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全球行动议程,扭转脂肪肝疾病的发展趋势
Jeffrey V Lazarus1,2,3, Henry E Mark4,5, Alina M Allen6
1Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, Spain.
为脂肪肝病制定了一项全球行动议程,优先考虑早期诊断和综合护理. 这一以共识为导向的计划旨在减少疾病的流行率并改善全球患者的治疗结果.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 非传染性疾病管理
背景情况:
- 脂肪肝疾病是全球公共卫生面临的重大挑战,原因是患病率高和相关死亡率高.
- 疾病预防,治疗和综合护理需要紧急,专注的干预措施.
研究的目的:
- 为全球脂肪肝疾病社区制定一致的优先级行动议程.
- 建立关于解决脂肪肝疾病的主要优先事项的共识.
主要方法:
- 一个两轮的Delphi方法,涉及一个大型专家小组 (R1 n=344,R2 n=288).
- 使用Qualtrics XM进行优先审查,利克特尺度协议评级和书面反.
- 优先事项在六个领域进行了修订和排名:流行病学,治疗,护理模式,教育,患者观点和政策.
主要成果:
- 达成共识的脂肪肝疾病行动议程包括29个优先事项.
- 达成高度一致 (平均82.4%),所有优先事项都超过了超级多数门.
- 首要任务包括初级保健专家的早期诊断合作,解决多病症,并将脂肪肝疾病纳入非传染性疾病战略.
结论:
- 共识议程为减少脂肪肝疾病的流行率和改善健康结果提供了一份路线图.
- 实施需要跨学科利益相关者的全球,区域和国家协调努力.
- 这种协作方法涉及护理提供者,研究人员和公共卫生专家.
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