Long-term liver-related outcomes and liver stiffness progression of statin usage in steatotic liver disease.
Gut
; 73(11): 1883-1892, 2024 Oct 07.
Article
en En
| MEDLINE
| ID: mdl-39089860
ABSTRACT
BACKGROUND:
Statins have multiple benefits in patients with metabolic-associated steatotic liver disease (MASLD).AIM:
To explore the effects of statins on the long-term risk of all-cause mortality, liver-related clinical events (LREs) and liver stiffness progression in patients with MASLD.METHODS:
This cohort study collected data on patients with MASLD undergoing at least two vibration-controlled transient elastography examinations at 16 tertiary referral centres. Cox regression analysis was performed to examine the association between statin usage and long-term risk of all-cause mortality and LREs stratified by compensated advanced chronic liver disease (cACLD) baseline liver stiffness measurement (LSM) of ≥10 kPa. Liver stiffness progression was defined as an LSM increase of ≥20% for cACLD and from <10 kPa to ≥10 or LSM for non-cACLD. Liver stiffness regression was defined as LSM reduction from ≥10 kPa to <10 or LSM decrease of ≥20% for cACLD.RESULTS:
We followed up 7988 patients with baseline LSM 5.9 kPa (IQR 4.6-8.2) for a median of 4.6 years. At baseline, 40.5% of patients used statins, and cACLD was present in 17%. Statin usage was significantly associated with a lower risk of all-cause mortality (adjusted HR=0.233; 95% CI 0.127 to 0.426) and LREs (adjusted HR=0.380; 95% CI 0.268 to 0.539). Statin usage was also associated with lower liver stiffness progression rates in cACLD (HR=0.542; 95% CI 0.389 to 0.755) and non-cACLD (adjusted HR=0.450; 95% CI 0.342 to 0.592), but not with liver stiffness regression (adjusted HR=0.914; 95% CI 0.778 to 1.074).CONCLUSIONS:
Statin usage was associated with a relatively lower long-term risk of all-cause mortality, LREs and liver stiffness progression in patients with MASLD.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Progresión de la Enfermedad
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Inhibidores de Hidroximetilglutaril-CoA Reductasas
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Diagnóstico por Imagen de Elasticidad
Límite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
GUT
/
Gut
Año:
2024
Tipo del documento:
Article
País de afiliación:
China