Nonalcoholic Fatty Liver Disease is Underrecognized in the Primary Care Setting

2015 ◽  
Vol 110 (1) ◽  
pp. 10-14 ◽  
Author(s):  
Pierre Blais ◽  
Nisreen Husain ◽  
Jennifer R Kramer ◽  
Marc Kowalkowski ◽  
Hashem El-Serag ◽  
...  
Keyword(s):  
Primary Care ◽  
Liver Disease ◽  
Fatty Liver ◽  
Nonalcoholic Fatty Liver Disease ◽  
Fatty Liver Disease ◽  
Care Setting ◽  
Primary Care Setting ◽  
Nonalcoholic Fatty Liver

Tu1004 Nonalcoholic Fatty Liver Disease Is Underrecognized in the Primary Care Setting

2014 ◽  
Vol 146 (5) ◽  
pp. S-1003
Author(s):  
Pierre Blais ◽  
Nisreen Husain ◽  
Jennifer R. Kramer ◽  
Marc A. Kowalkowski ◽  
Hashem El-Serag ◽  
...  
Keyword(s):  
Primary Care ◽  
Liver Disease ◽  
Fatty Liver ◽  
Nonalcoholic Fatty Liver Disease ◽  
Fatty Liver Disease ◽  
Care Setting ◽  
Primary Care Setting ◽  
Nonalcoholic Fatty Liver

Nonalcoholic Fatty Liver Disease Underdiagnosis in Primary Care: What Are We Missing?

2021 ◽  
Author(s):  
Ellen M. Nielsen ◽  
Kathryn P. Anderson ◽  
Justin Marsden ◽  
Jingwen Zhang ◽  
Andrew D. Schreiner
Keyword(s):  
Primary Care ◽  
Liver Disease ◽  
Fatty Liver ◽  
Nonalcoholic Fatty Liver Disease ◽  
Fatty Liver Disease ◽  
Nonalcoholic Fatty Liver

scholarly journals Cross-sectional pilot study to assess primary healthcare workers’ knowledge of nonalcoholic fatty liver disease in a marginalized community in Mexico

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Paulina Vidal-Cevallos ◽  
Ana L. Ordóñez-Vázquez ◽  
Omar Procopio-Mosso ◽  
Rafael Cardoso-Arias ◽  
Misael Uribe ◽  
...  
Keyword(s):  
Primary Care ◽  
Liver Disease ◽  
Fatty Liver ◽  
Nonalcoholic Fatty Liver Disease ◽  
Primary Healthcare ◽  
Fatty Liver Disease ◽  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Cross Sectional ◽  
Nonalcoholic Fatty Liver

AbstractThe registered incidence of nonalcoholic fatty liver disease (NAFLD) in primary healthcare centers is lower than expected, suggesting a lack of awareness by primary care healthcare professionals. The implementation of educational tools for healthcare workers has been found to increase timely referral and treatment of patients. We aimed to determine healthcare workers’ knowledge of NAFLD to identify their educational needs in one marginalized region. We performed a cross-sectional survey of 261 healthcare professionals in Tlapa de Comonfort, Guerrero, Mexico from October 2019 to December 2019. We created a questionnaire that assessed domains most relevant to NAFLD knowledge. Two hundred and forty-six questionnaires were completed. Of the respondents, 38.3% were nurses and 63.4% were women. Most nurses identified NAFLD as a prevalent (89%) and preventable (93%) disease. Hypertension (33%) and obesity (84%) were recognized as risk factors. The associations between NAFLD and cancer, cirrhosis and cardiovascular disease were identified by 53%, 67% and 72% of respondents, respectively. The largest gaps were found in diagnostic workup, therapeutic approach and the current treatments. We identify modifiable knowledge gaps in NAFLD. Educational strategies for primary care workers could enhance the identification of patients with NAFLD and prevent complications.

Nonalcoholic Fatty Liver Disease (NAFLD) for Primary Care Providers: Beyond the Liver

2020 ◽  
Vol 16 ◽  
Author(s):  
Eddison Godinez-Leiva ◽  
Fernando Bril
Keyword(s):  
Primary Care ◽  
Liver Disease ◽  
Fatty Liver ◽  
Nonalcoholic Fatty Liver Disease ◽  
Fatty Liver Disease ◽  
Systemic Disease ◽  
Primary Care Providers ◽  
Major Public Health Problem ◽  
Care Providers ◽  
Nonalcoholic Fatty Liver

Abstract:: Nonalcoholic fatty liver disease (NAFLD) has consolidated as a major public health problem, affecting ~25% of the global population. This percentage is significantly higher in the setting of obesity and/or type 2 diabetes. Presence of NAFLD is associated with severe liver complications, such as nonalcoholic steatohepatitis (NASH; i.e., presence of inflammation and necrosis), cirrhosis and hepatocellular carcinoma. However, the majority of these patients die of cardiovascular disease. For this reason, management of this condition requires a multidisciplinary team, where primary care providers are at center stage. However, important misconceptions remain among primary care providers, preventing them from appropriately approach these patients. Nonalcoholic fatty liver disease should be understood as part of a systemic disease, characterized for abnormal accumulation of fat in tissues other than the adipose tissue. This, in turn, produces dysfunction of those organs or tissues (process sometimes referred to as lipotoxicity). Therefore, due to the systemic nature of this condition, it should not surprise that NAFLD is closely related to other metabolic conditions. In this review, we will focus on the extrahepatic manifestations of NAFLD and its metabolic and cardiovascular implications. We believe these are the most important issues primary care providers should understand, in order to effectively manage these complicated patients. In addition, we have provided a simple and straightforward approach to the diagnosis and treatment of patients with NAFLD and/or NASH. We hope this review will serve as a guide for primary care providers to approach their patients with NAFLD.

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