MAFLD screening in real practice in Slovakia: the SIRIUS study
Authors:
Mária Szántová 1; Tomáš Koller 2; Marek Rác 3; Svetlana Adamcová-Selčanová 6; Xénia Faktorová 4; Martina Jakabovičová 1; Zuzana Urkovičová 1; Viliam Mojto 1; Peter Jarčuška 5; Martin Janíčko 5; Ubomír Skladaný 6
Authors‘ workplace:
III. interná klinika LF UK a UNB, Nemocnica akademika Ladislava Dérera, Bratislava
1; V. interná klinika LF UK a UNB, Nemocnica Ružinov, Bratislava
2; Interná klinika FN Nitra
3; Interné oddelenie – klinika SZU a Univerzitná nemocnica – Nemocnica svätého Michala, a. s., Bratislava
4; II. interná klinika LF UPJŠ a UNLP, Košice
5; II. interná klinika SZU a FNsP F. D. Roosevelta, Banská Bystrica
6
Published in:
Diab Obez 2022; 22(44): 109-124
Category:
Clinical studies
Overview
The global pandemic of obesity, metabolic syndrome and its manifestations are responsible for the rapidly increasing incidence of Metabolic Associated Fatty Liver Disease (MAFLD), liver cirrhosis and hepatocellular carcinoma. MAFLD is a redefinition of the previously used term NAFLD (Non-Alcoholic Fatty Liver Disease). Slovakia’s position at the top of the European and world rankings of preventable liver mortality and morbidity is a wake-up call for the whole society. Alarming statistics led hepatologists under the auspices of the Slovak Hepatological Society to initiate the SIRIUS project, which is a liver disease screening program for people without known liver disease. The article discusses the main background, aims and objectives of the project and its practical implementation in two branches – community and outpatient. The main goal is to awaken the sleeping Slovakia from a state of passivity and inactivity to active dedistribution, education, screening and prevention of liver diseases at all levels to return to a healthy way of life. Every citizen and every medical practitioner can become a participant of the project. The outpatient arm of the project is conducted online, without the need for pre-registration via – SIRIUS. Non-invasive Fib4 fibrosis index, NFS (NAFLD Fibrosis Score) and Fibroscan liver elasticity testing are the main tools for detection of severe fibrosis.
Keywords:
screening – liver fibrosis – MAFLD
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Diabetology ObesitologyArticle was published in
Diabetes and obesity
2022 Issue 44
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