Metabolic dysfunction-associated steatotic liver disease and the risk of mortality in individuals with type 2 diabetes: A systematic review and meta-analysis
Issued Date
2024-04-01
Resource Type
ISSN
0954691X
eISSN
14735687
Scopus ID
2-s2.0-85186493038
Pubmed ID
38407898
Journal Title
European Journal of Gastroenterology and Hepatology
Volume
36
Issue
4
Start Page
351
End Page
358
Rights Holder(s)
SCOPUS
Bibliographic Citation
European Journal of Gastroenterology and Hepatology Vol.36 No.4 (2024) , 351-358
Suggested Citation
Wongtrakul W., Charatcharoenwitthaya N., Charatcharoenwitthaya P. Metabolic dysfunction-associated steatotic liver disease and the risk of mortality in individuals with type 2 diabetes: A systematic review and meta-analysis. European Journal of Gastroenterology and Hepatology Vol.36 No.4 (2024) , 351-358. 358. doi:10.1097/MEG.0000000000002719 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/97596
Title
Metabolic dysfunction-associated steatotic liver disease and the risk of mortality in individuals with type 2 diabetes: A systematic review and meta-analysis
Author's Affiliation
Corresponding Author(s)
Other Contributor(s)
Abstract
The systematic review aimed to assess the risks of metabolic dysfunction-associated steatotic liver disease (MASLD) on all-cause and cause-specific mortality in patients with type 2 diabetes (T2DM). EMBASE and MEDLINE were searched from inception to June 2022 for observational studies examining the relationship between MASLD and the risk of mortality among T2DM patients. Meta-analysis was conducted using random-effects models with hazard ratios (HRs) to quantify the risk of mortality. A total of 5877 articles were screened, and ultimately, 12 eligible studies encompassing 368 528 T2DM patients, with a median follow-up of 8.9 years (interquartile range, 4.7-14.5), were included. Our analysis revealed a significant association between MASLD and an increased risk of all-cause mortality in T2DM patients [HR 1.28; 95% confidence interval (CI), 1.05-1.58; I2 = 90%]. Meta-regression analyses did not show significant effects of mean age, mean BMI, and percentage of smokers, hypertension, and hyperlipidemia on the association between MASLD and the risk of all-cause mortality. However, we found that MASLD was not significantly associated with mortality related to cardiovascular diseases (HR 1.05; 95% CI, 0.82-1.35; I2 = 0%) or cancer (HR 1.21; 95% CI, 0.41-3.51; I2 = 79%) among patients with T2DM. No publication bias was observed. This comprehensive meta-analysis provides substantial evidence supporting a significant association between MASLD and an increased risk of all-cause mortality among the T2DM population. These findings underscore the potential benefits of screening for MASLD in T2DM patients, aiding in the early identification of high-risk individuals and enabling risk modification strategies to improve survival.