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Órgano Oficial de la Asociación Mexicana de Hepatología
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2017, Number 6

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Ann Hepatol 2017; 16 (6)

Evidence-Based Medicine and the Problem of Healthy Volunteers

Marchesini G, Marchignoli F, Petta S
Full text How to cite this article

Language: Spanish
References: 6
Page: 832-834
PDF size: 151.91 Kb.


Key words:

Clinical trials, Control group, Liver Enzymes, NAFLD, Obesity.

ABSTRACT

Healthy controls are subjects without the disease being studied but may have other conditions indirectly affecting outcome. In the present epidemics of obesity a few subjects with undiagnosed nonalcoholic fatty liver disease enter clinical studies as controls, producing biased results. Stricter selection criteria should be considered to prevent this risk.


REFERENCES

  1. Angulo P, Keach JC, Batts KP, Lindor KD. Independent predictors of liver fibrosis in patients with nonalcoholic steatohepatitis. Hepatology 1999; 30: 1356-62. 2 Prati D, Taioli E, Zanella A, Della Torre E, Butelli S, Del Vecchio E, Vianello L, et al.Updated definitions of healthy ranges for serum alanine aminotransferase levels. Ann Intern Med 2002; 137: 1-10.

  2. Takyar V, Nath A, Beri A, Gharib AM, Rotman Y. How healthy are the “Healthy volunteers”? Penetrance of NAFLD in the biomedical research volunteer pool. Hepatology 2017; 66: 825-33.

  3. Mofrad P, Contos MJ, Haque M, Sargeant C, Fisher RA, Luketic VA, Vianello L, et al. Clinical and histologic spectrum of nonalcoholic fatty liver disease associated with normal ALT values. Hepatology 2003; 37: 1286-92.

  4. Fracanzani AL, Valenti L, Bugianesi E, Andreoletti M, Colli A, Vanni E, Bertelli C, et al. Risk of severe liver disease in NAFLD with normal aminotransferase levels: A role for insulin resistance and diabetes. Hepatology 2008; 48: 792-8.

  5. Brill MJ, Diepstraten J, van Rongen A, van Kralingen S, van den Anker JN, Knibbe CA. Impact of obesity on drug metabolism and elimination in adults and children. Clin Pharmacokinet 2012; 51: 277-304.

  6. Siddiqui MS, Sterling RK, Luketic VA, Puri P, Stravitz RT, Bouneva I, Boyett S, et al. Association between high-normal levels of alanine aminotransferase and risk factors for atherogenesis. Gastroenterology 2013; 145: 1271-9 e1-3.




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C?MO CITAR (Vancouver)

Ann Hepatol. 2017;16