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The hidden epidemic...
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Karhiaho, Iiro P.Helsinki University Central Hospital
(author)
The hidden epidemic : Uncovering incidental fatty liver disease and its metabolic comorbidities by datamining in a hospital data lake – A real-world cohort study
- Article/chapterEnglish2024
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LIBRIS-ID:oai:lup.lub.lu.se:7650c45c-7001-4f9e-929a-0faebf18d891
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https://lup.lub.lu.se/record/7650c45c-7001-4f9e-929a-0faebf18d891URI
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https://doi.org/10.1016/j.diabres.2024.111609DOI
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Language:English
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Summary in:English
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Aims: To identify individuals with incidental fatty liver disease (FLD), and to evaluate its prevalence, metabolic co-morbidities and impact on follow-up. Methods: We leveraged the data-lake of Helsinki Uusimaa Hospital district (Finland) with a population of 1.7 million (specialist and primary care). A phrase recognition script on abdominal imaging reports (2008–2020) identified/excluded FLD or cirrhosis; we extracted ICD-codes, laboratory and BMI data. Results: Excluding those with other liver diseases, the prevalence of FLD was 29% (steatosis yes/no, N=61,271/155,521; cirrhosis, N=3502). The false positive and negative rates were 5–6%. Only 1.6% of the FLD cases had the ICD code recorded and 32% had undergone full clinical evaluation for associated co-morbidities. Of the 35–65-year-old individuals with FLD, 20% had diabetes, 42% prediabetes and 28% a high liver fibrosis index. FLD was independently predicted by diabetes (OR 1.56, CI 1.46–1.66, p = 2.3 * 10^-41), BMI (1.46, 1.42–1.50, p = 1.7 * 10^-154) and plasma triglyceride level (1.5, 1.43–1.57, p = 3.5 * 10^-68). Alanine aminotransferase level mildly increased (1.12, 1.08–1.16, p = 2.2 * 10^-9) and high age decreased the risk (0.92, 0.89–0.94, p = 4.65*10^-09). Half of the cases had normal ALT. Conclusions: The incidental radiological finding of FLD is reliable and associated with metabolic risks but largely ignored, although it should lead to metabolic and hepatic follow-up.
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Kurki, Samu H.Helsinki University Central Hospital
(author)
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Parviainen, Helka I.Helsinki University Central Hospital
(author)
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Kullamaa, LiisaHelsinki University Central Hospital
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Färkkilä, Martti A.Helsinki University Central Hospital
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Matikainen, NiinaHelsinki University Central Hospital,University of Helsinki
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Tuomi, TiinamaijaLund University,Lunds universitet,Diabetiska komplikationer,Forskargrupper vid Lunds universitet,Diabetic Complications,Lund University Research Groups,University of Helsinki,Helsinki University Central Hospital,Folkhälsan Research Center(Swepub:lu)ti8736tu
(author)
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Helsinki University Central HospitalUniversity of Helsinki
(creator_code:org_t)
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In:Diabetes Research and Clinical Practice2100168-8227
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