Association between metabolic syndrome, fatty liver disease, and gastrointestinal tumors: a population-based study with external validation.

In the validation cohort, cardiovascular mortality risk was significant (HR = 3.902), while other survival outcomes did not reach statistical significance due to the small sample size.

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Similarly, in the adjusted models, MetS showed a trend toward increased mortality (e.g., HR = 1.863 for cancer-specific mortality), though these findings did not reach statistical significance.

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