Current considerations for clinical management and care of non-alcoholic fatty liver disease: Insights from the 1st International Workshop of the Canadian NASH Network (CanNASH)

Author:

Sebastiani Giada1,Patel Keyur2,Ratziu Vlad3,Feld Jordan J2,Neuschwander-Tetri Brent A4,Pinzani Massimo5,Petta Salvatore6,Berzigotti Annalisa7,Metrakos Peter8,Shoukry Naglaa9,Brunt Elizabeth M10,Tang An11,Cobbold Jeremy F12,Ekoe Jean-Marie13,Seto Karen14,Ghali Peter15,Chevalier Stéphanie16,Anstee Quentin M17,Watson Heather18,Bajaj Harpreet19,Stone James20,Swain Mark G21,Ramji Alnoor22

Affiliation:

1. Division of Gastroenterology and Hepatology, Royal Victoria Hospital, McGill University Health Centre, Montréal, Québec, Canada

2. Toronto Centre for Liver Disease, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada

3. Assistance Publique-Hôpitaux de Paris, Hôpital Pitié Salpêtrière, Sorbonne University, Paris, France

4. Division of Gastroenterology and Hepatology, Saint Louis University, St. Louis, Missouri, USA

5. UCL Institute for Liver and Digestive Health, Division of Medicine - Royal Free Hospital, London, UK

6. Section of Gastroenterology and Hepatology, PROMISE, Università di Palermo, Palermo, Italy

7. Hepatology, University Clinic for Visceral Surgery and Medicine, Inselspital, University Hospital of Bern, University of Bern, Switzerland

8. Cancer Research Program, McGill University Health Centre Research Institute, Montréal, Québec, Canada

9. Centre de Recherche du Centre hospitalier de l'Université de Montréal, Montréal, Québec, Canada

10. Washington University School of Medicine, St. Louis, Missouri, USA

11. Department of Radiology, Centre Hospitalier de l'Université de Montréal (CHUM), Québec, Canada

12. Department of Gastroenterology, Oxford University Hospitals NHS Trust, Oxford, UK

13. Montreal Institute for Clinical Research, Division of Endocrinology and Department of Nutrition, Université de Montréal, Montréal, Québec, Canada

14. Canadian Liver Foundation, Markham, Ontario, Canada

15. University of Florida, Gainesville, Florida, USA

16. School of Human Nutrition, McGill University, Montréal, Québec, Canada

17. Translational & Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK

18. Edmonton, Alberta, Canada

19. LMC Diabetes and Endocrinology, Brampton, Ontario, Canada

20. Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada

21. Calgary Liver Unit, Department of Medicine, University of Calgary, Calgary, Alberta, Canada

22. Division of Gastroenterology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada

Abstract

Non-alcoholic fatty liver disease (NAFLD) affects approximately 8 million Canadians. NAFLD refers to a disease spectrum ranging from bland steatosis to non-alcoholic steatohepatitis (NASH). Nearly 25% of patients with NAFLD develop NASH, which can progress to liver cirrhosis and related end-stage complications. Type 2 diabetes and obesity represent the main risk factors for the disease. The Canadian NASH Network is a national collaborative organization of health care professionals and researchers with a primary interest in enhancing understanding, care, education, and research around NAFLD, with a vision of best practices for this disease state. At the 1st International Workshop of the CanNASH network in April 2021, a joint event with the single topic conference of the Canadian Association for the Study of the Liver (CASL), clinicians, epidemiologists, basic scientists, and community members came together to share their work under the theme of NASH. This symposium also marked the initiation of collaborations between Canadian and other key opinion leaders in the field representative of international liver associations. The main objective is to develop a policy framework that outlines specific targets, suggested activities, and evidence-based best practices to guide provincial, territorial, and federal organizations in developing multidisciplinary models of care and strategies to address this epidemic.

Publisher

University of Toronto Press Inc. (UTPress)

Subject

Religious studies,Cultural Studies

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