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Reporter brief

GLP-1 agonists associated with lower all-cause mortality and ascites in MASH patients: propensity-matched cohort study

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A retrospective cohort study of 1.4 million adults with metabolic dysfunction-associated steatohepatitis (MASH) examined clinical outcomes in 168,733 GLP-1 receptor agonist users versus matched non-users. GLP-1 RA exposure was associated with reduced all-cause mortality (RD −0.022) and lower ascites incidence (RD −0.013), though a statistically significant but clinically negligible increase in hepatocellular carcinoma was detected (RD 0.000).

Assessment pending; this report does not establish a change in evidence.

  • Limitations have not been recorded; consult the primary source.

Cohort; Human.

Adults with metabolic dysfunction-associated steatohepatitis (MASH)

Design
Cohort
Sample
337,466
Journal
Medicine
Published
Sep 11, 2026

Ascites: RD −0.013 (95% CI −0.014 to −0.012); All-cause mortality: RD −0.022 (95% CI −0.023 to −0.021); HCC: RD 0.000 (95% CI 0.000–0.001)

  • Assessment: Superseded.
  • Only the source material recorded on this evidence page was assessed.

Not recorded.

See the GLP-1 agonists timeline and recorded assessment for prior evidence.

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