Non Alcoholic Fatty Liver Disease
Conditions
Keywords
Hepatic fibrosis, Steatosis, Noninvasive markers.
Brief summary
The purpose of this randomized clinical trial is to evaluate the utility of noninvasive markers for the detection of advanced fibrosis in patients newly diagnosed with Non-alcoholic Fatty Liver Disease (NAFLD) by ultrasound. The primary objective is to determine the effectiveness of noninvasive markers for detect of advanced fibrosis in patients with diagnosis of fatty liver disease. The secondary objectives are: * To determine the increase in health care with the specialist (gastroenterologist or endocrinologist). * To determine which noninvasive evaluation strategy favors any treatment of fatty liver disease.
Interventions
Electronic detailed information about non alcoholic fatty liver disease.
diagnosis of advanced fibrosis by NAFLD score, calculated according to Hepatology 2007;45(4):846-854
Transient elastography values greater than 8 kPa
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with BMI ≥ 27 Kg/m2 and any stage of non alcoholic fatty liver, diagnosed by ultrasound.
Exclusion criteria
* Patients with other liver disease. * Patients under treatment with tamoxifen, methotrexate, amiodarone, diltiazem or other drugs able to induce fatty liver. * Patients with alcohol consumption greater than 140 gr. per week * Patients who have received blood transfusion before 1990
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Advanced Fibrosis by any diagnostic modality | One year after the diagnosis of steatosis. | Evidence of advanced fibrosis, diagnosed by transient elastography (greater than 8 kPa), NAFLD Score above 0.675, liver biopsy or any other non-invasive marker of liver fibrosis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Specialized care | One year after the diagnosis of steatosis. | Through telephone follow-up, investigate if the patient attends to gastroenterologist or endocrinologist for examination, diagnostic confirmation or any treatment. |
Countries
Mexico