没有变化,进步是不可能的:了解肥胖性肝病不断变化的命名法及其对肝病学实践的影响
Paul N Brennan1, Oliver D Tavabie2, Wenhao Li3
1Division of Clinical and Molecular Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK.
提出了肝病的新命名法,以脂肪性肝病 (SLD) 代替"酒精"和"脂肪"术语,与脂肪性肝病 (MASLD) 相关的代谢功能障碍,以及与酒精消费 (MetALD) 相关的MASLD,以减少污名.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 医学术语 医学术语 医学术语
- 肝脏疾病分类 肝脏疾病分类
背景情况:
- 目前的与酒精有关的和非酒精性脂肪肝疾病的命名是污名化的.
- 各协会建议为肝脏疾病制定统一的名称表.
- 现有的术语,如"酒精"和"脂肪"携带文化耻辱.
研究的目的:
- 讨论肝脏疾病新命名体系的合理性和发展.
- 探索采用新术语的含义,如脂肪性肝病 (SLD),与脂肪性肝病相关的代谢功能障碍 (MASLD) 和与酒精消费相关的MASLD (MetALD).
- 为应对与这一命名体系转变相关的挑战和机遇.
主要方法:
- 通过主要肝脏协会对拟议的命名规范变更进行审查.
- 讨论新术语的基础和发展.
- 对临床医生,研究人员和患者潜在影响的分析.
主要成果:
- 建议转向脂肪性肝病 (SLD),包括MASLD和MetALD.
- 这一变化旨在减少与"酒精"和"脂肪"肝病相关的耻辱.
- 有可能改善对有代谢和酒精风险因素结合的患者的临床试验纳入.
结论:
- 拟议的分类法变更为肝病提供了更相关的框架.
- 由于污名的文化细微差别,收养存在挑战.
- 这些新术语可以改善代谢和酒精相关肝病患者的护理和研究.
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