The future of International Classification of Diseases coding in steatotic liver disease: An expert panel Delphi consensus statement

Author:

Hagström Hannes12,Adams Leon A.3,Allen Alina M.4,Byrne Christopher D.56,Chang Yoosoo7,Duseja Ajay8,Grønbæk Henning9,Ismail Mona H.1011,Jepsen Peter9,Kanwal Fasiha12,Kramer Jennifer12,Loomba Rohit13,Mark Henry E.14,Newsome Philip N.1516,Rinella Mary E.17,Rowe Ian A.18,Ryu Seungho719,Sanyal Arun20,Schattenberg Jörn M.21,Serper Marina22,Sheron Nick23,Simon Tracey G.2425,Spearman C. Wendy26,Tapper Elliot B.27,Villota-Rivas Marcela28,Wild Sarah H.29,Wong Vincent Wai-Sun30,Yilmaz Yusuf31,Zelber-Sagi Shira3233,Åberg Fredrik3435,Lazarus Jeffrey V.283637

Affiliation:

1. Department of Upper GI, Division of Hepatology, Karolinska University Hospital, Stockholm, Sweden

2. Department of Medicine, Huddinge, Karolinska Institutet, Stockholm, Sweden

3. Medical School, the University of Western Australia, Perth, Australia

4. Department of Medicine, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA

5. Nutrition and Metabolism, Faculty of Medicine, University of Southampton, Southampton, UK

6. Southampton National Institute for Health Research Biomedical Research Centre, University Hospital Southampton, Southampton General Hospital, Southampton, UK

7. Center for Cohort Studies, Total Healthcare Center, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea

8. Department of Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

9. Department of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark

10. Department of Internal Medicine, Division of Gastroenterology, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia

11. College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

12. Baylor College of Medicine and Michael E. DeBakey VA Medical Center, Houston, Texas, USA

13. NAFLD Research Center, Division of Gastroenterology and Epidemiology, University of California San Diego, La Jolla, California, USA

14. Independent consultant, Nottingham, UK

15. National Institute for Health Research Birmingham Biomedical Research Centre at University Hospitals Birmingham NHS Foundation Trust and the University of Birmingham, Birmingham, UK

16. Centre for Liver and Gastrointestinal Research, Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK

17. Department of Medicine, University of Chicago, Chicago, Illinois, USA

18. Leeds Institute for Medical Research, University of Leeds, Leeds, UK

19. Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea

20. Department of Internal Medicine, Stravitz-Sanyal Institute of Liver Disease and Metabolic Health, VCU School of Medicine and Health System and Division of Gastroenterology, VCU School of Medicine, Richmond, Virginia, USA

21. Department of Internal Medicine II, University Hospital of Saarland, Homburg, Germany

22. Department of Medicine, Division of Gastroenterology and Hepatology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA

23. The Roger Williams Institute of Hepatology, Foundation for Liver Research, Kings College London

24. Division of Gastroenterology and Hepatology, Massachusetts General Hospital, Boston, Massachusetts, USA

25. Harvard Medical School, Boston, Massachusetts, USA

26. Department of Medicine, Division of Hepatology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa

27. Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA

28. Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, Spain

29. Usher Institute, University of Edinburgh, Edinburgh, UK

30. Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong

31. Department of Gastroenterology, School of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey

32. School of Public Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel

33. Department of Gastroenterology, Tel Aviv Medical Centre, Tel Aviv, Israel

34. Transplantation and Liver Surgery, Helsinki University Hospital, Helsinki, Finland

35. University of Helsinki, Helsinki, Finland

36. CUNY Graduate School of Public Health and Health Policy (CUNY SPH), New York, New York, USA

37. Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain

Abstract

Background: Following the adoption of new nomenclature for steatotic liver disease, we aimed to build consensus on the use of International Classification of Diseases codes and recommendations for future research and advocacy. Methods: Through a two-stage Delphi process, a core group (n = 20) reviewed draft statements and recommendations (n = 6), indicating levels of agreement. Following revisions, this process was repeated with a large expert panel (n = 243) from 73 countries. Results: Consensus ranged from 88.8% to 96.9% (mean = 92.3%). Conclusions: This global consensus statement provides guidance on harmonizing the International Classification of Diseases coding for steatotic liver disease and future directions to advance the field.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference6 articles.

1. A multi-society Delphi consensus statement on new fatty liver disease nomenclature;Rinella;J Hepatol,2023

2. Confirmatory biomarker diagnostic studies are not needed when transitioning from NAFLD to MASLD;Ratziu;J Hepatol,2023

3. Can we use old NAFLD data under the new MASLD definition?;Song;J Hepatol,2023

4. 99% of patients with NAFLD meet MASLD criteria and natural history is therefore identical;Hagström;J Hepatol,2023

5. Administrative coding in electronic health care record-based research of NAFLD: An expert panel consensus statement;Hagström;Hepatology,2021

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