儿科医生的实践和对代谢功能障碍相关脂肪性肝病的知识:一项国际调查
Judith W Lubrecht1,2,3, Guusje H J van Giesen1,2, Wojciech Jańczyk4
1Centre for Overweight Adolescent and Children's Healthcare (COACH), Maastricht University Medical Centre+, MosaKids Children's Hospital, Maastricht, Netherlands.
Journal of pediatric gastroenterology and nutrition
|March 20, 2024
概括
儿科医生在儿童中诊断和治疗代谢功能障碍相关的脂肪性肝病 (MASLD) 时表现出各种做法. 显著需要更新,统一的指导方针,以改善对这种不断增长的儿科肝病的护理.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
背景情况:
- 代谢功能障碍相关的脂肪性肝病 (MASLD) 是儿童慢性肝病的主要原因.
- MASLD与严重的肝脏内外并发症有关.
- 目前的指导方针缺乏共识,导致不一致的护理和潜在的诊断不足/治疗不足.
研究的目的:
- 评估当前儿科医生在儿童中MASLD查方面的做法.
- 评估用于儿科MASLD的诊断方法.
- 了解适用于患有MASLD的儿童的各种治疗方法.
主要方法:
- 一项在线调查分发给欧洲和以色列454名儿科医生.
- 该调查于2022年6月至11月进行,包括41个关于MASLD管理的问题.
- 参与者包括有和没有子专业培训的儿科医生.
主要成果:
- 只有51%的儿科医生使用任何MASLD指南,68%部分遵守.
- 查通常包括肝功能测试和腹部超声波.
- 治疗方法差异很大,包括改变生活方式,补充剂和药物治疗 (34%);17%的病例中,超过10%的病例要求肝脏活检.
结论:
- 欧洲儿科医生在MASLD查,诊断和治疗方面表现出有限的认识和多样化的做法.
- 在临床医生中,对儿科MASLD的新标准化指南有强烈的需求.
- 改善共识和更新指南对于有效管理儿科MASLD至关重要.
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