ethnicity in adverse outcomes in NAFLD patients.

methodsPatients with NAFLD confirmed by imaging via manual chart review from any clinics at Stanford University Medical Center (1995-2021) were included. Primary study outcomes were incidence of liver events and mortality (overall and non-liver related).

resultsThe study included 9,340 NAFLD patients: White (44.1%), Black (2.29%), Hispanic (27.9%), and Asian (25.7%) patients. For liver events, the cumulative 5-year incidence was highest among White (19.1%) patients, lowest among Black (7.9%) patients, and similar among Asian and Hispanic patients (~15%). The 5-year and 10-year cumulative overall mortality was highest for Black patients (9.2% and 15.0%, respectively, vs. 2.5-3.5% and 4.3-7.3% in other groups) as well as for non-liver mortality. On multivariable regression analysis, compared to White patients, only Asian group was associated with lower liver-related outcomes (aHR: 0.83, P=0.027), while Black patients were at more than two times higher risk of both non-liver related (aHR: 2.35, P=0.010) and overall mortality (aHR: 2.13, P=0.022) as well as Hispanic patients (overall mortality: aHR: 1.44, P=0.022).

conclusionCompared to White patients, Black patients with NAFLD were at the highest risk for overall and non-liver-related mortality, followed by Hispanic patients with Asian patients at the lowest risk for all adverse outcomes. Culturally sensitive and appropriate programs may be needed for more successful interventions.

Indexed as

Non-alcoholic Fatty Liver DiseaseAsianBlack or African AmericanCross-Sectional StudiesEthnicityHispanic or LatinoHumansWhiteEpidemiologyHealth inequitiesNatural history

Identifiers

PMID37691484
PMCPMC10577349
OpenAlexW4386592872

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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 Socratic graph.