Correction to: Diabetes Ther (2023) 14:2089–2108 https://doi.org/10.1007/s13300-023-01478-2

In the section “NAFLD Fibrosis Score” the sentence starting from “NFS can be calculated using the following formula…” has been revised as “NFS can be calculated using the following formula: NAFLD fibrosis score = −1.675 + 0.037 × age (year) + 0.094 × BMI (kg/m2 ) + 1.13 × IFG/diabetes (yes = 1, no = 0) + 0.99 × AST/ALT ratio - 0.013 × platelet count (×109 /L) − 0.66 × albumin (g/dL)…


There were a few errors in the “Interpretation” section. The corrected section is given below:


Interpretation

  • A score < −1.455 = lower risk of advanced fibrosis (F3/F4) in subjects > 65 years of age;

  • A score > 0.676 = high risk for advanced fibrosis (F3/F4) for all ages.

A close relationship between FIB-4 and NFS was described [24, 25].

Indeed, values of FIB-4 > 2.67 or NFS 0.676 identify people with a high probability of advanced liver fibrosis or advanced fibrosis (F3/F4), while people with FIB 0/1 or NFS < −1.455 are free of fibrosis, and those having FIB-4 Score F2 or NFS − 1.455 to 0.676 are undetermined [20, 21, respectively].

The cost for their calculation is negligible, and the result is immediate. Both scores were developed and validated for the identification of patients with NAFLD with a high probability of having bridging fibrosis (F3) or cirrhosis (F4) [24, 25, 30, 31].


In the “Results” section, the sentence starting from “The prevalence of extreme scores stayed almost unchanged only in the CG…” had an error with the NFS value of the low probability scores. This has been revised to “…low probability scores (NFS < −1.455)…


In the “Discussion” section, the sentence starting from “PGR improved fibrosis extent significantly not only in those with high scores…” was revised to “PGR improved fibrosis extent significantly not only in those with high scores (FIB-4 F3–F4 and NFS > 0.626) but also in less severe cases (F0–F2 and < -1.455, respectively).”


In the original article, the word “Policaptil Gel Retard” has been revised as “Neo-Policaptil Gel Retard”.


In the section “Inclusion Criteria”, the sentence begining from “No previous utilization” has been revised as “No previous utilization of lipid-lowering drugs against metabolic disorders”.


In the “Fatty Liver Index” section, the sentence starting from “In NASH (non-alcoholic steatohepatitis)...” has been revised as “In NASH (non-alcoholic steatohepatitis):

  • Fibrosis F0-F1 (FIB-4 < 1.30)

  • Moderate fibrosis F2 (1.30 to 2.67)

  • Cirrhosis F3-F4 (FIB-4 > 2.67)”.

There were a few errors in Table 1. The correct Table 1 is given below:


Table 1 Starting general features of the two treatment groups

  

Control group

(n. 123)

Treatment group

(n. 122)

p

Age

(Years)

72.2 ± 6.4

71.4 ± 5.4

ns

Sex

(M/F)

68/55

71/51

ns

Diabetes duration

(years)

7.2 ± 3.3

7.4 ± 4.1

ns

BMI

(kg/m2)

35.2 ± 4.4

36.1 ± 5.0

ns

HbA1c

(%)

8.0 ± 1.5

8.1 ± 1.3

ns

FPG

(mg/dl)

130.7 ± 15.4

131.0 ± 14.9

ns

PPG

(mg(dl)

188.1 ± 20.4

190.7 ± 14.3

ns

Insulin

(μIU/ml)

30.3 ± 4.5

30.9 ± 4.9

ns

C-peptide

(ng/ml)

2.1 ± 0.6

2.2 ± 0.3

ns

HOMA-IR

4.9 ± 0.4

4.9 ± 0.7

ns

AST

(IU/l)

68.5 ± 6.9

70.3 ± 5.8

ns

ALT

(IU/l)

69.6 ± 8.3

71.2 ± 8.4

ns

γ-GT

(IU/l)

69.4 ± 4.9

66.5 ± 7.8

ns

ALP

(IU/l)

189.5 ± 14.4

190.8 ± 14.6

ns

Total Bilirubin

(mg/dl)

0.8 ± 0.4

0.8 ± 0.2

ns

Total cholesterol

(mg/dl)

199.7 ± 18.8

195.8 ± 19.7

ns

HDL cholesterol

(mg/dl)

43.1 ± 4.5

44.7 ± 3.8

ns

Triglyceride

(mg/dl)

199.7 ± 22.8

197.7 ± 26.5

ns

LDL cholesterol

(mg/dl)

137.5 ± 8.7

143.5 ± 9.7

ns

Red blood cells

(× 106/μl)

4.6 ± 0.9

4.7 ± 0.8

ns

White blood cells

(× 103/μl)

8.6 ± 1.5

8.8 ± 1.7

ns

Platelet count

(n/μl)

162,000 ± 15,000

168,000 ± 20,000

ns

Albumin

(g/dl)

3.8 ± 0.4

3.9 ± 0.5

ns

Uric Acid

(mg/dl)

7.02 ± 1.2

7.4 ± 0.9

ns

eGFR

(ml/min/1.73m2)

82.9 ± 7.2

91.1 ± 8.3

ns

Waist circumference

 

121.5 ± 4.7

120.8 ± 6.2

ns

Trunk fat

(%)

48.5 ± 4.4

47.8 ± 5.7

ns

Visceral fat

(%)

24.6 ± 5.4

25.2 ± 6.1

ns

FLI

    

 < 30 (no steatosis)

n. (%)

2 (1.62)

2 (1.63)

ns

 > 60 (steatosis)

n. (%)

116 (94.31)

116 (95.08)

 

 31–59 (inconclusive)

n. (%)

5 (4.07)

4 (3.29)

ns

ns

FIB-4

    

 F0–F1 < 1.30

n. (%)

12 (9.75)

11 (9.01)

ns

 F3–F4 > 2.67

n. (%)

104 (84.56)

102 (83.62)

 

 F2

n. (%)

7 (5.69)

9 (7.37)

ns

ns

NFS

    

 < −1.455

n. (%)

8 (6.50)

8 (6.56)

ns

 > 0.676

n. (%)

111 (90.25)

110 (90.17)

ns

 Inconclusive

n. (%)

4 (3.25)

4 (3.27)

ns

Chronic diabetes complications/comorbidities (one or more)

 Cardio-vascular disease

n. (%)

77 (62.82)

75 (61.56)

ns

 Hypertension

n. (%)

95 (77.54)

89 (73.77)

ns

 Kidney disease

n. (%)

22 (18.31)

20 (16.71)

ns

 Retinopathy

n. (%)

34 (27.93)

37 (30.44)

ns

 Neuropathy

n. (%)

36 (29.54)

30 (25.38)

ns

 Foot ulcer/amputation

n. (%)

4 (3.13)

3 (2.32)

ns

 Previous stroke

n. (%)

8 (6.37)

9 (7.28)

ns

 Hypercholesterolemia

n. (%)

63 (51.07)

67 (55.23)

ns

  1. ALP alkaline phosphatase, ALT alanine transferase, AST aspartate transferase, BMI body mass index, eGFR estimated glomerular filtration rate, FIB-4 Fibrosis (FIB)-4 Score, FLI Fatty Liver Index, FPG fasting plasma glucose, γ-GT gamma-glutamyl transferase, HbA1c hemoglobin A1C, HOMA-IR homeostatic model assessment for insulin resistance, LDL low-density lipoprotein, NFS NAFLD (non-alcoholic fatty liver disease) Fibrosis Score, PPG postprandial glycemia

There was an error in Table 2. The correct Table 2 is given below:


Table 2 Treatment side effects in the two groups

 

Nausea

Diarrhea

Vomiting

Abdominal pain

Decreased appetite

Indigestion and fatigue

Control group (%)

2

1

2

3

2

2

Treatment group (%)

3

1

2

1

8

3

p

n.s

n.s

n.s

n.s

 < 0.001

n.s

In this article there is error in Fig. 3 as below.

figure a

The correct Fig. 3 is shown below.

figure b

There is an error in Fig. 4 and Fig. 4 legend as below.

figure c

The correct Fig. 4 and Fig.4 legend shown as below.

figure d

Comparison of FIB-4 in subjects without or with light fibrosis (FIB-4 < 1.30; F0-F1), severe fibrosis (FIB-4 > 2.67; F3-F4), and moderate diagnosis (FIB-4 between 1.31 and 2.66; F2) between baseline and end of follow-up. **p < 0.001 vs. baseline and CG. FIB-4 Fibrosis (FIB)-4 Score, CG control group

There is an error in Fig. 5 and Fig. 5 legend as below.

figure e

The correct Fig. 5 and Fig. 5 legend is shown below.

figure f

Comparison of percentages of subjects with (NFS > 0.676) and without (NFS < −1.455) advanced liver fibrosis, or inconclusive results (NFS −1.455 to 0.676), between baseline and the end of follow-up; *p < 0.001 vs. baseline; #p < 0.001 vs. the other group. NFS NAFLD (non-alcoholic fatty liver disease) Fibrosis Score

There is an error in Fig. 6 as below.

figure g

The correct Fig. 6 is shown as below.

figure h

The original article has been corrected.