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NAFLD: Diagnostic Algorithms for Regulating Patient Fluxes

Pallini, G; Tsochatzis, EA; (2021) NAFLD: Diagnostic Algorithms for Regulating Patient Fluxes. Current Pharmaceutical Design , 27 (27) 10.2174/1381612827666210127120748. Green open access

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Abstract

The global prevalence of NAFLD is estimated to be over 25% and it is already the leading cause of chronic liver disease in industrialized countries, as a consequence of the spread of obesity and metabolic syndrome. The prognosis of NAFLD is generally benign in the absence of fibrosis, but liver fibrosis rapidly progresses in 20% of the cases and can lead to cirrhosis and/or HCC. This review analysis focuses on non-invasive fibrosis testing strategies for patients with NAFLD in order to increase the efficiency and effectiveness of diagnosis and care, regulating secondary care referral fluxes. An integrated management plan between primary care and secondary care with a defined algorithm of non-invasive testing to stratify the risk of NAFLD fibrosis is indispensable to increase the early diagnosis of fibrosis but also decrease unnecessary referrals.

Type: Article
Title: NAFLD: Diagnostic Algorithms for Regulating Patient Fluxes
Location: United Arab Emirates
Open access status: An open access version is available from UCL Discovery
DOI: 10.2174/1381612827666210127120748
Publisher version: https://doi.org/10.2174/1381612827666210127120748
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
Keywords: ELF, FIB-4, FIbroscan, Steatohepatitis, cirrhosis., non-invasive fibrosis tests, primary care
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Inst for Liver and Digestive Hlth
URI: https://discovery.ucl.ac.uk/id/eprint/10122722
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