Projected Trends in Metabolic Dysfunction-Associated Steatotic Liver Disease Mortality Through 2040

  • 0Division of Gastroenterology and Hepatology, School of Medicine, Stanford University Medical Center, Palo Alto, California.

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Summary

This summary is machine-generated.

Metabolic dysfunction-associated steatotic liver disease (MASLD) mortality in the US has risen significantly from 2006-2023 and is projected to increase. Disparities are most pronounced in older adults, White and Hispanic individuals, and nonmetropolitan populations.

Area Of Science

  • Hepatology
  • Public Health
  • Epidemiology

Background

  • Limited population-based data exists for metabolic dysfunction-associated steatotic liver disease (MASLD)-related mortality trends and forecasts in the United States.
  • MASLD is a growing public health concern with significant morbidity and mortality implications.

Purpose Of The Study

  • To examine MASLD-related mortality trends in the United States from 2006 to 2023.
  • To forecast MASLD mortality rates up to 2040 overall and in subgroups by age, sex, race and ethnicity, and urbanization.

Main Methods

  • A cross-sectional study utilizing the National Vital Statistics System dataset.
  • Analysis of deaths attributed to MASLD in adults aged 25 years and older from 2006 to 2023.
  • Evaluation of trends using average annual percentage change (AAPC) in age-standardized mortality rates (ASMRs) and projection models for forecasting.

Main Results

  • MASLD-related mortality increased from 0.25 to 1.27 per 100,000 persons between 2006 and 2023, with AAPCs peaking between 2018-2021.
  • The steepest ASMR rise was observed in individuals aged 65 years and older, with projected increases to 7.12 per 100,000 by 2040.
  • Significant ASMR increases were noted across all racial and ethnic groups, particularly in non-Hispanic White and Hispanic individuals, and in nonmetropolitan areas.

Conclusions

  • MASLD-related mortality has shown a rapid increase in the US from 2006 to 2023.
  • Mortality rates are projected to continue rising over the next two decades.
  • Significant disparities in MASLD mortality exist among older adults, specific racial/ethnic groups, and in nonmetropolitan populations, highlighting the need for targeted interventions.

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