Inadequate identification of fatty liver disease, obesity, and metabolic syndrome by family physicians

Mahmud Mahamid,1–3,* Tawfik Khoury,1,* Hana Amara,1 Mahmoud Siadi,1,3 Jabaren Mohamed,4 Amir Mari,1 Rafea Shalabi,5 Hisham Sholy,6 Wiliam Nseir3 1Gastroenterology and Liver Diseases Unit, EEMS, The Nazareth Hospital, Nazareth, Israel; 2Faculty of Medicine in the Galilee, Bar-Ilan Universit...

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Autores principales:	Mahamid M, Khoury T, Amara H, Siadi M, Mohamed J, Mari A, Shalabi R, Sholy H, Nseir W
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	metabolic syndrome family physician obesity non-alcoholic fatty liver disease non-alcoholic steatohepatitis Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/d5f1796cae32481b8ccda7beb9654666
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spelling	oai:doaj.org-article:d5f1796cae32481b8ccda7beb96546662021-12-02T05:58:56ZInadequate identification of fatty liver disease, obesity, and metabolic syndrome by family physicians1178-7007https://doaj.org/article/d5f1796cae32481b8ccda7beb96546662018-09-01T00:00:00Zhttps://www.dovepress.com/inadequate-identification-of-fatty-liver-disease-obesity-and-metabolic-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Mahmud Mahamid,1–3,* Tawfik Khoury,1,* Hana Amara,1 Mahmoud Siadi,1,3 Jabaren Mohamed,4 Amir Mari,1 Rafea Shalabi,5 Hisham Sholy,6 Wiliam Nseir3 1Gastroenterology and Liver Diseases Unit, EEMS, The Nazareth Hospital, Nazareth, Israel; 2Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel; 3Division of Internal Medicine, EMMS, The Nazareth Hospital, Nazareth, Israel; 4Cardiology Department, HaEmek Medical Center, Afula, Israel; 5Department of Internal Medicine, The Baruch Padeh Medical Center, Poriya, Israel; 6Liver Unit, Rambam Health Campus, Haifa, Israel *These authors contributed equally to this work Background: Nonalcoholic fatty liver disease (NAFLD) is an emerging condition and is constituted as a vital public health epidemic globally. This study evaluated the process of identification and documentation of NAFLD and metabolic syndrome in correlation with those diagnosed with obesity. Methods: Participants included 352 patients older than 18 years who were diagnosed with fatty liver disease. We performed a cross-sectional study between August 2016 and September 2017. Categorical variables were extracted and analyzed using SPSS. The body mass index (BMI) was determined by the study staff and compared with the data retrieved from the family physician’s database. Results: Patients who presented documented BMI in their past medical history showed to be significantly higher than those without documentation of BMI (29+4.4 vs 25.7+4.6 kg/m2, P<0.01). For instance, 54% of patients with NAFLD were documented in the electronic medical record (EMR) by the family physician, with higher documentation rate among males than females. Moreover, 72% qualified for documentation of metabolic syndrome, but only 5% were documented in their EMR. Patients with significant obesity and obesity-related conditions were more likely to have documentation in their EMR. Discussion: Further analyses supported the conclusion that family physicians inadequately identify BMI in the EMR for overweight, obesity, metabolic syndrome, and fatty liver disease. Additional efforts are necessary to improve knowledge of proper identification of NAFLD and metabolic syndrome. Keywords: metabolic syndrome, family physician, obesity, nonalcoholic fatty liver disease, nonalcoholic steatohepatitisMahamid MKhoury TAmara HSiadi MMohamed JMari AShalabi RSholy HNseir WDove Medical Pressarticlemetabolic syndromefamily physicianobesitynon-alcoholic fatty liver diseasenon-alcoholic steatohepatitisSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 11, Pp 515-519 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	metabolic syndrome family physician obesity non-alcoholic fatty liver disease non-alcoholic steatohepatitis Specialties of internal medicine RC581-951
spellingShingle	metabolic syndrome family physician obesity non-alcoholic fatty liver disease non-alcoholic steatohepatitis Specialties of internal medicine RC581-951 Mahamid M Khoury T Amara H Siadi M Mohamed J Mari A Shalabi R Sholy H Nseir W Inadequate identification of fatty liver disease, obesity, and metabolic syndrome by family physicians
description	Mahmud Mahamid,1–3,* Tawfik Khoury,1,* Hana Amara,1 Mahmoud Siadi,1,3 Jabaren Mohamed,4 Amir Mari,1 Rafea Shalabi,5 Hisham Sholy,6 Wiliam Nseir3 1Gastroenterology and Liver Diseases Unit, EEMS, The Nazareth Hospital, Nazareth, Israel; 2Faculty of Medicine in the Galilee, Bar-Ilan University, Safed, Israel; 3Division of Internal Medicine, EMMS, The Nazareth Hospital, Nazareth, Israel; 4Cardiology Department, HaEmek Medical Center, Afula, Israel; 5Department of Internal Medicine, The Baruch Padeh Medical Center, Poriya, Israel; 6Liver Unit, Rambam Health Campus, Haifa, Israel *These authors contributed equally to this work Background: Nonalcoholic fatty liver disease (NAFLD) is an emerging condition and is constituted as a vital public health epidemic globally. This study evaluated the process of identification and documentation of NAFLD and metabolic syndrome in correlation with those diagnosed with obesity. Methods: Participants included 352 patients older than 18 years who were diagnosed with fatty liver disease. We performed a cross-sectional study between August 2016 and September 2017. Categorical variables were extracted and analyzed using SPSS. The body mass index (BMI) was determined by the study staff and compared with the data retrieved from the family physician’s database. Results: Patients who presented documented BMI in their past medical history showed to be significantly higher than those without documentation of BMI (29+4.4 vs 25.7+4.6 kg/m2, P<0.01). For instance, 54% of patients with NAFLD were documented in the electronic medical record (EMR) by the family physician, with higher documentation rate among males than females. Moreover, 72% qualified for documentation of metabolic syndrome, but only 5% were documented in their EMR. Patients with significant obesity and obesity-related conditions were more likely to have documentation in their EMR. Discussion: Further analyses supported the conclusion that family physicians inadequately identify BMI in the EMR for overweight, obesity, metabolic syndrome, and fatty liver disease. Additional efforts are necessary to improve knowledge of proper identification of NAFLD and metabolic syndrome. Keywords: metabolic syndrome, family physician, obesity, nonalcoholic fatty liver disease, nonalcoholic steatohepatitis
format	article
author	Mahamid M Khoury T Amara H Siadi M Mohamed J Mari A Shalabi R Sholy H Nseir W
author_facet	Mahamid M Khoury T Amara H Siadi M Mohamed J Mari A Shalabi R Sholy H Nseir W
author_sort	Mahamid M
title	Inadequate identification of fatty liver disease, obesity, and metabolic syndrome by family physicians
title_short	Inadequate identification of fatty liver disease, obesity, and metabolic syndrome by family physicians
title_full	Inadequate identification of fatty liver disease, obesity, and metabolic syndrome by family physicians
title_fullStr	Inadequate identification of fatty liver disease, obesity, and metabolic syndrome by family physicians
title_full_unstemmed	Inadequate identification of fatty liver disease, obesity, and metabolic syndrome by family physicians
title_sort	inadequate identification of fatty liver disease, obesity, and metabolic syndrome by family physicians
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/d5f1796cae32481b8ccda7beb9654666
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Inadequate identification of fatty liver disease, obesity, and metabolic syndrome by family physicians

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