Journal Information
Vol. 87. Issue 1.
Pages 128-129 (January - March 2022)
Vol. 87. Issue 1.
Pages 128-129 (January - March 2022)
Letter to the Editor
Open Access
Response to the Letter to the Editor on the study «Influence of socioeconomic and cultural factors in the etiology of cirrhosis of the liver»
A propósito de la carta editorial sobre el estudio «Influencia de los factores socioeconómicos y culturales en la etiología de la cirrosis hepática»
F. Roesch-Dietlena,
Corresponding author

Corresponding author. Instituto de Investigaciones Médico Biológicas, Universidad Veracruzana, Agustín de Iturbide s/n. Col. Flores Magón, CP 91700 Veracruz, Veracruz, Mexico. Tel.: (229) 9027565.
, M. González-Santesb
a Instituto de Investigaciones Médico-Biológicas, Universidad Veracruzana, Veracruz, Veracruz, Mexico
b Facultad de Bioanálisis, Universidad Veracruzana, Veracruz, Veracruz, Mexico
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We completely agree with the comments by Marca et al. on our article1, with respect to the importance that economic factors have on the etiologic variability of cirrhosis of the liver. Different publications have shown that greater purchasing power has influenced the modification of the epidemiologic panorama of the disease, showing that the number of cases due to chronic alcohol use or obesity has increased in the higher-income countries, whereas the increase in cases is due to the hepatitis B and C viruses in lower-income countries2–5.

They also believe that the economic factors in our study were not duly analyzed and that we should have included the incomes of the population group. In that regard, we would like to emphasize the following: in Mexico, as in the countries of Central America and South America, the mean wage of the population is low, which can be applied to all the etiologic factors of cirrhosis6. However, we entirely agree with the fact that knowing the income of patients in each of the different etiologies is important, and it will be taken into account in the follow-up of our present study, which we consider a preliminary analysis, and should be corroborated with a higher number of cases, as well.

Ethical considerations

The present document did not require informed consent or authorization by the Bioethics Committee of the Universidad Veracruzana, because according to the Declaration of Helsinki and Resolution 008430 of October 4, 1993, the study under discussion was considered no risk research.

Financial disclosure

No specific grants were received from public sector agencies, the business sector, or non-profit organizations in relation to this study.

Conflict of interest

The authors declare that there is no conflict of interest.

F. Roesch-Dietlen, M. González-Santes, Y.J. Sánchez-Maza, et al.
Influencia de los factores socioeconómicos y culturales en la etiología de la cirrosis hepática.
Rev Gastroenterol Mex, 86 (2021), pp. 28-35
H. Park, Y. Shin.
Factors related self-care behavior among liver cirrhosis patients: focusing on disease knowledge and family.
J Korea Acad Industr Coop Soc, 18 (2017), pp. 647-656
P.S. Mukherjee, S. Vishnubhatla, D.N. Amarapurkar, et al.
Etiology and mode of presentation of chronic liver diseases in India: a multi centric study.
PLoS One, 12 (2017), pp. e0187033
W. Li, P. Kemos, J.D. Salciccioli, et al.
Socioeconomic factors associated with liver-related mortality from 1985 to 2015 in 36 developed countries.
Clin Gastroenterol Hepal, 19 (2020),
L. Pimpin, H. Cortez-Pinto, F. Negro, et al.
Burden of liver disease in Europe: epidemiology and analysis of risk factors to identify prevention policies.
J Hepatol, 69 (2018), pp. 718-735
NEGI, Estadísticas históricas. Salario promedio en México. 2018 [Accessed 26 June 2020]. Available from:

Please cite this article as: Roesch-Dietlen F, González-Santes M. A propósito de la carta editorial sobre el estudio «Influencia de los factores socioeconómicos y culturales en la etiología de la cirrosis hepática». Rev Gastroenterol Méx. 2022;87:128–129.

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Revista de Gastroenterología de México
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