Evidence mapPaperPMID 40970538Full record

ArticleJournal of the American Heart Association2025

Population-Based Study on the Coexistence of Metabolic Dysfunction-Associated Steatotic Liver Disease and Chronic Kidney Disease.

Rachel Sze Jen Goh, Jaycie Koh, Made Ayu Utami Intaran, Yiphan Chin, Gwyneth Kong, Bryan Chong, Jobelle Chia, Mark Y Chan, Anurag Mehta, Mark Muthiah and 2 more

Abstract read
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Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

12 authors.

Rachel Sze Jen GohYong Loo Lin School of Medicine National University Singapore Singapore Singapore.
Jaycie KohLee Kong Chian School of Medicine Nanyang Technological University Singapore Singapore.
Made Ayu Utami IntaranDepartment of Biostatistics, Cardiovascular Research Institute, National University Heart Centre National University Health System Singapore Singapore.ORCID 0009-0003-4230-6518
Yiphan ChinDepartment of Medicine National University Hospital Singapore Singapore.ORCID 0000-0002-8417-5996
Gwyneth KongDepartment of Medicine National University Hospital Singapore Singapore.ORCID 0000-0002-3385-5078
Bryan ChongDepartment of Medicine National University Hospital Singapore Singapore.ORCID 0000-0002-3565-7657
Jobelle ChiaDepartment of Biostatistics, Cardiovascular Research Institute, National University Heart Centre National University Health System Singapore Singapore.ORCID 0009-0004-8977-4295
Mark Y ChanYong Loo Lin School of Medicine National University Singapore Singapore Singapore.ORCID 0000-0003-0389-7450
Anurag MehtaVCU Health Pauley Heart Centre, Division of Cardiology, Department of Internal Medicine Virginia Commonwealth University School of Medicine Richmond VA USA.ORCID 0000-0002-6910-5551
Mark MuthiahDivision of Gastroenterology and Hepatology, Department of Medicine National University Hospital Singapore Singapore.ORCID 0000-0002-9724-4743
Muhammad Shahzeb KhanBaylor Scott and White Research Institute Dallas TX USA.ORCID 0000-0003-1250-6351
Nicholas Ws ChewYong Loo Lin School of Medicine National University Singapore Singapore Singapore.ORCID 0000-0002-0640-0430

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetabolic dysfunction-associated steatotic liver disease (MASLD) and chronic kidney disease (CKD) are important cardiovascular risk factors. However, the prognostic impact of coexisting MASLD and CKD remains understudied.

methodsThis study cohort used the NHANES (National Health and Nutrition Examination Survey) 2007 to 2018 database, examining outcomes in adults with varying MASLD and CKD statuses. The primary outcome was all-cause mortality. Secondary outcomes included coronary heart disease, heart failure, stroke, and cancer. Cox regression model was constructed to investigate the relationship between MASLD/CKD and all-cause mortality, adjusted for age, prior coronary heart disease, body mass index, smoking, poverty-to-income ratio, lipid-lowering and glucose-lowering medications. Sensitivity analysis was performed with hepatic fibrosis and CKD.

resultsAmong 14 818 participants (mean follow-up: 6.9 ± 3.4 years), a majority of participants had MASLD(-)/CKD(-) (50.8%), followed by MASLD(+)/CKD(-) (34.8%), MASLD(+)/CKD(+) (7.7%), and MASLD(-)/CKD(+) (6.7%). MASLD(+)/CKD(+) (n = 1142) had the highest rates of obesity (77.6%), hypertension (77.5%), dyslipidemia (67.0%), and diabetes (49.7%), with the highest risk of coronary heart disease (risk ratio [RR], 1.79 [95% CI, 1.13-2.82],

conclusionsMASLD(+)/CKD(+) phenotype increases the risk of cardiometabolic multimorbidity and independently predicts mortality. Mortality risk increased progressively in individuals with both advanced hepatic fibrosis and CKD.

Indexed as

Fatty LiverRenal Insufficiency, ChronicAdultAgedCause of DeathFemaleHumansMaleMiddle AgedNutrition SurveysPrognosisRisk AssessmentRisk FactorsUnited Statescardiovascular diseasechronic kidney diseasemetabolic dysfunction‐associated steatotic livermortality

Identifiers

PMID40970538
PMCPMC12684605

What Socratic holds

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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.