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Twenty-year follow-up Kaplan-Meier survival analysis for mortality estimated poor survival in the elderly (log-rank p 0.001). The adjusted Cox proportional hazards regression model showed an association of age 65 with an all-cause mortality hazard ratio of 2.26 (95% CI 1.89-2.69). Higher rates of fatty liver, cryptogenic cirrhosis, non-HCC cancers, and mortality were found among patients diagnosed with cirrhosis in the elderly. Higher rates of fatty liver, cryptogenic cirrhosis, non-HCC cancers, and mortality were found among pat