Archives of endocrinology and metabolism · 2023
Brazilian evidence-based guideline for screening, diagnosis, treatment, and follow-up of metabolic dysfunction-associated steatotic liver disease (MASLD) in adult individuals with overweight or obesity: A joint position statement from the Brazilian Society of Endocrinology and Metabolism (SBEM), Brazilian Society of Hepatology (SBH), and Brazilian Association for the Study of Obesity and Metabolic Syndrome (Abeso).
СтатьяОбзорConsensus StatementНазвание и аннотация: Перевод в очереди
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Moreira Rodrigo Oliveira, Valerio Cynthia Melissa, Villela-Nogueira Cristiane Alves, Cercato Cintia, Gerchman Fernando, Lottenberg Ana Maria Pita, Godoy-Matos Amélio Fernando, Oliveira Ricardo de Andrade, Brandão Mello Carlos Eduardo, Álvares-da-Silva Mãrio Reis, Leite Nathalie Carvalho, Cotrim Helma Pinchemel, Parisi Edison Roberto, Silva Giovanni Faria, Miranda Paulo Augusto Carvalho, Halpern Bruno, Pinto Oliveira Claudia
Аннотация
INTRODUCTION: Metabolic dysfunction-associated steatotic liver disease (MASLD), previously known as Nonalcoholic fatty liver disease (NAFLD), is one of the most common hepatic diseases in individuals with overweight or obesity. In this context, a panel of experts from three medical societies was organized to develop an evidence-based guideline on the screening, diagnosis, treatment, and follow-up of MASLD.
MATERIAL AND METHODS: A MEDLINE search was performed to identify randomized clinical trials, meta-analyses, cohort studies, observational studies, and other relevant studies on NAFLD. In the absence of studies on a certain topic or when the quality of the study was not adequate, the opinion of experts was adopted. Classes of Recommendation and Levels of Evidence were determined using prespecified criteria.
RESULTS: Based on the literature review, 48 specific recommendations were elaborated, including 11 on screening and diagnosis, 9 on follow-up,14 on nonpharmacologic treatment, and 14 on pharmacologic and surgical treatment.
CONCLUSION: A literature search allowed the development of evidence-based guidelines on the screening, diagnosis, treatment, and follow-up of MASLD in individuals with overweight or obesity.
MATERIAL AND METHODS: A MEDLINE search was performed to identify randomized clinical trials, meta-analyses, cohort studies, observational studies, and other relevant studies on NAFLD. In the absence of studies on a certain topic or when the quality of the study was not adequate, the opinion of experts was adopted. Classes of Recommendation and Levels of Evidence were determined using prespecified criteria.
RESULTS: Based on the literature review, 48 specific recommendations were elaborated, including 11 on screening and diagnosis, 9 on follow-up,14 on nonpharmacologic treatment, and 14 on pharmacologic and surgical treatment.
CONCLUSION: A literature search allowed the development of evidence-based guidelines on the screening, diagnosis, treatment, and follow-up of MASLD in individuals with overweight or obesity.