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Barriers to care linkage and educational impact on unnecessary MASLD referrals.
Lee, Jun-Hyuk; Yoon, Eileen Laurel; Oh, Ju Hyun; Kim, Kyunam; Ahn, Sang Bong; Jun, Dae Won.
Afiliación
  • Lee JH; Department of Family Medicine, School of Medicine, Nowon Eulji Medical Center, Eulji University, Seoul, Republic of Korea.
  • Yoon EL; Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Republic of Korea.
  • Oh JH; Hanyang Institute of Bioscience and Biotechnology, Hanyang University, Seoul, Republic of Korea.
  • Kim K; Department of Internal Medicine, College of Medicine, Nowon Eulji Medical Center, Eulji University, Seoul, Republic of Korea.
  • Ahn SB; Department of Family Medicine, College of Medicine, Sanggye Paik Hospital, Inje University, Seoul, Republic of Korea.
  • Jun DW; Department of Internal Medicine, College of Medicine, Nowon Eulji Medical Center, Eulji University, Seoul, Republic of Korea.
Front Med (Lausanne) ; 11: 1407389, 2024.
Article en En | MEDLINE | ID: mdl-39118663
ABSTRACT

Background:

The importance of primary care physicians (PCPs) in managing metabolic dysfunction-associated steatotic liver disease (MASLD) has increased. This study aimed to assess the effectiveness of an online educational program on MASLD among physicians.

Methods:

In total, 869 physicians (72 physicians at referral centers and 797 PCPs) participated in this study. They completed an initial survey regarding their clinical practices for patients with MASLD, followed by a second online survey 8 weeks after receiving a series of seven weekly sets of educational materials on MASLD.

Results:

In the baseline survey, most PCPs did not routinely evaluate the stage of hepatic fibrosis in MASLD; they typically initiated assessments based on elevated liver enzyme levels. Only a limited number of PCPs used vibration-controlled transient elastography. The main hurdles in managing MASLD were "the absence of a fee for patient education" for PCPs and "short consultation time" for referral-center physicians. In the follow-up survey, the percentage of liver fibrosis assessments using noninvasive tests increased from 7.0 to 11.2%. Additionally, evaluations for cardiovascular disease increased from 3.9 to 8.2%, and the risk of ischemic stroke increased from 13.7 to 16.9%. The percentage of immediate referrals of patients to specialists after an MASLD diagnosis decreased from 15.4 to 12.3%.

Conclusion:

The discrepancies in management strategies and viewpoints regarding MASLD between PCPs and referral-center physicians can hinder efforts to mitigate the disease burden. Increasing awareness among PCPs regarding MASLD through a 7-week education program led to a reduction in unnecessary referral rates and an increase in cardiovascular evaluations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Med (Lausanne) Año: 2024 Tipo del documento: Article Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Med (Lausanne) Año: 2024 Tipo del documento: Article Pais de publicación: Suiza