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Implementing Screening for Nonalcoholic Fatty Liver Disease in Endocrinology Clinics

Published:December 01, 2022DOI:https://doi.org/10.1016/j.nurpra.2022.10.012

      Highlights

      • Approximately 25% of the world population is affected by nonalcoholic fatty liver disease (NAFLD).
      • Practice guidelines on screening for NAFLD are available.
      • Identifying NAFLD is important so that necessary interventions can be initiated.
      • An evidence-based algorithm using FIB-4 risk stratifies patients with type 2 diabetes and NAFLD.

      Abstract

      Nonalcoholic fatty liver disease (NAFLD) in patients with type 2 diabetes (T2D) remains underrecognized by health care providers. The primary purpose of this quality improvement project was to increase identification of NAFLD among patients with T2D followed in an endocrinology practice using an evidence-based algorithm to risk stratify patients. Pre- and post-intervention analysis revealed a significant 36% increase in screening for NAFLD post-intervention (P < 0.001).

      Keywords

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      Biography

      Dawn L. Piercy, DNP, FNP-BC

      Biography

      Andrea Coviello, MD, MSc, MMCi

      Biography

      Yuval A. Patel, MD, MHS

      Biography

      Julie A. Thompson, PhD.;

      Biography

      and Kathryn E. Kreider, DNP, FNP, BC-ADM, are all associated with Duke University, Durham, NC. The corresponding author, Dawn Piercy, may be contacted at [email protected]