Evidence map›Paper›PMID 39614023›Full record

ArticleDigestive diseases and sciences2025

Association of Comorbidity Duration with the Occurrence and Prognosis of Steatotic Liver Disease.

Hyunji Sang, Jihye Lim, Ha Il Kim

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Article in Digestive diseases and sciences, 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

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3 authors.

Hyunji SangDepartment of Endocrinology and Metabolism, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, South Korea.
Jihye LimDivision of Gastroenterology and Hepatology, Department of Internal Medicine, The Catholic University College of Medicine, Seoul, South Korea.
Ha Il KimDepartment of Gastroenterology and Hepatology, Hanyang University Guri Hospital, Guri, South Korea. harkim@hanyang.ac.kr.

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No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsSteatotic liver disease (SLD) interacts with various comorbidities, impacting outcomes, yet little is known about the duration of comorbidities in SLD occurrence and mortality. We investigated this relationship, focusing on disease predictors and mortality rates. APPROACH: Analyzing 2010 and 2015 Korea National Health and Nutrition Examination Survey data for patients aged ≥ 20, we categorized ten comorbidities (hypertension [HTN], diabetes mellitus [DM], dyslipidemia, stroke, myocardial infarction [MI], angina pectoris, asthma, chronic obstructive lung disease [COPD], chronic kidney disease [CKD], and depression) by duration. Association rule mining and logistic regression analyzed the association between SLD occurrence and comorbidity duration, while Cox regression assessed survival.

resultsThe analysis included 2,757 SLD and 9,505 non-SLD cases. Association rule mining showed that the shorter duration of DM and dyslipidemia and the longer duration of HTN comprised the top-ranked component for presence of SLD. DM with a duration ≤ 1 year showed higher risk of SLD than longer periods (odds ratio, 11.53), while the duration of cardiovascular disease, lung disease, or CKD was not significantly associated with the presence of SLD. In terms of prognosis, multivariate Cox regression showed that longer HTN and DM durations were significantly associated with increased hazard ratio (HR) beyond 10 years (HR, 2.22 and 2.11, respectively). Cardiovascular disease duration ≤ 5 years and lung disease duration > 5 years showed statistical significance (HR 2.49and 2.38, respectively).

conclusionsDuration of comorbidities should be considered for comprehensive SLD risk stratification, for both the identification of SLD and the assessment of their prognosis after detection.

Indexed as

Fatty LiverAdultAgedComorbidityDiabetes MellitusDyslipidemiasFemaleHumansHypertensionMaleMiddle AgedNutrition SurveysPrognosisRepublic of KoreaRisk FactorsTime FactorsComorbidityDurationOccurrencePrognosisSteatotic liver disease

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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 Socratic graph.