Evidence map›Paper›PMID 41013214›Full record

ArticleBMC gastroenterology2025

Cancer disparities in lean vs. non-lean MASH: insight from a national inpatient sample.

Chukwunonso Ezeani, Chidiebele Omaliko, Petr Protiva, Yazan A Al-Ajlouni, Gyanprakash Ketwaroo, Basile Njei

Abstract read
In one paragraph

Article in BMC gastroenterology, 2025. 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. Review
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

6 authors.

Chukwunonso EzeaniDepartment of Internal medicine, Baton Rouge General Medical Center, Baton Rouge, LA, 70809, USA.
Chidiebele OmalikoDepartment of Internal Medicine, Brookdale University Hospital, Brooklyn, NY, 11212, USA.
Petr ProtivaDivision of Digestive Diseases, International Medicine Program (Section of Digestive Diseases), Yale School of Medicine, Yale University, New Haven, CT, 06510, USA.
Yazan A Al-AjlouniDepartment of Rehabilitation, Montefiore Hospital, Bronx, NY, 10466, USA.
Gyanprakash KetwarooDivision of Digestive Diseases, International Medicine Program (Section of Digestive Diseases), Yale School of Medicine, Yale University, New Haven, CT, 06510, USA.
Basile NjeiDivision of Digestive Diseases, International Medicine Program (Section of Digestive Diseases), Yale School of Medicine, Yale University, New Haven, CT, 06510, USA. basile.njei@yale.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate cancer disparities between lean (BMI < 25 kg/m²; < 23 kg/m² for Asians) and non-lean metabolic dysfunction-associated steatohepatitis (MASH) by analyzing the prevalence of the 18 most common cancers in a large U.S. COHORT:

methodsThis retrospective cohort study utilized the National Inpatient Sample (2016-2020) with weighted data to project findings to the general population. Patients were categorized as lean or non-lean based on BMI during hospitalization, excluding alternative etiologies via validated algorithms. Outcomes included composite cancer prevalence (primary) and individual cancer prevalence (secondary). Multivariable logistic regression was applied to assess differences.

resultsAmong 34,955,252 U.S. hospitalizations, 539,275 patients had MASH (mean age: 64 years for lean vs. 58.8 years for non-lean; >60% female). Lean MASH hospitalizations had higher odds of lung (aOR 1.76, CI 1.33-2.10, P < 0.001), colon (aOR 1.23, CI 1.02-1.48, P = 0.027), kidney (aOR 1.27, CI 1.10-1.44, P = 0.001), liver (aOR 1.21, CI 1.12-1.31, P < 0.001), and cervical cancers (aOR 3.25, CI 1.07-9.86, P = 0.037), as well as non-Hodgkin's lymphoma (aOR 1.28, CI 1.08-1.51, P = 0.004), but lower odds of endometrial cancer (aOR 0.35, CI 0.25-0.50, P < 0.001).

conclusionLean MASH hospitalizations are linked to higher odds of several cancers despite lower BMI, underscoring the need for a nuanced understanding of cancer risks in MASH. BMI alone may not fully capture oncologic risk in this population.

Indexed as

Fatty LiverNeoplasmsThinnessAdultAgedBody Mass IndexFemaleHospitalizationHumansInpatientsMaleMiddle AgedPrevalenceRetrospective StudiesUnited StatesCancerMetabolic-dysfunction Associated SteatohepatitisMetabolic-dysfunction Associated Steatotic Liver DiseaseMortality

Identifiers

PMID41013214
PMCPMC12465481

What Socratic holds

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Registered trials

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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.