Changing trends in the etiology of cirrhosis in Türkiye: a multicenter nationwide study
dc.authorscopusid | Eylem Karatay / 36113631800 | |
dc.authorwosid | Eylem Karatay / AGJ-7943-2022 | |
dc.contributor.author | Üçbilek, Enver | |
dc.contributor.author | Yıldırım, Abdullah Emre | |
dc.contributor.author | Ellik, Zeynep | |
dc.contributor.author | Turan, İlker | |
dc.contributor.author | Haktanıyan, Büşra | |
dc.contributor.author | Karatay, Eylem | |
dc.date.accessioned | 2025-06-03T13:39:30Z | |
dc.date.available | 2025-06-03T13:39:30Z | |
dc.date.issued | 2024 | |
dc.department | İstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü | |
dc.description.abstract | Background/Aims: The aim of our study was to investigate the underlying causes behind the etiology of cirrhosis in T & uuml;rkiye.Materials and Methods: The study was comprised of patients with cirrhosis located in the gastroenterology clinics of 28 centers in T & uuml;rkiye between January 2000 and June 2021. Results: The study group consisted of 4953 cirrhotic patients (median age: 62.2 years, male / female: 58% / 42%). Among the patients, 39% of the patients were compensated, and 61% were decompensated. Furthermore, 47.5% had Child-Pugh class A, 38% had Child-Pugh class B, and 14.5% had Child-Pugh class C. The most frequent complaints were abdominal bloating (28%). Ascites (54.2%) was the most common manifestation of decompensation. The median Child-Pugh and MELD-Na scores were 7.0 and 10.0, respectively. The most common cause of cirrhosis was chronic viral hepatitis (43%), followed by cryptogenic cirrhosis (CC) (19%), metabolic dysfunc-tion-associated steatotic liver disease (MASLD)-related cirrhosis (13%), and alcohol-related cirrhosis (11%). Among the 950 patients with CC, 416 had metabolic abnormalities. If these 416 CC patients with metabolic abnormalities were categorized as having MASLD-related cirrhosis, the proportion of MASLD-related cirrhosis increased to 21%. Thirteen percent of the patients were diagnosed with HCC, while 4% had extrahepatic malignancy. Female breast cancer (18%) and colorectal cancer (18%) were the most frequent extra-hepatic malignancies. Conclusion: Viral hepatitis remains the main cause of cirrhosis in T & uuml;rkiye. However, its prevalence seems to be declining, whereas the prevalence of steatotic liver disease-related cirrhosis is increasing | |
dc.identifier.citation | Üçbilek, E., Yıldırım, A. E., Ellik, Z., Turan, İ., Haktanıyan, B., Orucu, B., ... & Idilman, R. (2024). Changing trends in the etiology of cirrhosis in Türkiye: a multicenter nationwide study. The Turkish Journal of Gastroenterology, 35(10), 772. | |
dc.identifier.doi | 10.5152/tjg.2024.23572 | |
dc.identifier.endpage | 777 | |
dc.identifier.issn | 2148-5607 | |
dc.identifier.issue | 10 | |
dc.identifier.scopus | 2-s2.0-85205994317 | |
dc.identifier.scopusquality | Q3 | |
dc.identifier.startpage | 772 | |
dc.identifier.uri | http://dx.doi.org/10.5152/tjg.2024.23572 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12713/7286 | |
dc.identifier.volume | 35 | |
dc.identifier.wos | WOS:001344200200003 | |
dc.identifier.wosquality | Q4 | |
dc.indekslendigikaynak | Web of Science | |
dc.indekslendigikaynak | Scopus | |
dc.institutionauthor | Karatay, Eylem | |
dc.institutionauthorid | Eylem Karatay / 0000-0003-3738-3554 | |
dc.language.iso | en | |
dc.publisher | Aves | |
dc.relation.ispartof | Turkish journal of gastroenterology | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | Cirrhosis | |
dc.subject | Etiology | |
dc.subject | Hepatocellular Carcinoma | |
dc.subject | Metabolic Dysfunction-Associated Steatotic Liver Disease | |
dc.subject | Viral Hepatitis | |
dc.title | Changing trends in the etiology of cirrhosis in Türkiye: a multicenter nationwide study | |
dc.type | Article |