解读《非酒精性脂肪肝临床实践指南》:临床医生须知

Q3 Medicine
Kenneth Cusi, Jeff Budd, Eric Johnson, Jay H. Shubrook
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引用次数: 1

摘要

非酒精性脂肪肝(NAFLD)临床实践指南中总结的护理标准为临床医生提供了基于现有最佳证据的简化诊断和管理方法。近年来,这些建议发生了很大变化;如今,这些建议明确侧重于筛查,以早期识别脂肪性肝炎和临床显著纤维化高风险患者并对其进行风险分层,从而促进在需要时及时转诊至专科治疗。本文回顾了非酒精性脂肪肝筛查、诊断、治疗和监测的现行指南,并阐述了其基本原理,还探讨了提供循证非酒精性脂肪肝护理的障碍以及如何克服这些障碍。当前的护理模式要求初级保健临床医生和专科医生在一个熟悉肥胖症和糖尿病护理的多学科护理团队中通力合作,为这些复杂的患者提供全面的管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Making Sense of the Nonalcoholic Fatty Liver Disease Clinical Practice Guidelines: What Clinicians Need to Know
Standards of care summarized in clinical practice guidelines for nonalcoholic fatty liver disease (NAFLD) offer clinicians a streamlined diagnostic and management approach based on the best available evidence. These recommendations have changed a great deal in recent years; today, there is a clear focus on screening for the early identification and risk stratification of patients at high risk of steatohepatitis and clinically significant fibrosis to promote timely referrals to specialty care when needed. This article reviews and provides the rationale for current guidelines for NAFLD screening, diagnosis, treatment, and monitoring and addresses barriers to providing evidence-based NAFLD care and how to overcome them. The current paradigm of care calls for primary care clinicians and specialists to work together, within a multidisciplinary care team familiar with obesity and diabetes care, to provide comprehensive management of these complex patients.
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来源期刊
Diabetes Spectrum
Diabetes Spectrum Medicine-Internal Medicine
CiteScore
2.70
自引率
0.00%
发文量
62
期刊介绍: The mission of Diabetes Spectrum: From Research to Practice is to assist health care professionals in the development of strategies to individualize treatment and diabetes self-management education for improved quality of life and diabetes control. These goals are achieved by presenting review as well as original, peer-reviewed articles on topics in clinical diabetes management, professional and patient education, nutrition, behavioral science and counseling, educational program development, and advocacy. In each issue, the FROM RESEARCH TO PRACTICE section explores, in depth, a diabetes care topic and provides practical application of current research findings.
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