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. 2016 Nov 21;22(43):9488–9505. doi: 10.3748/wjg.v22.i43.9488

Table 1.

Principal retrospective studies of cardiovascular diseases mortality and morbidity risk in patients with nonalcoholic fatty liver disease (published in the past 10 years)

Ref. Study design Study size Diagnosis of NAFLD Follow-up duration (yr) Adjusted clinical variables Major findings
Ekstedt et al[13] Retrospective; Hospital-based 129 Histological 13.7 Matched for gender, age and country NASH subjects (not those with simple steatosis) had higher rates of all-cause, CVD and liver-related mortality than the general population
Stepanova et al[15] Retrospective; Population-based 289 Histological 6.25 No adjustments made Higher risk of liver-related mortality in NASH than non-NASH. NAFLD and type II diabetes had the highest risk for overall and liver-related mortality
Ekstedt et al[14] Retrospective; Community-based 229 Histological 26.4 NAFLD patients had increased risk of death, with a high risk of death from CVD and liver-related disease
Fibrosis stage predicted all-cause, CVD and liver-related death
Rafiq et al[10] Retrospective; Hospital-based 173 Histological 13 No adjustments made Higher liver-related mortality but no difference in overall mortality (NASH vs simple steatosis)
Soderberg et al[11] Retrospective; Hospital-based 118 Histological 18 Matched for gender, age and year Increased total mortality in NAFLD was predominantly CV-related compared with matched reference population
Dunn et al[16] Retrospective cohort 2343 Computed tomography 5 No significant association was found between NAFLD and risk of all-cause mortality and cause-specific
(CVD, cancer and liver) mortality and morbidity. NAFLD patients
(steatosis > 30% on imaging) averaged 8 yr younger than those without NAFLD

NAFLD: Nonalcoholic fatty liver disease; CVD: Cardiovascular diseases; NASH: Nonalcoholic steatohepatitis.