On multivariate analysis, only the presence of histological cirrhosis was identified as a single significant factor, which was negatively associated with discordance between liver biopsy and ELF test (p<0.001; odds ratio 0.249, 95% CI 0.116–0.533), although, on univariate analysis, the mean ALT level differed significantly between patients with non-disconcordance and discordance (65 vs.76 IU/L, p = 0.035), along with the proportion of subjects with histological cirrhosis. Here, GPT is linked to Cirrhosis.