Scott Isaacs Profile picture
President-Elect @theaace, endocrinologist, obesity medicine, #MASLD, Emory Med School adjunct faculty. Posts are my own.

Jan 13, 2023, 7 tweets

Recommendations to enable and optimize a multidisciplinary approach in #NAFLD care. #livertwitter @AlinaAllenMD @AlkhouriNaim @JVLazarus nature.com/articles/s4385…

Evaluate benefit and cost-effectiveness of multidisciplinary models of care based on NITs, which should be adopted by first-line providers, such as PCPs and endocrinologists, and monitor their use. nature.com/articles/s4385…

Implement context-specific (prevention, screening, risk-stratification, treatment) and resource-specific (for low-, middle- and high-income settings) models of care and always report their effectiveness.

Develop, provide and monitor guidance, endorsed by professional societies, regarding preventive hepatology and specific criteria for referral to specialty care such as hepatology, cardiology, endocrinology, obesity specialists, bariatric surgeons and exercise physiologists.

Delivery models must overcome the time-constraints by decreasing the human burden (automated screening and risk-stratification, multidisciplinary clinics, virtual care, nurse coordinators, web-based applications for longitudinal care, virtual assistants).

Generate evidence to provide policy-makers the basis to recognize #NAFLD as a significant public health threat and allocate the appropriate resources to address it. pubmed.ncbi.nlm.nih.gov/36596859/

The World Health Organization should integrate all types of steatotic liver disease into non-communicable disease technical guidance, action plans and strategies, setting out how to best implement a multidisciplinary approach. nature.com/articles/s4385…

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