TARGETED SCREENING FOR LIVER FIBROSIS: IDENTIFYING HIGH-RISK ADULTS FOR TRANSIENT ELASTOGRAPHY EVALUATION
2024

Targeted Screening for Liver Fibrosis

publication Evidence: moderate

Author Information

Author(s): Namrouti Amina, Chaves Paulo

Primary Institution: Florida International University College of Medicine

Hypothesis

Can combining readily available indicators in primary care settings enhance the accuracy of screening for liver fibrosis?

Conclusion

Combining primary care indicators improves the identification of at-risk adults for liver fibrosis compared to using individual indicators alone.

Supporting Evidence

  • Non-alcoholic fatty liver disease affects over 30% of the general population.
  • Transient elastography is a non-invasive tool for measuring liver stiffness.
  • The final model improved predictive accuracy with an AUC-ROC of 74%.

Takeaway

This study looks at how doctors can better find people at risk for liver problems by using common health indicators together instead of just one at a time.

Methodology

A cross-sectional analysis using NHANES 2017-2020 data with stepwise logistic regression.

Limitations

Further research is necessary to determine the optimal combination of indicators.

Participant Demographics

Adults aged ≥ 40 years without excessive alcohol consumption, cirrhosis, or hepatitis B/C.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2513

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication