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Hepatology and Pancreatic Science

ISSN: 2573-4563

Open Access

Paul Guilloteau

Department of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea

Publications
  • Mini Review   
    Time to Focus Chronic Liver Diseases Back into the Community: A Review of Primary Care Hepatology Tools, Pathways of Care and Reimbursement Mechanisms
    Author(s): Paul Guilloteau*

    Due to the rising prevalence of its common lifestyle-related metabolic risk factors-obesity, inactivity, smoking, and alcohol consumption-addressing primary care's low confidence in detecting and managing chronic liver disease (CLD) is becoming increasingly important. Although liver blood tests are frequently used to manage long-term conditions, their interpretation rarely focuses on specific risk factors for liver disease. Primary care education should emphasize that isolated minor LFT abnormalities are unreliable in estimating risk of fibrosis progression, emphasize the use of pragmatic algorithms like FIB-4 to differentiate between patients who require referral for further fibrosis risk assessment and those who can be managed in the community, and outline how liver fibrosis is the flag of pathological concern. Utilizing existing frameworks for long-term conditio.. Read More»
    DOI: 10.37421/2573-4563.2022.6.204

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