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]
Article info
Publication history
Published online: December 01, 2022
Publication stage
In Press Corrected ProofFootnotes
Dr. Coviello is a member of a data safety monitoring board for a clinical trial of a potential therapeutic agent for NAFLD. Kathryn Kreider has no disclosures related to the publication of this article. She is a consultant for Novo Nordisk. Dawn Piercy has no disclosures related to the publicaion of this article. She is on an advisory board for Novo Nordisk. Dr. Patel and Dr. Thompson have no disclosures.
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
