慢性肝病的流行病学现状。

IF 3.8 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Gastroenterology Report Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI:10.1093/gastro/goae069
Richie Manikat, Aijaz Ahmed, Donghee Kim
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引用次数: 0

摘要

慢性肝病给全球健康带来沉重负担,其病因有多种,包括代谢功能障碍相关性脂肪肝(MASLD)、酒精相关性肝病(ALD)、慢性乙型肝炎病毒感染和慢性丙型肝炎病毒感染。本综述探讨了每种病因目前的流行趋势和预测,研究了它们各自的负担和挑战。MASLD,以前称为非酒精性脂肪肝,是慢性肝病中最常见的病因,其全球发病率和流行率正在稳步上升。酒精性脂肪肝(ALD)因饮酒量增加而加剧,其发病率也在上升,对未来的死亡率产生了令人担忧的影响。慢性乙型肝炎和丙型肝炎感染仍然是主要的公共卫生问题,尤其是在世界上的特定地区,有必要共同努力进行筛查和治疗。冠状病毒病 2019(COVID-19)大流行影响了慢性肝病的流行病学,加剧了死亡率,扰乱了医疗保健服务。大流行带来的心理健康问题使慢性肝病的治疗更加复杂,因此必须制定全面的医疗保健战略。尽管在治疗方面取得了进步,但慢性肝病仍然造成了巨大的经济负担,这就强调了预防措施和早期干预的重要性。总之,持续的监测和研究工作对于了解和应对不断变化的慢性肝病形势至关重要。针对不同病因的预防、筛查和治疗等综合策略对于减轻慢性肝病的影响和改善患者预后至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Current epidemiology of chronic liver disease.

Chronic liver disease presents a significant global health burden, characterized by several etiologies, including metabolic dysfunction-associated steatotic liver disease (MASLD), alcohol-related liver disease (ALD), chronic hepatitis B virus infection, and chronic hepatitis C virus infection. This review explored current epidemiological trends and projections for each etiology, looking into their respective burdens and challenges. MASLD, formerly known as nonalcoholic fatty liver disease, is the most prevalent cause of chronic liver disease, and its global incidence and prevalence are steadily rising. ALD, fueled by increased alcohol consumption, is also on the rise, with concerning implications for future mortality rates. Chronic hepatitis B and C infections remain major public health concerns, particularly in specific regions of the world, necessitating concerted efforts for screening and treatment. The coronavirus disease 2019 (COVID-19) pandemic has impacted the epidemiology of chronic liver disease, exacerbating mortality rates and disrupting healthcare services. Mental health issues arising from the pandemic further complicate the treatment of chronic liver disease, making comprehensive healthcare strategies essential. Despite advancements in treatment, chronic liver disease continues to impose a substantial economic burden, emphasizing the importance of preventive measures and early intervention. In conclusion, ongoing surveillance and research efforts are crucial for understanding and addressing the evolving landscape of chronic liver disease. Comprehensive strategies that encompass prevention, screening, and treatment of its different etiologies are essential for mitigating its impact and improving patient outcomes.

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来源期刊
Gastroenterology Report
Gastroenterology Report Medicine-Gastroenterology
CiteScore
4.60
自引率
2.80%
发文量
63
审稿时长
8 weeks
期刊介绍: Gastroenterology Report is an international fully open access (OA) online only journal, covering all areas related to gastrointestinal sciences, including studies of the alimentary tract, liver, biliary, pancreas, enteral nutrition and related fields. The journal aims to publish high quality research articles on both basic and clinical gastroenterology, authoritative reviews that bring together new advances in the field, as well as commentaries and highlight pieces that provide expert analysis of topical issues.
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