为 MASLD 患者量身定制的护理模式。

IF 4.3 3区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Seminars in liver disease Pub Date : 2024-02-01 Epub Date: 2024-01-25 DOI:10.1055/a-2253-9181
Mohamed El-Kassas, Abeer Awad, Mohamed Elbadry, Juan Pablo Arab
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引用次数: 0

摘要

代谢功能障碍相关性脂肪性肝病(MASLD),以前被称为非酒精性脂肪肝(NAFLD),在全球范围内呈上升趋势,引起了越来越多的公共卫生关注。然而,这种疾病往往得不到诊断,许多地区有关其流行病学的准确数据也很有限,这给提供适当的护理和实施有效的国家计划带来了挑战。为了应对日益加重的疾病负担,必须对大量高危人群进行筛查和诊断。要将 MASLD 作为一项医疗挑战来应对,就必须采取涉及预防、诊断、治疗和护理的多学科方法,并在医疗系统的多个利益相关者之间开展合作。这种方法必须以国家和全球战略为指导,并与通过自下而上的过程开发的高效护理模式相结合。这篇综述文章强调了 MASLD 护理模式的支柱,包括筛查、风险分层和建立临床护理路径进行管理,此外还讨论了术语变更对拟议护理模式的影响。
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Tailored Model of Care for Patients with Metabolic Dysfunction-Associated Steatotic Liver Disease.

Metabolic dysfunction-associated steatotic liver disease (MASLD), formerly known as nonalcoholic fatty liver disease (NAFLD), is increasing globally, creating a growing public health concern. However, this disease is often not diagnosed, and accurate data on its epidemiology are limited in many geographical regions, making it challenging to provide proper care and implement effective national plans. To combat the increasing disease burden, screening and diagnosis must reach a significant number of high-risk subjects. Addressing MASLD as a health care challenge requires a multidisciplinary approach involving prevention, diagnosis, treatment, and care, with collaboration between multiple stakeholders in the health care system. This approach must be guided by national and global strategies, to be combined with efficient models of care developed through a bottom-up process. This review article highlights the pillars of the MASLD model of care (MoC), including screening, risk stratification, and establishing a clinical care pathway for management, in addition to discussing the impact of nomenclature change on the proposed MoC.

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来源期刊
Seminars in liver disease
Seminars in liver disease 医学-胃肠肝病学
CiteScore
8.20
自引率
2.40%
发文量
38
期刊介绍: Seminars in Liver Disease is a quarterly review journal that publishes issues related to the specialties of hepatology and gastroenterology. As the premiere review journal in the field, Seminars in Liver Disease provides in-depth coverage with articles and issues focusing on topics such as cirrhosis, transplantation, vascular and coagulation disorders, cytokines, hepatitis B & C, Nonalcoholic Steatosis Syndromes (NASH), pediatric liver diseases, hepatic stem cells, porphyrias as well as a myriad of other diseases related to the liver. Attention is also given to the latest developments in drug therapy along with treatment and current management techniques. Seminars in Liver Disease publishes commissioned reviews. Unsolicited reviews of an exceptional nature or original articles presenting remarkable results will be considered, but case reports will not be published.
期刊最新文献
Role of Complement in Liver Diseases. LncRNA, RNA Therapeutics, and Emerging Technologies in Liver Pathobiology. Wilson Disease: Novel Diagnostic and Therapeutic Approaches. Role of the Gut Microbiome in Metabolic Dysfunction-Associated Steatotic Liver Disease. HBV Biomarkers and Their Role in Guiding Treatment Decisions.
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