A survey of US HIV providers revealed that two-thirds screen for nonalcoholic fatty liver disease (NAFLD) in their patients. Despite this, uncertainty about tests, lack of diagnostic data, low priority, time constraints, and referral limitations were cited as major barriers to screening. The study highlights the need for NAFLD-specific guidelines for HIV providers, increased education for patients, and inclusion of HIV-positive individuals in NAFLD therapeutic trials.
Two thirds of HIV care providers surveyed screen for nonalcoholic fatty liver disease in patients with HIV . The main barriers to fatty liver screening are uncertainty about tests, insufficient diagnostic data, low priority, time constraints, and lack of referrals.Guidance on NAFLD lacks specific considerations for PWH. A survey of US HIV providers of the American Academy of HIV Medicine assessed their screening practices and management needs.
The survey assessed NAFLD referral and screening practices, barriers to screening, and attitude toward hypothetical support tools for NAFLD diagnosis and management. Two thirds of participants reported screening PWH for NAFLD, with persistently elevated liver enzymes , metabolic syndrome , obesity , and prediabetes/diabetes being the primary reasons for screening.
NAFLD HIV Screening Barriers Guidelines
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