研究动态
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肝病学多学科诊所的兴起:实用指南和文献综述。

The rise of multidisciplinary clinics in hepatology: A practical, how-to-guide, and review of the literature.

发表日期:2024 Jul 30
作者: Nicholas Lim, Deepika Devuni, Margarita German, Jennifer Guy, Atoosa Rabiee, Pratima Sharma, Alexandra Shingina, Hersh Shroff, Anjana Pillai
来源: HEPATOLOGY

摘要:

多学科诊所 (MDC) 在整个医疗领域正在蓬勃发展,最初是在肿瘤诊所中开创的,因为它们具有简化复杂护理并改善患者治疗结果和患者护理体验的固有能力。肝移植和肝胆肿瘤诊所是肝病学领域已建立的 MDC 的例子。随着肝病在病因学、患者复杂性和严重性方面不断变化,显然需要高效、高度协调的护理。这些变化凸显了肝病 MDC 在酒精相关性肝病、代谢功能障碍相关的脂肪性肝病和姑息治疗方面的机会。本综述为建立和维护肝病 MDC 的复杂后勤工作提供了实用建议,同时还回顾了有关这些 MDC 患者临床结果的新证据。肝病学展望未来,在关键临床领域建立 MDC 将成为患者护理的基石。版权所有 © 2024 美国肝病研究协会。
Multidisciplinary clinics (MDCs) are gaining momentum throughout the medical field, having initially been pioneered in oncology clinics due to their inherent ability to streamline complex care and improve both patient outcomes and the patient care experience. Liver transplant and hepatobiliary tumor clinics are examples of established MDCs in hepatology. With the changing landscape of liver disease in regard to etiology and patient complexity and acuity, there is a clear need for efficient, highly coordinated care. These changes highlight opportunities for hepatology MDCs in alcohol-associated liver disease, metabolic dysfunction-associated steatotic liver disease, and palliative care. This review provides practical advice in navigating the complex logistics of establishing and maintaining a hepatology MDC while also reviewing the emerging evidence on clinical outcomes for patients seen in these MDCs. As hepatology looks to the future, establishment of MDCs in key clinical areas will be the cornerstone of patient care.Copyright © 2024 American Association for the Study of Liver Diseases.