当前对非酒精性脂肪性肝病临床管理和护理的考虑:来自加拿大NASH网络(CanNASH)第一届国际研讨会的见解

Canadian liver journal Pub Date : 2022-02-04 eCollection Date: 2022-01-01 DOI:10.3138/canlivj-2021-0030
Giada Sebastiani, Keyur Patel, Vlad Ratziu, Jordan J Feld, Brent A Neuschwander-Tetri, Massimo Pinzani, Salvatore Petta, Annalisa Berzigotti, Peter Metrakos, Naglaa Shoukry, Elizabeth M Brunt, An Tang, Jeremy F Cobbold, Jean-Marie Ekoe, Karen Seto, Peter Ghali, Stéphanie Chevalier, Quentin M Anstee, Heather Watson, Harpreet Bajaj, James Stone, Mark G Swain, Alnoor Ramji
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引用次数: 4

摘要

非酒精性脂肪性肝病(NAFLD)影响了大约800万加拿大人。NAFLD是指一种从轻度脂肪变性到非酒精性脂肪性肝炎(NASH)的疾病谱系。近25%的NAFLD患者发展为NASH,可发展为肝硬化和相关的终末期并发症。2型糖尿病和肥胖是该疾病的主要危险因素。加拿大NASH网络是一个由卫生保健专业人员和研究人员组成的全国性合作组织,主要致力于加强对NAFLD的理解、护理、教育和研究,并以这种疾病状态的最佳实践为愿景。在2021年4月举行的CanNASH网络第一届国际研讨会上,与加拿大肝脏研究协会(CASL)的单一主题会议联合举办了一场活动,临床医生、流行病学家、基础科学家和社区成员齐聚一堂,分享了他们在NASH主题下的工作。这次研讨会也标志着加拿大和国际肝脏协会的现场代表和其他主要意见领袖之间合作的开始。主要目标是制定一个政策框架,概述具体目标、建议活动和循证最佳做法,以指导省、地区和联邦组织制定多学科护理模式和应对这一流行病的战略。
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Current considerations for clinical management and care of non-alcoholic fatty liver disease: Insights from the 1st International Workshop of the Canadian NASH Network (CanNASH).

Non-alcoholic fatty liver disease (NAFLD) affects approximately 8 million Canadians. NAFLD refers to a disease spectrum ranging from bland steatosis to non-alcoholic steatohepatitis (NASH). Nearly 25% of patients with NAFLD develop NASH, which can progress to liver cirrhosis and related end-stage complications. Type 2 diabetes and obesity represent the main risk factors for the disease. The Canadian NASH Network is a national collaborative organization of health care professionals and researchers with a primary interest in enhancing understanding, care, education, and research around NAFLD, with a vision of best practices for this disease state. At the 1st International Workshop of the CanNASH network in April 2021, a joint event with the single topic conference of the Canadian Association for the Study of the Liver (CASL), clinicians, epidemiologists, basic scientists, and community members came together to share their work under the theme of NASH. This symposium also marked the initiation of collaborations between Canadian and other key opinion leaders in the field representative of international liver associations. The main objective is to develop a policy framework that outlines specific targets, suggested activities, and evidence-based best practices to guide provincial, territorial, and federal organizations in developing multidisciplinary models of care and strategies to address this epidemic.

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