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Care Pathways for Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD): A State-of-The-Art Review - PubMed

3 hours ago
  • #liver fibrosis
  • #care pathway
  • #MASLD
  • MASLD is a growing clinical challenge requiring effective diagnostic strategies.
  • Current guidelines recommend non-invasive tests (NITs) like FIB-4 and VCTE for patient stratification.
  • Nine studies were reviewed, focusing on care pathways for detecting advanced fibrotic MASLD.
  • Pathway populations included patients with type 2 diabetes or confirmed MASLD.
  • Numbers needed to screen (NNS) varied widely across different pathways and populations.
  • All studies reported improved patient risk stratification but noted declining attendance rates at each step.
  • NIT-based care pathways can optimize transmural care for MASLD.
  • Heterogeneity in pathway design calls for standardized protocols and larger validation studies.
  • The review supports advancing MASLD management within evolving clinical frameworks.