Use of simple scoring systems for a public health approach in the management of non-alcoholic fatty liver disease patients.

Shamsul Mohd ZainHwa-Li TanZahurin MohamedWah-Kheong Chan Sanjiv MahadevaRoma Choudhury BasuRosmawati Mohamed

Published in: JGH open : an open access journal of gastroenterology and hepatology (2020)

We found that FIB-4 score outperforms other scoring systems based on AUROC and NPV. The use of a simple scoring system such as FIB-4 as first-line triage to risk-stratify NAFLD patients in the primary care setting, with further stratification of those in the indeterminate group using clinical predictors of NASH, can help in the development of a simplified strategy for a public health approach in the management of NAFLD.

Keyphrases

public health
primary care
end stage renal disease
ejection fraction
newly diagnosed
chronic kidney disease
emergency department
prognostic factors
general practice