The global NAFLD policy review and preparedness index: are countries ready to address this silent public health challenge?

Detalhes bibliográficos
Autor(a) principal: Lazarus, Jeffrey V.
Data de Publicação: 2022
Outros Autores: Mark, Henry E., Villota-Rivas, Marcela, Palayew, Adam, Carrieri, Patrizia, Colombo, Massimo, Ekstedt, Mattias, Esmat, Gamal, George, Jacob, Marchesini, Giulio, Novak, Katja, Ocama, Ponsiano, Ratziu, Vlad, Razavi, Homie, Romero-Gómez, Manuel, Silva, Marcelo, Spearman, C. Wendy, Tacke, Frank, Tsochatzis, Emmanuel A., Yilmaz, Yusuf, Younossi, Zobair M., Wong, Vincent W.-S., Zelber-Sagi, Shira, Cortez-Pinto, Helena, Anstee, Quentin M., Rouabhia, Samir, Ghazinyan, Hasmik, Iskandar, Natacha Jreige, Trauner, Michael, Aghayeva, Gulnara, Carter, Flloyd, Sridharan, Kannan, Al Mahtab, Mamun, Francque, Sven, Kodjoh, Nicolas, Camacho, Ruben Muñoz, Anderson, Motswedi, Marques Souza de Oliveira, Claudia Pinto, Mateva, Lyudmila, Serme, Abdel Karim, Soares Martins, Antonieta A., Swain, Mark G., Komas, Narcisse Patrice, Zheng, Ming-Hua, Jaramillo, Patricio Lopez, Murillo, Omar Alfaro, Mikolasevic, Ivana, Vounou, Emmelia, Brůha, Radan, Nlombi, Charles Mbendi, Thiele, Maja, Perez, Marlene, Suárez M, Juan José, Waked, Imam, Salupere, Riina, Desalegn, Hailemichael, Yki-Järvinen, Hannele, Tsertsvadze, Tengiz, Sharvadze, Lali, Butsashvili, Maia, Awuku, Yaw Asante, Papatheodoridis, Georgios, Hunyady, Bela, Bjornsson, Einar Stefan, Duseja, Ajay, Lesmana, Cosmas Rinaldi A., Malekzadeh, Reza, Norris, Suzanne, Koike, Kazuhiko, Nersesov, Alexander V., Ochwoto, Missiani, Jamal, Mohammad, Saparbu, Tobokalova, Tolmane, Ieva, Sayegh, Raymond, Sheriff, Dhastagir Sultan, Valantinas, Jonas, Weber, Joseph, Shawa, Isaac Thom, Tan, Soek-Siam, Martínez Vázquez, Sophia E., Baatarkhuu, Oidov, Lkhagvaa, Undram, Jadamba, Tsolmon, Mohammed, Tahiri, Sudhamshu, K.C, Coppell, Kirsten, Onyekwere, Charles, Nikolova, Dafina, Vesterhus, Mette, Al-Naamani, Khalid, Hamid, Saeed, Méndez, Juan Paredes, Cabrera Cabrejos, María Cecilia, Flisiak, Robert, Torres, Esther A., Taheri, Shahrad, Sung, Ki-Chul, Adela, Turcanu, Gheorghe, Liana, Sanai, Faisal M., Milovanovic, Tamara, Bee Goh, George Boon, Rac, Marek, Dassanayake, Anuradha, Osama, Shahinaz Bedri, Elsanousi, M., Dufour, Jean-François, Kao, Jia-Horng, Saidi, Dilshod, Treeprasertsuk, Sombat, Koek, Ger, Labidi, Asma, Skrypnyk, Igor, AlKhatry, Maryam Salem, Sadirova, Shakhlo, Bakieva, Shokhista, Sinkala, Edford
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/54960
Resumo: © 2021 The Author(s). Published by Elsevier B.V. on behalf of European Association for the Study of the Liver. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
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spelling The global NAFLD policy review and preparedness index: are countries ready to address this silent public health challenge?Non-alcoholic fatty liver disease (NAFLD)Global public healthHealth policyLiver healthMultiple correspondence analysisNon-alcoholic steatohepatitis (NASH)Policy preparedness© 2021 The Author(s). Published by Elsevier B.V. on behalf of European Association for the Study of the Liver. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).Background & aims: Non-alcoholic fatty liver disease (NAFLD) is a highly prevalent, yet largely underappreciated liver condition which is closely associated with obesity and metabolic disease. Despite affecting an estimated 1 in 4 adults globally, NAFLD is largely absent on national and global health agendas. Methods: We collected data from 102 countries, accounting for 86% of the world population, on NAFLD policies, guidelines, civil society engagement, clinical management, and epidemiologic data. A preparedness index was developed by coding questions into 6 domains (policies, guidelines, civil awareness, epidemiology and data, NAFLD detection, and NAFLD care management) and categorising the responses as high, medium, and low; a multiple correspondence analysis was then applied. Results: The highest scoring countries were India (42.7) and the United Kingdom (40.0), with 32 countries (31%) scoring zero out of 100. For 5 of the domains a minority of countries were categorised as high-level while the majority were categorised as low-level. No country had a national or sub-national strategy for NAFLD and <2% of the different strategies for related conditions included any mention of NAFLD. National NAFLD clinical guidelines were present in only 32 countries. Conclusions: Although NAFLD is a pressing public health problem, no country was found to be well prepared to address it. There is a pressing need for strategies to address NAFLD at national and global levels. Lay summary: Around a third of the countries scored a zero on the NAFLD policy preparedness index, with no country scoring over 50/100. Although NAFLD is a pressing public health problem, a comprehensive public health response is lacking in all 102 countries. Policies and strategies to address NAFLD at the national and global levels are urgently needed.ElsevierRepositório da Universidade de LisboaLazarus, Jeffrey V.Mark, Henry E.Villota-Rivas, MarcelaPalayew, AdamCarrieri, PatriziaColombo, MassimoEkstedt, MattiasEsmat, GamalGeorge, JacobMarchesini, GiulioNovak, KatjaOcama, PonsianoRatziu, VladRazavi, HomieRomero-Gómez, ManuelSilva, MarceloSpearman, C. WendyTacke, FrankTsochatzis, Emmanuel A.Yilmaz, YusufYounossi, Zobair M.Wong, Vincent W.-S.Zelber-Sagi, ShiraCortez-Pinto, HelenaAnstee, Quentin M.Rouabhia, SamirGhazinyan, HasmikIskandar, Natacha JreigeTrauner, MichaelAghayeva, GulnaraCarter, FlloydSridharan, KannanAl Mahtab, MamunFrancque, SvenKodjoh, NicolasCamacho, Ruben MuñozAnderson, MotswediMarques Souza de Oliveira, Claudia PintoMateva, LyudmilaSerme, Abdel KarimSoares Martins, Antonieta A.Swain, Mark G.Komas, Narcisse PatriceZheng, Ming-HuaJaramillo, Patricio LopezMurillo, Omar AlfaroMikolasevic, IvanaVounou, EmmeliaBrůha, RadanNlombi, Charles MbendiThiele, MajaPerez, MarleneSuárez M, Juan JoséWaked, ImamSalupere, RiinaDesalegn, HailemichaelYki-Järvinen, HanneleTsertsvadze, TengizSharvadze, LaliButsashvili, MaiaAwuku, Yaw AsantePapatheodoridis, GeorgiosHunyady, BelaBjornsson, Einar StefanDuseja, AjayLesmana, Cosmas Rinaldi A.Malekzadeh, RezaNorris, SuzanneKoike, KazuhikoNersesov, Alexander V.Ochwoto, MissianiJamal, MohammadSaparbu, TobokalovaTolmane, IevaSayegh, RaymondSheriff, Dhastagir SultanValantinas, JonasWeber, JosephShawa, Isaac ThomTan, Soek-SiamMartínez Vázquez, Sophia E.Baatarkhuu, OidovLkhagvaa, UndramJadamba, TsolmonMohammed, TahiriSudhamshu, K.CCoppell, KirstenOnyekwere, CharlesNikolova, DafinaVesterhus, MetteAl-Naamani, KhalidHamid, SaeedMéndez, Juan ParedesCabrera Cabrejos, María CeciliaFlisiak, RobertTorres, Esther A.Taheri, ShahradSung, Ki-ChulAdela, TurcanuGheorghe, LianaSanai, Faisal M.Milovanovic, TamaraBee Goh, George BoonRac, MarekDassanayake, AnuradhaOsama, Shahinaz BedriElsanousi, M.Dufour, Jean-FrançoisKao, Jia-HorngSaidi, DilshodTreeprasertsuk, SombatKoek, GerLabidi, AsmaSkrypnyk, IgorAlKhatry, Maryam SalemSadirova, ShakhloBakieva, ShokhistaSinkala, Edford2022-11-04T16:30:37Z20222022-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/54960engJ Hepatol. 2022 Apr;76(4):771-7800168-827810.1016/j.jhep.2021.10.0251600-0641info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T17:01:38Zoai:repositorio.ul.pt:10451/54960Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:05:41.395439Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv The global NAFLD policy review and preparedness index: are countries ready to address this silent public health challenge?
title The global NAFLD policy review and preparedness index: are countries ready to address this silent public health challenge?
spellingShingle The global NAFLD policy review and preparedness index: are countries ready to address this silent public health challenge?
Lazarus, Jeffrey V.
Non-alcoholic fatty liver disease (NAFLD)
Global public health
Health policy
Liver health
Multiple correspondence analysis
Non-alcoholic steatohepatitis (NASH)
Policy preparedness
title_short The global NAFLD policy review and preparedness index: are countries ready to address this silent public health challenge?
title_full The global NAFLD policy review and preparedness index: are countries ready to address this silent public health challenge?
title_fullStr The global NAFLD policy review and preparedness index: are countries ready to address this silent public health challenge?
title_full_unstemmed The global NAFLD policy review and preparedness index: are countries ready to address this silent public health challenge?
title_sort The global NAFLD policy review and preparedness index: are countries ready to address this silent public health challenge?
author Lazarus, Jeffrey V.
author_facet Lazarus, Jeffrey V.
Mark, Henry E.
Villota-Rivas, Marcela
Palayew, Adam
Carrieri, Patrizia
Colombo, Massimo
Ekstedt, Mattias
Esmat, Gamal
George, Jacob
Marchesini, Giulio
Novak, Katja
Ocama, Ponsiano
Ratziu, Vlad
Razavi, Homie
Romero-Gómez, Manuel
Silva, Marcelo
Spearman, C. Wendy
Tacke, Frank
Tsochatzis, Emmanuel A.
Yilmaz, Yusuf
Younossi, Zobair M.
Wong, Vincent W.-S.
Zelber-Sagi, Shira
Cortez-Pinto, Helena
Anstee, Quentin M.
Rouabhia, Samir
Ghazinyan, Hasmik
Iskandar, Natacha Jreige
Trauner, Michael
Aghayeva, Gulnara
Carter, Flloyd
Sridharan, Kannan
Al Mahtab, Mamun
Francque, Sven
Kodjoh, Nicolas
Camacho, Ruben Muñoz
Anderson, Motswedi
Marques Souza de Oliveira, Claudia Pinto
Mateva, Lyudmila
Serme, Abdel Karim
Soares Martins, Antonieta A.
Swain, Mark G.
Komas, Narcisse Patrice
Zheng, Ming-Hua
Jaramillo, Patricio Lopez
Murillo, Omar Alfaro
Mikolasevic, Ivana
Vounou, Emmelia
Brůha, Radan
Nlombi, Charles Mbendi
Thiele, Maja
Perez, Marlene
Suárez M, Juan José
Waked, Imam
Salupere, Riina
Desalegn, Hailemichael
Yki-Järvinen, Hannele
Tsertsvadze, Tengiz
Sharvadze, Lali
Butsashvili, Maia
Awuku, Yaw Asante
Papatheodoridis, Georgios
Hunyady, Bela
Bjornsson, Einar Stefan
Duseja, Ajay
Lesmana, Cosmas Rinaldi A.
Malekzadeh, Reza
Norris, Suzanne
Koike, Kazuhiko
Nersesov, Alexander V.
Ochwoto, Missiani
Jamal, Mohammad
Saparbu, Tobokalova
Tolmane, Ieva
Sayegh, Raymond
Sheriff, Dhastagir Sultan
Valantinas, Jonas
Weber, Joseph
Shawa, Isaac Thom
Tan, Soek-Siam
Martínez Vázquez, Sophia E.
Baatarkhuu, Oidov
Lkhagvaa, Undram
Jadamba, Tsolmon
Mohammed, Tahiri
Sudhamshu, K.C
Coppell, Kirsten
Onyekwere, Charles
Nikolova, Dafina
Vesterhus, Mette
Al-Naamani, Khalid
Hamid, Saeed
Méndez, Juan Paredes
Cabrera Cabrejos, María Cecilia
Flisiak, Robert
Torres, Esther A.
Taheri, Shahrad
Sung, Ki-Chul
Adela, Turcanu
Gheorghe, Liana
Sanai, Faisal M.
Milovanovic, Tamara
Bee Goh, George Boon
Rac, Marek
Dassanayake, Anuradha
Osama, Shahinaz Bedri
Elsanousi, M.
Dufour, Jean-François
Kao, Jia-Horng
Saidi, Dilshod
Treeprasertsuk, Sombat
Koek, Ger
Labidi, Asma
Skrypnyk, Igor
AlKhatry, Maryam Salem
Sadirova, Shakhlo
Bakieva, Shokhista
Sinkala, Edford
author_role author
author2 Mark, Henry E.
Villota-Rivas, Marcela
Palayew, Adam
Carrieri, Patrizia
Colombo, Massimo
Ekstedt, Mattias
Esmat, Gamal
George, Jacob
Marchesini, Giulio
Novak, Katja
Ocama, Ponsiano
Ratziu, Vlad
Razavi, Homie
Romero-Gómez, Manuel
Silva, Marcelo
Spearman, C. Wendy
Tacke, Frank
Tsochatzis, Emmanuel A.
Yilmaz, Yusuf
Younossi, Zobair M.
Wong, Vincent W.-S.
Zelber-Sagi, Shira
Cortez-Pinto, Helena
Anstee, Quentin M.
Rouabhia, Samir
Ghazinyan, Hasmik
Iskandar, Natacha Jreige
Trauner, Michael
Aghayeva, Gulnara
Carter, Flloyd
Sridharan, Kannan
Al Mahtab, Mamun
Francque, Sven
Kodjoh, Nicolas
Camacho, Ruben Muñoz
Anderson, Motswedi
Marques Souza de Oliveira, Claudia Pinto
Mateva, Lyudmila
Serme, Abdel Karim
Soares Martins, Antonieta A.
Swain, Mark G.
Komas, Narcisse Patrice
Zheng, Ming-Hua
Jaramillo, Patricio Lopez
Murillo, Omar Alfaro
Mikolasevic, Ivana
Vounou, Emmelia
Brůha, Radan
Nlombi, Charles Mbendi
Thiele, Maja
Perez, Marlene
Suárez M, Juan José
Waked, Imam
Salupere, Riina
Desalegn, Hailemichael
Yki-Järvinen, Hannele
Tsertsvadze, Tengiz
Sharvadze, Lali
Butsashvili, Maia
Awuku, Yaw Asante
Papatheodoridis, Georgios
Hunyady, Bela
Bjornsson, Einar Stefan
Duseja, Ajay
Lesmana, Cosmas Rinaldi A.
Malekzadeh, Reza
Norris, Suzanne
Koike, Kazuhiko
Nersesov, Alexander V.
Ochwoto, Missiani
Jamal, Mohammad
Saparbu, Tobokalova
Tolmane, Ieva
Sayegh, Raymond
Sheriff, Dhastagir Sultan
Valantinas, Jonas
Weber, Joseph
Shawa, Isaac Thom
Tan, Soek-Siam
Martínez Vázquez, Sophia E.
Baatarkhuu, Oidov
Lkhagvaa, Undram
Jadamba, Tsolmon
Mohammed, Tahiri
Sudhamshu, K.C
Coppell, Kirsten
Onyekwere, Charles
Nikolova, Dafina
Vesterhus, Mette
Al-Naamani, Khalid
Hamid, Saeed
Méndez, Juan Paredes
Cabrera Cabrejos, María Cecilia
Flisiak, Robert
Torres, Esther A.
Taheri, Shahrad
Sung, Ki-Chul
Adela, Turcanu
Gheorghe, Liana
Sanai, Faisal M.
Milovanovic, Tamara
Bee Goh, George Boon
Rac, Marek
Dassanayake, Anuradha
Osama, Shahinaz Bedri
Elsanousi, M.
Dufour, Jean-François
Kao, Jia-Horng
Saidi, Dilshod
Treeprasertsuk, Sombat
Koek, Ger
Labidi, Asma
Skrypnyk, Igor
AlKhatry, Maryam Salem
Sadirova, Shakhlo
Bakieva, Shokhista
Sinkala, Edford
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dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Lazarus, Jeffrey V.
Mark, Henry E.
Villota-Rivas, Marcela
Palayew, Adam
Carrieri, Patrizia
Colombo, Massimo
Ekstedt, Mattias
Esmat, Gamal
George, Jacob
Marchesini, Giulio
Novak, Katja
Ocama, Ponsiano
Ratziu, Vlad
Razavi, Homie
Romero-Gómez, Manuel
Silva, Marcelo
Spearman, C. Wendy
Tacke, Frank
Tsochatzis, Emmanuel A.
Yilmaz, Yusuf
Younossi, Zobair M.
Wong, Vincent W.-S.
Zelber-Sagi, Shira
Cortez-Pinto, Helena
Anstee, Quentin M.
Rouabhia, Samir
Ghazinyan, Hasmik
Iskandar, Natacha Jreige
Trauner, Michael
Aghayeva, Gulnara
Carter, Flloyd
Sridharan, Kannan
Al Mahtab, Mamun
Francque, Sven
Kodjoh, Nicolas
Camacho, Ruben Muñoz
Anderson, Motswedi
Marques Souza de Oliveira, Claudia Pinto
Mateva, Lyudmila
Serme, Abdel Karim
Soares Martins, Antonieta A.
Swain, Mark G.
Komas, Narcisse Patrice
Zheng, Ming-Hua
Jaramillo, Patricio Lopez
Murillo, Omar Alfaro
Mikolasevic, Ivana
Vounou, Emmelia
Brůha, Radan
Nlombi, Charles Mbendi
Thiele, Maja
Perez, Marlene
Suárez M, Juan José
Waked, Imam
Salupere, Riina
Desalegn, Hailemichael
Yki-Järvinen, Hannele
Tsertsvadze, Tengiz
Sharvadze, Lali
Butsashvili, Maia
Awuku, Yaw Asante
Papatheodoridis, Georgios
Hunyady, Bela
Bjornsson, Einar Stefan
Duseja, Ajay
Lesmana, Cosmas Rinaldi A.
Malekzadeh, Reza
Norris, Suzanne
Koike, Kazuhiko
Nersesov, Alexander V.
Ochwoto, Missiani
Jamal, Mohammad
Saparbu, Tobokalova
Tolmane, Ieva
Sayegh, Raymond
Sheriff, Dhastagir Sultan
Valantinas, Jonas
Weber, Joseph
Shawa, Isaac Thom
Tan, Soek-Siam
Martínez Vázquez, Sophia E.
Baatarkhuu, Oidov
Lkhagvaa, Undram
Jadamba, Tsolmon
Mohammed, Tahiri
Sudhamshu, K.C
Coppell, Kirsten
Onyekwere, Charles
Nikolova, Dafina
Vesterhus, Mette
Al-Naamani, Khalid
Hamid, Saeed
Méndez, Juan Paredes
Cabrera Cabrejos, María Cecilia
Flisiak, Robert
Torres, Esther A.
Taheri, Shahrad
Sung, Ki-Chul
Adela, Turcanu
Gheorghe, Liana
Sanai, Faisal M.
Milovanovic, Tamara
Bee Goh, George Boon
Rac, Marek
Dassanayake, Anuradha
Osama, Shahinaz Bedri
Elsanousi, M.
Dufour, Jean-François
Kao, Jia-Horng
Saidi, Dilshod
Treeprasertsuk, Sombat
Koek, Ger
Labidi, Asma
Skrypnyk, Igor
AlKhatry, Maryam Salem
Sadirova, Shakhlo
Bakieva, Shokhista
Sinkala, Edford
dc.subject.por.fl_str_mv Non-alcoholic fatty liver disease (NAFLD)
Global public health
Health policy
Liver health
Multiple correspondence analysis
Non-alcoholic steatohepatitis (NASH)
Policy preparedness
topic Non-alcoholic fatty liver disease (NAFLD)
Global public health
Health policy
Liver health
Multiple correspondence analysis
Non-alcoholic steatohepatitis (NASH)
Policy preparedness
description © 2021 The Author(s). Published by Elsevier B.V. on behalf of European Association for the Study of the Liver. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
publishDate 2022
dc.date.none.fl_str_mv 2022-11-04T16:30:37Z
2022
2022-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/54960
url http://hdl.handle.net/10451/54960
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv J Hepatol. 2022 Apr;76(4):771-780
0168-8278
10.1016/j.jhep.2021.10.025
1600-0641
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eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
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