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Performance of non-invasive fibrosis scores in non-alcoholic fatty liver disease with and without morbid obesity.

Andreas DrolzStefan WolterMalte H WehmeyerFelix PiechaThomas HorvatitsJulian Schulze Zur WieschAnsgar W LohseOliver MannJohannes Kluwe
Published in: International journal of obesity (2005) (2021)
Our data suggest that FIB-4 score is an accurate predictor of advanced fibrosis in NAFLD throughout all BMI stages. Without adjustment, NFS tends to overestimate fibrosis in morbidly obese NAFLD patients. This problem may be solved by implementation of an upper BMI limit (for NFS) or adjustment of diagnostic thresholds.
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