PMID- 38541107 OWN - NLM STAT- MEDLINE DCOM- 20240329 LR - 20240330 IS - 1648-9144 (Electronic) IS - 1010-660X (Print) IS - 1010-660X (Linking) VI - 60 IP - 3 DP - 2024 Feb 24 TI - Alcoholic Liver Disease/Nonalcoholic Fatty Liver Disease Index at Diagnosis Is Associated with All-Cause Mortality during Follow-Up in Patients with Antineutrophil Cytoplasmic Antibody-Associated Vasculitis. LID - 10.3390/medicina60030381 [doi] LID - 381 AB - Background and Objectives: The purpose of this study was to investigate whether a new index related to chronic liver disease, the alcoholic liver disease/nonalcoholic fatty liver disease index (ANI) at diagnosis, is associated with all-cause mortality during follow-up in patients with antineutrophil cytoplasmic antibody-associated vasculitis (AAV). Materials and Methods: In this study, we included 270 patients with AAV. ANI was calculated using the following equation: ANI = -58.5 + 0.637 (adjusted mean corpuscular volume) + 3.91 (adjusted aspartate transaminase/alanine transaminase) - 0.406 (body mass index) + 6.35 (if male sex). All-cause mortality was defined as death from any cause during follow-up. Results: The median age of the 270 patients with AAV was 61.0 years (34.4% male and 66.6% female). The median ANI was significantly higher in deceased patients than in surviving patients. In the receiver operating characteristic curve analysis, ANI at diagnosis exhibited a statistically significant area under the curve for all-cause mortality during follow-up, and its cut-off was determined to be -0.59. Patients with ANI at diagnosis >/= -0.59 exhibited a significantly higher risk for all-cause mortality and a significantly lower cumulative patient survival rate than those without. In the multivariable Cox analysis, ANI at diagnosis >/= -0.59, together with age at diagnosis, was independently associated with all-cause mortality. Conclusions: This study is the first to demonstrate the predictive potential of ANI at diagnosis for all-cause mortality during follow-up in AAV patients without significant chronic liver diseases. FAU - Cho, Minsuk AU - Cho M AD - Department of Medicine, Yonsei University College of Medicine, Seoul 03722, Republic of Korea. FAU - Rah, Woongchan AU - Rah W AD - Division of Rheumatology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 03722, Republic of Korea. FAU - Song, Jason Jungsik AU - Song JJ AD - Division of Rheumatology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 03722, Republic of Korea. AD - Institute for Immunology and Immunological Diseases, Yonsei University College of Medicine, Seoul 03722, Republic of Korea. FAU - Park, Yong-Beom AU - Park YB AD - Division of Rheumatology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 03722, Republic of Korea. AD - Institute for Immunology and Immunological Diseases, Yonsei University College of Medicine, Seoul 03722, Republic of Korea. FAU - Lee, Sang-Won AU - Lee SW AUID- ORCID: 0000-0002-8038-3341 AD - Division of Rheumatology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 03722, Republic of Korea. AD - Institute for Immunology and Immunological Diseases, Yonsei University College of Medicine, Seoul 03722, Republic of Korea. LA - eng GR - NCR 2019-6/CELLTRION PHARM, Inc. Chungcheongbuk-do, Republic of Korea/ GR - N/A/Chong Kun Dang Pharmaceutical Corp, Seoul, Republic of Korea/ PT - Journal Article DEP - 20240224 PL - Switzerland TA - Medicina (Kaunas) JT - Medicina (Kaunas, Lithuania) JID - 9425208 RN - 0 (Antibodies, Antineutrophil Cytoplasmic) SB - IM MH - Humans MH - Male MH - Female MH - Middle Aged MH - *Non-alcoholic Fatty Liver Disease/complications MH - Antibodies, Antineutrophil Cytoplasmic MH - Follow-Up Studies MH - *Liver Diseases, Alcoholic/diagnosis/complications MH - *Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/complications MH - Retrospective Studies PMC - PMC10972080 OTO - NOTNLM OT - alcoholic liver disease/nonalcoholic fatty liver disease index OT - antineutrophil cytoplasmic antibody OT - estimate OT - mortality OT - vasculitis COIS- The authors declare no conflicts of interest. EDAT- 2024/03/28 06:45 MHDA- 2024/03/29 06:46 PMCR- 2024/02/24 CRDT- 2024/03/28 01:11 PHST- 2024/01/09 00:00 [received] PHST- 2024/02/21 00:00 [revised] PHST- 2024/02/22 00:00 [accepted] PHST- 2024/03/29 06:46 [medline] PHST- 2024/03/28 06:45 [pubmed] PHST- 2024/03/28 01:11 [entrez] PHST- 2024/02/24 00:00 [pmc-release] AID - medicina60030381 [pii] AID - medicina-60-00381 [pii] AID - 10.3390/medicina60030381 [doi] PST - epublish SO - Medicina (Kaunas). 2024 Feb 24;60(3):381. doi: 10.3390/medicina60030381.