Article ; Online: Association of liver fibrosis biomarkers with overall and CVD mortality in the Korean population: The Dong-gu study.
2022 Volume 17, Issue 12, Page(s) e0277729
Abstract: ... who participated in Dong-gu Study. The associations of liber fibrosis biomarkers with mortality were investigated ...
Abstract | This study evaluated the associations of liver fibrosis biomarkers [non-alcoholic fatty liver disease fibrosis score (NFS), fibrosis-4 (FIB-4), aspartate aminotransferase/platelet ratio index (APRI), and BARD score] with mortality in Korean adults aged ≥50 years. We analyzed 7,702 subjects who participated in Dong-gu Study. The associations of liber fibrosis biomarkers with mortality were investigated using Cox proportional hazards models. Overall mortality increased with increasing NFS level [adjusted hazard ratio (aHR) 4.3, 95% confidence interval (CI) 3.3-5.5 for high risk vs. low risk], increasing FIB-4 level (aHR 3.5, 95% CI 2.9-4.4 for high risk vs. low risk), and increasing APRI level (aHR 3.5, 95% CI 2.1-5.8 for high risk vs. low risk) but not with BARD score. The Harrell's concordance index for overall mortality for the NFS and FIB-4 was greater than that for the APRI and BARD score. In conclusion, NFS, FIB-4, and APRI showed a significant relationship with the overall mortality, and NFS and FIB-4 showed a significant relationship with the CVD mortality after adjustment for covariates. In addition, the NFS and FIB-4 were more predictive of overall mortality than the APRI and BARD score in Korean adults aged ≥50 years. |
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MeSH term(s) | Adult ; Humans ; Non-alcoholic Fatty Liver Disease/pathology ; Retrospective Studies ; Liver Cirrhosis/pathology ; Aspartate Aminotransferases ; Biomarkers ; Fibrosis ; Republic of Korea/epidemiology ; Cardiovascular Diseases/complications ; Biopsy ; Severity of Illness Index ; Liver/pathology |
Chemical Substances | Aspartate Aminotransferases (EC 2.6.1.1) ; Biomarkers |
Language | English |
Publishing date | 2022-12-13 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 2267670-3 |
ISSN | 1932-6203 ; 1932-6203 |
ISSN (online) | 1932-6203 |
ISSN | 1932-6203 |
DOI | 10.1371/journal.pone.0277729 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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