A Global Survey of Physicians Knowledge About Nonalcoholic Fatty Liver Disease

dc.contributor.authorYounossi, Zobair M.
dc.contributor.authorOng, Janus P.
dc.contributor.authorTakahashi, Hirokazu
dc.contributor.authorYilmaz, Yusuf
dc.contributor.authorHi, Yuichiro Eguc
dc.contributor.authorEl Kassas, Mohamed
dc.contributor.authorButi, Maria
dc.contributor.authorDiago, Moises
dc.contributor.authorZheng, Ming-Hua
dc.contributor.authorFan, Jian-Gao
dc.contributor.authorYu, Ming-Lung
dc.contributor.authorWong, Vincent Wai-Sun
dc.contributor.authorAlswat, Khalid
dc.contributor.authorChan, Wah-Kheong
dc.contributor.authorMendez-Sanchez, Nahum
dc.contributor.authorBurra, Patrizia
dc.contributor.authorBugianesi, Elisabetta
dc.contributor.authorDuseja, Ajay K.
dc.contributor.authorGeorge, Jacob
dc.contributor.authorPapatheodoridis, George, V
dc.contributor.authorSaeed, Hamid
dc.contributor.authorCastera, Laurent
dc.contributor.authorArrese, Marco
dc.contributor.authorKugelmas, Marcelo
dc.contributor.authorRomero-Gomez, Manuel
dc.contributor.authorAlqahtani, Saleh
dc.contributor.authorZiayee, Mariam
dc.contributor.authorLam, Brian
dc.contributor.authorYounossi, Issah
dc.contributor.authorRacila, Andrei
dc.contributor.authorHenry, Linda
dc.contributor.authorStepanova, Maria
dc.date.accessioned2025-01-20T21:03:42Z
dc.date.available2025-01-20T21:03:42Z
dc.date.issued2022
dc.description.abstractBACKGROUND & AIMS: Despite rapidly increasing nonalcoholic fatty liver disease (NAFLD) prevalence, providers' knowledge may be limited. We assessed NAFLD knowledge and associated factors among physicians of different specialties globally.
dc.description.abstractMETHODS: NAFLD knowledge surveys containing 54 and 59 questions covering 3 domains (epidemiology/pathogenesis, diagnostics, and treatment) were completed electronically by hepatologists, gastroenterologists (GEs), endocrinologists (ENDO5), and primary care physicians (PCPs) from 40 countries comprising 5 Global Burden of Disease super-regions. Over 24 months, 2202 surveys were completed (488 hepatologists, 758 GEs, 148 ENDOs, and 808 PCPs; 50% high-income Global Burden of Disease super-region, 27% from North Africa and Middle East, 12% Southeast Asia, and 5% South Asian and Latin America).
dc.description.abstractRESULTS: Hepatologists saw the greatest number of NAFLD patients annually: median 150 (interquartile range, 60-300) vs 100 (interquartile range, 35-200) for GEs, 100 (interquartile range, 30-200) for ENDOs, and 10 (interquartile range, 4-50) for PCPs (all P < .0001). The primary sources of NAFLD knowledge acquisition for hepatologists were international conferences (33% vs 8%-26%) and practice guidelines for others (39%-44%). The Internet was the second most common source of NAFLD knowledge for PCPs (28%). NAFLD knowledge scores were higher for hepatologists than GEs: epidemiology, 62% vs 53%; diagnostics, 80% vs 73%; and treatment, 61% vs 58% (P < .0001), and ENDOs scores were higher than PCPs: epidemiology, 70% vs 60%; diagnostics, 71% vs 64%; and treatment, 79% vs 68% (P < .0001). Being a hepatologist or ENDO was associated with higher knowledge scores than a GE or PCP, respectively (P < .05). Higher NAFLD knowledge scores were associated independently with a greater number of NAFLD patients seen (P < .05).
dc.description.abstractCONCLUSIONS: Despite the growing burden of NAFLD, a significant knowledge gap remains for the identification, diagnosis, and management of NAFLD.
dc.description.funderCenter for Outcomes Research in Liver Diseases (COR-LD) , Washington, DC, USA
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.cgh.2021.06.048
dc.identifier.eissn1542-7714
dc.identifier.issn1542-3565
dc.identifier.urihttps://doi.org/10.1016/j.cgh.2021.06.048
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/93171
dc.identifier.wosidWOS:000832703800021
dc.issue.numero6
dc.language.isoen
dc.pagina.finalE1468
dc.pagina.inicioE1456
dc.revistaClinical gastroenterology and hepatology
dc.rightsacceso restringido
dc.subjectPrimary Care
dc.subjectEndocrinologists
dc.subjectInternet
dc.subjectGuidelines
dc.subjectCardiovascular Disease
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleA Global Survey of Physicians Knowledge About Nonalcoholic Fatty Liver Disease
dc.typeartículo
dc.volumen20
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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