Sex-specific co-occurrence patterns of Type 2 Diabetes Mellitus and Non-Alcoholic Fatty Liver Disease among patients with colorectal cancer: a retrospective EMR-based series - Summary - MDSpire

Sex-specific co-occurrence patterns of Type 2 Diabetes Mellitus and Non-Alcoholic Fatty Liver Disease among patients with colorectal cancer: a retrospective EMR-based series

  • By

  • Mohammadreza Akbarian Khorasgani

  • Pouriya Katouzi

  • Melika Khalifeh Hadi

  • Masoumeh Amarloei

  • Yasaman Kianpourhafshejani

  • Sumaeya Sultana

  • Mohammed Hasan Mohammed Ahmed Al-Mlawi

  • Yunqing Zeng

  • Jiaoyang Lu

  • July 2, 2026

  • 0 min

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Objective:

To explore the sex-specific prevalence and co-occurrence patterns of Type 2 Diabetes Mellitus (T2DM) and Non-Alcoholic Fatty Liver Disease (NAFLD) among colorectal cancer (CRC) patients using electronic medical records.

Approach:
  • Study Design: Retrospective study involving 438 CRC patients treated at a tertiary hospital in China.
  • Data Collection: Diagnoses of T2DM and NAFLD were confirmed based on physician-documented records.
  • Statistical Analysis: Descriptive statistics and bivariate analyses were used to evaluate prevalence patterns and metabolic indicators.
Key Findings:
  • T2DM prevalence was 10.04% in male CRC patients and 5.92% in females.
  • NAFLD prevalence was 8.18% in males and 4.73% in females.
  • Co-occurrence of T2DM and NAFLD was rare at 0.68%.
  • Patients with T2DM or NAFLD exhibited distinctive metabolic abnormalities.
Interpretation:

The study highlights distinct sex-based prevalence patterns of T2DM and NAFLD in CRC patients, but the rarity of co-occurrence limits further inferential analyses.

Limitations:
  • Co-occurrence of T2DM and NAFLD was rare, limiting analyses.
  • Study conducted in a single tertiary hospital may limit generalizability.
Conclusion:

Findings emphasize the need for larger, prospective studies to better characterize metabolic comorbidity patterns in CRC from a sex-specific perspective.

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