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2022-04-01

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cc-by (c) Lazarus, Jeffrey V. et al., 2022
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/230155

The global NAFLD policy review and preparedness index: Are countries ready to address this silent public health challenge?

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https://doi.org/10.1016/j.jhep.2021.10.025

Resum

Background & Aims Non-alcoholic fatty liver disease (NAFLD) is a highly prevalent, yet largely underappreciated liver condition which is closely associated with obesity and metabolic disease. Despite affecting an estimated 1 in 4 adults globally, NAFLD is largely absent on national and global health agendas. Methods We collected data from 102 countries, accounting for 86% of the world population, on NAFLD policies, guidelines, civil society engagement, clinical management, and epidemiologic data. A preparedness index was developed by coding questions into 6 domains (policies, guidelines, civil awareness, epidemiology and data, NAFLD detection, and NAFLD care management) and categorising the responses as high, medium, and low; a multiple correspondence analysis was then applied. Results The highest scoring countries were India (42.7) and the United Kingdom (40.0), with 32 countries (31%) scoring zero out of 100. For 5 of the domains a minority of countries were categorised as high-level while the majority were categorised as low-level. No country had a national or sub-national strategy for NAFLD and <2% of the different strategies for related conditions included any mention of NAFLD. National NAFLD clinical guidelines were present in only 32 countries. Conclusions Although NAFLD is a pressing public health problem, no country was found to be well prepared to address it. There is a pressing need for strategies to address NAFLD at national and global levels.

Matèries

Salut pública, Planificació sanitària

Matèries (anglès)

Public health, Health planning

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Articles publicats en revistes (Medicina)

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LAZARUS, Jeffrey V., et al. The global NAFLD policy review and preparedness index: Are countries ready to address this silent public health challenge?. Journal of Hepatology. 2022. Vol. 76, num. 4, pags. 771-780. ISSN 0168-8278. [consulted: 25 of June of 2026]. Available at: https://hdl.handle.net/2445/230155

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