The global NAFLD policy review and preparedness index: are countries ready to address this silent public health challenge?
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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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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 |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
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 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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 |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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