Causes of death in patients with Non-alcoholic Fatty Liver Disease (NAFLD), alcoholic liver disease and chronic viral Hepatitis B and C

Introduction and objectives: Cause of mortality in patients with chronic liver diseases (CLDs) may differ based on underlying etiology of liver disease. Our aim was to assess different causes of death in patients with the most common types of CLD using a national database from the United States.Mate...

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Autores principales: Pegah Golabi, James M. Paik, Katherine Eberly, Leyla de Avila, Saleh A. Alqahtani, Zobair M. Younossi
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Publicado: Elsevier 2022
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spelling oai:doaj.org-article:9dd351b1e3df4b9984a76091ab5c273b2021-11-30T04:14:43ZCauses of death in patients with Non-alcoholic Fatty Liver Disease (NAFLD), alcoholic liver disease and chronic viral Hepatitis B and C1665-268110.1016/j.aohep.2021.100556https://doaj.org/article/9dd351b1e3df4b9984a76091ab5c273b2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1665268121002556https://doaj.org/toc/1665-2681Introduction and objectives: Cause of mortality in patients with chronic liver diseases (CLDs) may differ based on underlying etiology of liver disease. Our aim was to assess different causes of death in patients with the most common types of CLD using a national database from the United States.Materials and methods: Death data from 2008 and 2018 from the National Vital Statistics System (NVSS) by the National Center for Health Statistics (NCHS) were used. The rank of cause-of-death for each etiology of CLDs was assessed. Causes of death were classified by the ICD-10 codes. Liver-related deaths included liver cancer, cirrhosis and CLDs.Results: Among a total of 2,826,531 deaths in 2018, there were 85,807 (3.04%) with underlying CLD (mean age at death 63.0 years, 63.8% male, 70.8% white). Liver-related mortality was the leading cause of death for all types of CLD [45.8% in non-alcoholic fatty liver disease (NAFLD), 53.0% in chronic hepatitis C (CHC), 57.8% in chronic hepatitis B (CHB), 81.8% in alcoholic liver disease (ALD)]. This was followed by death from cardiac causes (NAFLD 10.3%, CHC 9.1%, CHB 4.6%, ALD 4.2%) and extrahepatic cancer (NAFLD 7.0%, CHC 11.9%, CHB 14.9%, ALD 2.1%). Although liver cancer was the leading cause of cancer death, lung, colorectal and pancreatic cancer were also common causes of cancer death.Conclusions: Among deceased patients with CLD, underlying liver disease was the leading cause of death. Among solid cancers, liver cancer was the leading cause of cancer-related mortality.Pegah GolabiJames M. PaikKatherine EberlyLeyla de AvilaSaleh A. AlqahtaniZobair M. YounossiElsevierarticleOutcomeTrendCirrhosisNon-alcoholic fatty liver diseaseAlcoholic liver diseaseChronic hepatitis BSpecialties of internal medicineRC581-951ENAnnals of Hepatology, Vol 27, Iss 1, Pp 100556- (2022)
institution DOAJ
collection DOAJ
language EN
topic Outcome
Trend
Cirrhosis
Non-alcoholic fatty liver disease
Alcoholic liver disease
Chronic hepatitis B
Specialties of internal medicine
RC581-951
spellingShingle Outcome
Trend
Cirrhosis
Non-alcoholic fatty liver disease
Alcoholic liver disease
Chronic hepatitis B
Specialties of internal medicine
RC581-951
Pegah Golabi
James M. Paik
Katherine Eberly
Leyla de Avila
Saleh A. Alqahtani
Zobair M. Younossi
Causes of death in patients with Non-alcoholic Fatty Liver Disease (NAFLD), alcoholic liver disease and chronic viral Hepatitis B and C
description Introduction and objectives: Cause of mortality in patients with chronic liver diseases (CLDs) may differ based on underlying etiology of liver disease. Our aim was to assess different causes of death in patients with the most common types of CLD using a national database from the United States.Materials and methods: Death data from 2008 and 2018 from the National Vital Statistics System (NVSS) by the National Center for Health Statistics (NCHS) were used. The rank of cause-of-death for each etiology of CLDs was assessed. Causes of death were classified by the ICD-10 codes. Liver-related deaths included liver cancer, cirrhosis and CLDs.Results: Among a total of 2,826,531 deaths in 2018, there were 85,807 (3.04%) with underlying CLD (mean age at death 63.0 years, 63.8% male, 70.8% white). Liver-related mortality was the leading cause of death for all types of CLD [45.8% in non-alcoholic fatty liver disease (NAFLD), 53.0% in chronic hepatitis C (CHC), 57.8% in chronic hepatitis B (CHB), 81.8% in alcoholic liver disease (ALD)]. This was followed by death from cardiac causes (NAFLD 10.3%, CHC 9.1%, CHB 4.6%, ALD 4.2%) and extrahepatic cancer (NAFLD 7.0%, CHC 11.9%, CHB 14.9%, ALD 2.1%). Although liver cancer was the leading cause of cancer death, lung, colorectal and pancreatic cancer were also common causes of cancer death.Conclusions: Among deceased patients with CLD, underlying liver disease was the leading cause of death. Among solid cancers, liver cancer was the leading cause of cancer-related mortality.
format article
author Pegah Golabi
James M. Paik
Katherine Eberly
Leyla de Avila
Saleh A. Alqahtani
Zobair M. Younossi
author_facet Pegah Golabi
James M. Paik
Katherine Eberly
Leyla de Avila
Saleh A. Alqahtani
Zobair M. Younossi
author_sort Pegah Golabi
title Causes of death in patients with Non-alcoholic Fatty Liver Disease (NAFLD), alcoholic liver disease and chronic viral Hepatitis B and C
title_short Causes of death in patients with Non-alcoholic Fatty Liver Disease (NAFLD), alcoholic liver disease and chronic viral Hepatitis B and C
title_full Causes of death in patients with Non-alcoholic Fatty Liver Disease (NAFLD), alcoholic liver disease and chronic viral Hepatitis B and C
title_fullStr Causes of death in patients with Non-alcoholic Fatty Liver Disease (NAFLD), alcoholic liver disease and chronic viral Hepatitis B and C
title_full_unstemmed Causes of death in patients with Non-alcoholic Fatty Liver Disease (NAFLD), alcoholic liver disease and chronic viral Hepatitis B and C
title_sort causes of death in patients with non-alcoholic fatty liver disease (nafld), alcoholic liver disease and chronic viral hepatitis b and c
publisher Elsevier
publishDate 2022
url https://doaj.org/article/9dd351b1e3df4b9984a76091ab5c273b
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