A global action agenda for turning the tide on fatty liver disease

Lazarus J.V. Mark H.E. Allen A.M. Arab J.P. Carrieri P. Noureddin M. Alazawi W. Alkhouri N. Alqahtani S.A. Anstee Q.M. Arrese M. Bataller R. Berg T. Brennan P.N. Burra P. Castro-Narro G.E. Cortez-Pinto H. Cusi K. Dedes N. Duseja A. Francque S.M. Gastaldelli A. Hagström H. Huang T.T.-K. Wajcman D.I. Kautz A. Kopka C.J. Krag A. Newsome P.N. Rinella M.E. Romero D. Sarin S.K. Silva M. Spearman C.W. Terrault N.A. Tsochatzis E.A. Valenti L. Villota-Rivas M. Zelber-Sagi S. Schattenberg J.M. Wong V.W. Younossi Z.M. Aberg F. Adams L.A. Al-Naamani K. Albadawy R.M. Alexa Z. Allison M. Alnaser F.A. Alswat K. Alvares-Da-Silva M.R. Alvaro D. Alves-Bezerra M. Andrade R.J. Awuku Y.A. Baatarkhuu O. Baffy G. Bakieva S.R. Bansal M.B. Barouki R. Batterham R.L. Behling C. Belfort-DeAguiar R. Berzigotti A. Betel M. Bianco C. Bosi E. Boursier J. Brunt E.M. Bugianesi E. Byrne C.J. Cabrejos M.C.C. Caldwell S. Carr R. Fernández M.I.C. Castera L. Castillo-López M.G. Caussy C. Cerda-Reyes E. Ceriello A. Chan W.K. Chang Y. Charatcharoenwitthaya P. Chavez-Tapia N. Chung R.T. Colombo M. Coppell K.J. Cotrim H.P. Craxi A. Crespo J. Dassanayake A. Davidson N.O. de Knegt R.J. de Ledinghen V. Demir M. Desalegn H. Diago M. Dillon J.F. Dimmig B. Dirac M.A. Dirchwolf M. Dufour J.-F. Dvorak K. Ekstedt M. El-Kassas M. Elsanousi O.M. Elsharkawy A.M. Elwakil R.M. Eskridge W. Eslam M. Esmat G. Fan J.-G. Ferraz M.L. Flisiak R. Fortin D. Fouad Y. Friedman S.L. Fuchs M. Gadano A. Geerts A. Geier A. George J. Gerber L.H. Ghazinyan H.L. Gheorghe L. Kile D.G. Girala M. Bee G.G.B. Goossens N. Graupera I. Grønbæk H. Hamid S. Hebditch V. Henry Z. Hickman I.J. Hobbs L.A. Hocking S.L. Hofmann W.P. Idilman R. Iruzubieta P. Isaacs S. Isakov V.A. Ismail M.H. Jamal M.H. Jarvis H. Jepsen P. Jornayvaz F.R. Sudhamshu K.C. Kakizaki S. Karpen S. Kawaguchi T. Keating S.E. Khader Y. Kim S.U. Kim W. Kleiner D.E. Koek G. Komas N.P.J. Kondili L.A. Koot B.G. Korenjak M. Kotsiliti E. Koulla Y. Kugelmas C. Kugelmas M. Labidi A. Lange N.F. Lazo M. Leite N. Lin H.-C. Lkhagvaa U. Long M.T. Lopez-Jaramillo P. Lozano A. Macedo M.P. Malekzadeh R. Marchesini G. Marciano S. Martinez K. Martínez Vázquez S.E. Mateva L. Mato J.M. Mbendi C.N. McCary A.G. McIntyre J. McKee M. Mendive J.M. Mikolasevic I. Miller P.S. Milovanovic T. Milton T. Moreno-Alcantar R. Morgan T.R. Motala A.A. Muris J. Musso C. Nava-González E.J. Negro F. Nersesov A.V. Neuschwander-Tetri B.A. Nikolova D. Norris S. Novak K. Ocama P. Ong J.P. Ong-Go A. Onyekwere C. Padilla-Machaca P.M. Pais R. Pan C.Q. Panduro A. Panigrahi M.K. Papatheodoridis G. Paruk I. Patel K. Penha-Goncalves C. Pérez N.M. Pérez-Escobar J. Pericàs J.M. Perseghin G. Pessoa M.G. Petta S. de Oliveira C.P.M.S. Prabhakaran D. Pryke R. Pyrsopoulos N. Rabiee A. Ramji A. Ratziu V. Ravendhran N. Ray K. Roden M. Romeo S. Romero-Gómez M. Rotman Y. Rouabhia S. Rowe I.A. Sadirova S. Alkhatry M.S. Salupere R. Satapathy S.K. Schwimmer J.B. Sebastiani G. Seim L. Seki Y. Serme A.K. Shapiro D. Sharvadze L. Shaw J.E. Shawa I.T. Shenoy T. Shibolet O. Shimakawa Y. Shubrook J.H. Singh S.P. Sinkala E. Skladany L. Skrypnyk I. Song M.J. Sookoian S. Soriano J.B. Sridharan K. Stefan N. Stine J.G. Stratakis N. Sheriff D.S. Sundaram S.S. Svegliati-Baroni G. Swain M.G. Tacke F. Taheri S. Tan S.-S. Tapper E.B. Targher G. Tcaciuc E. Thiele M. Tiniakos D. Tolmane I. Torre A. Torres E.A. Treeprasertsuk S. Trenell M. Turcan S. Turcanu A. Valantinas J. van Kleef L.A. Velasco J.A.V.R. Vesterhus M. Vilar-Gomez E. Waked I. Wattacheril J. Wedemeyer H. Wilkins F. Willemse J. Wong R.J. Yilmaz Y. Yki-Järvinen H. Yu M.-L. Yumuk V. Zeybel M. Zheng K.I. Zheng M.-H.
February 2024 Lippincott Williams and Wilkins

Hepatology
2024 #79 Issue 2 502 - 523 pp.

Background and Aims: Fatty liver disease is a major public health threat due to its very high prevalence and related morbidity and mortality. Focused and dedicated interventions are urgently needed to target disease prevention, treatment, and care. Approach and Results: We developed an aligned, prioritized action agenda for the global fatty liver disease community of practice. Following a Delphi methodology over 2 rounds, a large panel (R1 n = 344, R2 n = 288) reviewed the action priorities using Qualtrics XM, indicating agreement using a 4-point Likert-scale and providing written feedback. Priorities were revised between rounds, and in R2, panelists also ranked the priorities within 6 domains: epidemiology, treatment and care, models of care, education and awareness, patient and community perspectives, and leadership and public health policy. The consensus fatty liver disease action agenda encompasses 29 priorities. In R2, the mean percentage of agreeresponses was 82.4%, with all individual priorities having at least a super-majority of agreement (> 66.7% agree). The highest-ranked action priorities included collaboration between liver specialists and primary care doctors on early diagnosis, action to address the needs of people living with multiple morbidities, and the incorporation of fatty liver disease into relevant non-communicable disease strategies and guidance. Conclusions: This consensus-driven multidisciplinary fatty liver disease action agenda developed by care providers, clinical researchers, and public health and policy experts provides a path to reduce the prevalence of fatty liver disease and improve health outcomes. To implement this agenda, concerted efforts will be needed at the global, regional, and national levels.

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Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, Spain
Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
CUNY Graduate School of Public Health and Health Policy (CUNY SPH), New York, NY, United States
European Association for the Study of the Liver (EASL), Geneva, Switzerland
Nottingham, United Kingdom
Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN, United States
Division of Gastroenterology, Department of Medicine, Schulich School of Medicine, Western University, London Health Sciences Centre, London, ON, Canada
Department of Epidemiology and Biostatistics, Schulich School of Medicine, Western University, London, ON, Canada
Department of Gastroenterology, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de lInformation Médicale, ISSPAM, Marseille, France
Houston Methodist Hospital, Houston Research Institute, Houston, TX, United States
Barts Liver Centre, Blizard Institute, Queen Mary University of London, London, United Kingdom
Fatty Liver Program, Arizona Liver Health, Phoenix, AZ, United States
King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia
Translational & Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom
Liver Unit, Hospital Clínic, University of Barcelona, Institut dInvestigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
Division of Hepatology, Department of Medicine II, Leipzig University Medical Center, Leipzig, Germany
Division of Hepatology, University of Dundee, Dundee, United Kingdom
Multivisceral Transplant Unit-Gastroenterology, Department of Surgery, Oncology and Gastroenterology, The Padua University Hospital, Padua, Italy
Department of Hepatology and Transplant, Hospital Médica Sur, Mexico City, Mexico
Department of Gastroenterology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
Asociación Latinoamericana para el Estudio del Hígado (ALEH), Santiago, Chile
Clinica Universitária de Gastrenterologia, Laboratório de Nutrição, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
Division of Endocrinology, Diabetes & Metabolism, Department of Medicine, University of Florida, Gainesville, FL, United States
Greek Patients Association, Athens, Greece
Department of Hepatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Department of Gastroenterology and Hepatology, Antwerp University Hospital, Edegem, Belgium
InflaMed Centre of Excellence, Laboratory for Experimental Medicine and Paediatrics, Translational Sciences in Inflammation and Immunology, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium
Institute of Clinical Physiology, National Research Council, Pisa, Italy
Department of Medicine, Karolinska Institutet, Huddinge, Stockholm, Sweden
CUNY Center for Systems and Community Design, NYU-CUNY Prevention Research Center, New York, NY, United States
Kautz 5 gUG, Köln, Germany
Ponte de Lima, Portugal
Department of Gastroenterology and Hepatology, Odense University Hospital, Odense, Denmark
National Institute for Health Research Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust, The University of Birmingham, Birmingham, United Kingdom
Department of Medicine, University of Chicago, Chicago, IL, United States
Department of Community Health and Social Sciences, CUNY, Graduate School of Public Health and Health Policy, New York, NY, United States
Department of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India
Hepatology and Clinical Research Units, Hospital Universitario Austral, Buenos Aires, Argentina
Division of Hepatology, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
Gastrointestinal and Liver Disease Division, University of Southern California, Los Angeles, CA, United States
UCL Institute for Liver and Digestive Health, Royal Free Hospital, London, United Kingdom
Precision Medicine, Biological Resource Center, Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico, Milan, Italy
Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
School of Public Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
Department of Gastroenterology, Tel Aviv Medical Centre, Tel Aviv, Israel
Metabolic Liver Research Program, I. Department of Medicine, University Medical Centre Mainz, Mainz, Germany
The Chinese University of Hong Kong, Hong Kong
Center for Liver Disease, Inova, Falls Church, VA, United States
Transplantation and Liver Surgery, Helsinki University Hospital, Helsinki, Finland
Medical School, The University of Western Australia, Perth, WA, Australia
Department of Internal Medicine, Division of Gastroenterology and Hepatology, Armed Forces Hospital, Muscat, Oman
Gastroenterology, Hepatology & Infectious Diseases Department, Benha University, Benha, Egypt
Republican Clinical Hospital Timofei Mosneaga, Chişinǎu, Moldova
Liver Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom
Department of Primary Care & Public Health, Faculty of Medicine, Imperial College, London, United Kingdom
Liver Disease Research Center, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia
School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy
Department of Biomedicine, Biotechnology and Public Health, University of Cadiz, Cadiz, Spain
Servicio de Aparato Digestivo, Hospital Universitario Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, Universidad de Málaga, Málaga, Spain
University of Health and Allied Science, Ho, Ghana
Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia
VA Boston Healthcare System and Harvard Medical School, Boston, MA, United States
Scientific Department, The Research Institute of Virology of the MoH of the Republic of Uzbekistan, Tashkent, Uzbekistan
Icahn School of Medicine at Mount Sinai, New York, NY, United States
Université Paris Cité, Inserm T3S, Paris, France
Centre for Obesity Research, Department of Medicine, University College London, London, United Kingdom
Pacific Rim Pathology Group, San Diego, CA, United States
Internal Medicine Department, Yale University, New Haven, CT, United States
Department of Visceral Surgery and Medicine, Bern University Hospital, University of Bern, Bern, Switzerland
Fatty Liver Alliance, Toronto, ON, Canada
Precision Medicine Lab, Biological Resource Center, and Transfusion Medicine, Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico, Milan, Italy
IRCCS Ospedale San Raffaele, Milan, Italy
Angers University, Angers University Hospital, Angers, France
Dept. of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, United States
Dept. of Medical Sciences, University of Torino, Torino, Italy
School of Medicine, University of Dundee, Dundee, United Kingdom
Liver Unit, Hospital G. Almenara, Universidad Mayor de San Marcos, Lima, Peru
Department of Medicine, University of Virginia, Charlottesville, VA, United States
Division of Gastroenterology, Department of Medicine, University of Washington, Seattle, WA, United States
Institute of Gastroenterology, La Havana, Cuba
Université Paris Cité, Department of Hepatology, Hospital Beaujon, AP-HP, Clichy, Paris, France
Departamento Unidad Metabólica, Hospital Universitario Fundación Favaloro, Buenos Aires, Argentina
Endocrinology Diabetes Nutrition Hospices Civils de Lyon, Lyon, France
Central Military Hospital, Asociación Latinoamericana para el Estudio del Hígado, Mexico City, Mexico
IRCCS Multi-Medica, Milan, Italy
Gastroenterology and Hepatology Unit, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
Center for Cohort Studies, Total Healthcare Center, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea
Faculty of Medicine Siriraj Hospital, Bangkok, Thailand
Médica Sur Clinic & Foundation, Mexico City, Mexico
Liver Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States
European Association for the Study of the Liver (EASL) International Liver Foundation, Geneva, Switzerland
Department of Medicine, University of Otago, Wellington, New Zealand
School of Medicine, Federal University of Bahia, Salvador, Brazil
School of Medicine, University of Palermo, Palermo, Italy
Gastroenterology and Hepatology Department, Clinical and Translational Research in Digestive Diseases, Valdecilla Research Institute (IDIVAL), Marqués de Valdecilla University Hospital, Santander, Spain
Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka
Washington University School of Medicine, St. Louis, 63110, MO, United States
Erasmus MC University Medical Center, Rotterdam, Netherlands
CHU Bordeaux, Bordeaux, France
Department of Hepatology & Gastroenterology, Charité - Universitätsmedizin Berlin, Berlin, Germany
St. Pauls Hospital Millennium Medical College, Addis Ababa, Ethiopia
Digestive Diseases Department, Hospital General Universitario de Valencia, Valencia, Spain
Banner Liver Support Group, Phoenix, AZ, United States
Department of Family Medicine, University of Washington, Seattle, WA, United States
Liver Unit, Hospital Privado de Rosario, Rosario, Argentina
Centre des Maladies Digestives Lausanne, Lausanne, Switzerland
Fourth Department of Internal Medicine, First Faculty of Medicine, Charles University, Prague, Czech Republic
Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden
Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt
Department of Surgery, Faculty of Medicine, National Ribat University, Khartoum, Sudan
Tropical Medicine Department, Ain Shams University, Cairo, Egypt
Fatty Liver Foundation, Boise, ID, United States
Storr Liver Centre, Westmead Hospital, Westmead Institute for Medical Research, University of Sydney, Sydney, NSW, Australia
Endemic Medicine Department, Cairo University, Cairo, Egypt
Department of Gastroenterology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Lab of Pediatric Gastroenterology and Nutrition, Shanghai, China
Federal University of Sao Paulo, São Paulo, Brazil
Department of Infectious Diseases and Hepatology, Medical University of Bialystok, Bialystok, Poland
Faculty of Medicine, Minia University, Minya, Egypt
Central Virginia VA Health Care System, Virginia Commonwealth University, Richmond, VA, United States
Liver Unit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
Department of Gastroenterology & Hepatology, University Hospital Ghent, Ghent, Belgium
Division of Hepatology, University Hospital Wuerzburg, Wuerzburg, Germany
Beatty Liver and Obesity Center, Inova Health System, Falls Church, VA, United States
Nikomed Medical Center, Yerevan, Armenia
Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Myrtle Beach, SC, United States
Departamento de Gastroenterología, Hospital de Clinicas, Universidad Nacional de Asunción, San Lorenzo, Paraguay
Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore
Division of Gastroenterology and Hepatology, Geneva University Hospital, Geneva, Switzerland
Liver Unit, Hospital Clínic, FCRB-IDIBAPS, University of Barcelona, Barcelona, Spain
Department of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark
Department of Medicine, Aga Khan University, Karachi, Pakistan
British Liver Trust, Winchester, United Kingdom
Department of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, QLD, Australia
Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
Medical Care Center for Gastroenterology Bayerischer Platz, Berlin, Germany
Department of Gastroenterology, Ankara University School of Medicine, Ankara, Turkey
Department of Medicine, Emory University School of Medicine, Atlanta, GA, United States
Department of Gastroenterology & Hepatology, Federal Research Centre of Nutrition, Biotechnology & Food Safety, Moscow, Russian Federation
King Fahd Hospital of the University, Al-Khobar, Saudi Arabia
Department of Transplantation and Surgery, Kuwait University, Kuwait City, Kuwait
Newcastle University, Newcastle, United Kingdom
Geneva University Hospital, Geneva, Switzerland
National Academy of Medical Sciences, Kathmandu, Nepal
Department of Clinical Research, National Hospital Organization Takasaki General Medical Center, Takasaki, Japan
Emory University School of Medicine, Atlanta, GA, United States
Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Kurume, Japan
School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, Australia
Department of Public Health, Jordan University of Science and Technology, Irbid, Jordan
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea
Department of Internal Medicine, Seoul National University College of Medicine, Seoul Metropolitan Government Boramae Medical Center, Seoul, South Korea
Laboratory of Pathology, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD, United States
Maastricht University Medical Center, Maastricht, Netherlands
Institut Pasteur de Bangui, Bangui, Central African Republic
Center for Global Health, Istituto Superiore Di Sanità (ISS), UniCamillus- Saint Camillus International University of Health Sciences, Rome, Italy
Department of Pediatric Gastroenterology, Emmas Children Hospital, Amsterdam University Medical Center, Amsterdam, Netherlands
European Liver Patients Association, Brussels, Belgium
Nature Reviews Gastroenterology & Hepatology, Berlin, Germany
Cyprus Liver Patients Association, Nicosia, Cyprus
Department of Pediatrics, Denver Health Medical Center, Denver, CO, United States
South Denver Gastroenterology, Englewood, CO, United States
Gastroenterology A Department, Rabta University Hospital, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, United States
Department of Internal Medicine, University Hospital Clementino Fraga Filho, School of Medicine, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
Division of Gastroenterology and Hepatology, Taipei Veterans General Hospital, Taipei, Taiwan
Novo Nordisk A/S, Vandtårnsvej 108-110, Søborg, 2860, Denmark
Masira Research Institute, Medical School, Universidad de Santander (UDES), Bucaramanga, Colombia
Cayetano Heredia Peruvian University, Lima, Peru
INOVA4HEALTH, NOVA Medical School, Faculdade de Ciências Médicas, NMS, FCM, Universidade NOVA de Lisboa, Lisbon, Portugal
Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran
Alma Mater-University of Bologna, Bologna, Italy
GLI, Lakewood, NJ, United States
University Hospital St Ivan Rilski, Medical University of Sofia, Sofia, Bulgaria
CIC bioGUNE, Technology Park of Bizkaia, Derio, Spain
Service of Hepatology and Gastroenterology, Department of Internal Medicine, University Clinics of Kinshasa, Kinshasa, Democratic Republic Congo
Mid-Atlantic Permanente Medical Group, Rockville, MD, United States
Liver Health Programs, Global Liver Institute, Washington, DC, United States
London School of Hygiene & Tropical Medicine, London, United Kingdom
La Mina Primary Health Care Academic Centre, Catalan Health Institute, University of Barcelona, Barcelona, Spain
Department of Gastroenterology, UHC Rijeka, Rijeka, Croatia
Powell, OH, United States
School of Medicine, University of Belgrade, University Clinical Center of Serbia, Belgrade, Serbia
Houston, TX, United States
Gastroenterology Department, HE CMN SXXI, IMSS, Mexico City, Mexico
Medical Service, VA Long Beach Healthcare System, Long Beach, CA, United States
University of KwaZulu-Natal, Durban, South Africa
Dept. General Practice, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, Netherlands
Diabetes Metabolic Department, Hospital Universitario Fundación Favaloro, Buenos Aires, Argentina
Facultad de Salud Pública y Nutrición, Universidad Autónoma de Nuevo León, Monterrey, Mexico
University of Geneva, Geneva, Switzerland
Department of Gastroenterology, SD Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
Saint Louis University, St. Louis, MO, United States
University Clinic for Gastroenterohepatology, University Ss. Cyril and Methodius, Skopje, North Macedonia
Department of Hepatology, St Jamess Hospital, Dublin, Ireland
Dept. of Gastroenterology and Hepatology, University Medical Center Ljubljana, Ljubljana, Slovenia
Makerere University College of Health Sciences, Kampala, Uganda
University of the Philippines Manila, Manila, Philippines
Section of Gastroenterology and Hepatology, University of Santo Tomas, Faculty of Medicine and Surgery, Manila, Philippines
Department of Internal Medicine, Lagos State University College of Medicine Ikeja, Lagos, Nigeria
Liver Unit, Guillermo Almenara National Hospital, National University of San Marcos, Lima, Peru
Sorbonne Université, Assistance Publique-Hôpitaux de Paris, Hôpital Pitié-Salpêtrière, Institute of Cardiometabolism and Nutrition, Centre de Recherche Saint Antoine, INSERM UMRS-938 Paris, France
Division of Gastroenterology and Hepatology, NYU Langone Health, NYU Grossman School of Medicine, New York, NY, United States
Genomic Medicine in Hepatology, Hospital Civil de Guadalajara/CUCS, UdeG, Guadalajara, Mexico
All India Institute of Medical Sciences, Bhubaneswar, India
Medical School of National, Kapodistrian University of Athens, Athens, Greece
University Health Network, Toronto, ON, Canada
Instituto Gulbenkian de Ciência, Oeiras, Portugal
Gastroenterología- Hepatología-Trasplante Hepático, Hospital General de la Plaza de la Salud, Santo Domingo, Dominican Republic
Gastroenterology Department, Hospital Juárez de México, Mexico City, Mexico
Liver Unit, Vall dHebron University Hospital, Vall dHebron Institute for Research, Centros de Investigación Biomédica en Red Enfermedades Hepáticas y Digestivas (CIBERehd), Barcelona, Spain
Department of Medicine and Surgery, Università degli Studi di Milano-Bicocca, Milan, Italy
Division of Gastroenterology and Hepatology, University of São Paulo School of Medicine, São Paulo, Brazil
Section of Gastroenterology and Hepatology, PROMISE, University of Palermo, Palermo, Italy
Department of Gastroenterology, University of São Paulo School of Medicine, São Paulo, Brazil
Centre for Chronic Disease Control, New Delhi, India
Bewdley Medical Centre, Bewdley, United Kingdom
Rutgers New Jersey Medical School, Newark, NJ, United States
Washington DC VA Medical Center, Washington, DC, United States
University of British Columbia, Vancouver, BC, Canada
Sorbonne Université, Paris, France
Department of Hepatology, Johns Hopkins School of Medicine, Baltimore, MD, United States
Nature Reviews Gastroenterology & Hepatology, London, United Kingdom
Department of Endocrinology and Diabetology, Medical Faculty, Heinrich Heine University, University Hospital, Düsseldorf, Germany
Department of Molecular and Clinical Medicine, Gothenburg University, Cardiology Department, Sahlgrenska University Hospital, Gothenburg, Sweden
Digestive Diseases Department and CIBERehd, Virgen del Rocio University Hospital, Institute of Biomedicine of Seville (HUVR/CSIC/US), University of Seville, Seville, Spain
Liver & Energy Metabolism Section, Liver Diseases Branch, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institutes of Health (NIH), Bethesda, MD, United States
Internal Medicine Department, Touhami Benflis University Hospital Centre, Batna, Algeria
University of Leeds, Leeds, United Kingdom
The Research Institute of Virology of the MoH of the Republic of Uzbekistan, Tashkent, Uzbekistan
Ibrahim bin Hamad Obaidullah Hospital, Emirates Health Services, RAK, United Arab Emirates
Tartu University Hospital, University of Tartu, Tartu, Estonia
North Shore University Hospital, Zucker School of Medicine at Hofstra/Northwell Health, Hempstead, NY, United States
Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, University of California San Diego School of Medicine, La Jolla, CA, United States
Division of Gastroenterology and Hepatology, Department of Medicine, McGill University Health Centre, Montreal, QC, Canada
American Liver Foundation, West Orange, NJ, United States
Weight Loss and Metabolic Surgery Center, Yotsuya Medical Cube, Tokyo, Japan
University Joseph KI-ZERBO, Ouagadougou, Burkina Faso
Integrated Quality Resources, San Diego, CA, United States
Infectious Diseases, AIDS and Clinical Immunology Research Center, Tbilisi, Georgia
Baker Heart and Diabetes Institute, Melbourne, VIC, Australia
University of Derby, Derby, United Kingdom
Sree Gokulam Medical College and Research Foundation, Venjarammoodu, India
Department of Gastroenterology & Hepatology, Tel Aviv Medical Center, Tel Aviv University, Tel Aviv, Israel
Institut Pasteur, Université Paris Cité, Unite dEpidemiologie des Maladies Emergentes, Paris, France
Touro University California, Vallejo, CA, United States
Kalinga Gastroenterology Foundation, Cuttack, India
The University of Zambia, School of Medicine, Department of Internal Medicine, Lusaka, Zambia
HEGITO Liver & Transplant Unit, Dept. Internal Medicine 2, The Slovak Medical University, F.D. Roosevelt Teaching Hospital, Banska Bystrica, Slovakia
Internal Medicine No 1 Department, Poltava State Medical University, Poltava, Ukraine
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, South Korea
Clinical and Molecular Hepatology, Centro de Altos Estudios en Ciencias Humanas y de la Salud (CAECIHS), Universidad Abierta Interamericana, Consejo Nacional de Investigaciones Cientificas y Tecnicas (CONICET), Buenos Aires, Argentina
Respiratory Department, Hospital Universitario de la Princesa, Madrid, Spain
Arabian Gulf University, Manama, Bahrain
University Hospital of Tubingen, Tubingen, Germany
Penn State Health Milton S. Hershey Medical Center, Hershey, PA, United States
Anna Medical College, Montagne Blanche, Mauritius
Digestive Health Institute, Childrens Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, United States
Liver Injury and Transplant Unit, Polytechnic University of Marche, Ancona, Italy
Department of Medicine, University of Calgary, Calgary, AB, Canada
Hamad Medical Corporation, Doha, Qatar
Department of Hepatology, Selayang Hospital, Batu Caves, Malaysia
University of Michigan, Ann Arbor, MI, United States
Section of Diabetes and Endocrinology, University of Verona, Verona, Italy
Discipline of Gastroenterology, Nicolae Testemitanu State University of Medicine and Pharmacy, Chişinǎu, Moldova
Dept. of Pathology, Aretaieion Hospital, National Medical School, Kapodistrian University of Athens, Athens, Greece
Riga East University Hospital, University of Latvia, Riga, Latvia
Metabolic Unit, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico
Department of Medicine, University of Puerto Rico School of Medicine, San Juan, Puerto Rico
Chulalongkorn University, Bangkok, Thailand
Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom
Vilnius University Hospital Santaros Clinics, Vilnius, Lithuania
Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Mexico
Dept. of Clinical Science, University of Bergen, Dept. of Medicine, Haraldsplass Deaconess Hospital, Bergen, Norway
Indiana University School of Medicine, Indianapolis, IN, United States
National Liver Institute, Shebeen El-Kom, Egypt
Department of Medicine, Division of Digestive and Liver Diseases, Columbia University Irving Medical Center, Center for Liver Disease and Transplantation, New York, NY, United States
Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Hannover, Germany
Lexington Medical Center, West Columbia, SC, United States
Dutch Liver Patients Association, Hoogland, Netherlands
Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Veterans Affairs Palo Alto Healthcare System, Palo Alto, CA, United States
Department of Gastroenterology, School of Medicine, Recep Tayyip Erdoǧan University, Rize, Turkey
University of Helsinki, Minerva Foundation Institute for Medical Research, Helsinki, Finland
Hepatobiliary Division, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, School of Medicine, College of Medicine, National Sun Yat-sen University, Kaohsiung, Taiwan
Istanbul University-Cerrahpaşa, Cerrahpaşa Medical Faculty, Division of Endocrinology, Metabolism and Diabetes, Istanbul, Turkey
Department of Gastroenterology and Hepatology, Koc University, Istanbul, Turkey
MAFLD Research Center, Department of Hepatology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

Barcelona Institute for Global Health (ISGlobal)
Faculty of Medicine and Health Sciences
CUNY Graduate School of Public Health and Health Policy (CUNY SPH)
European Association for the Study of the Liver (EASL)
Nottingham
Division of Gastroenterology and Hepatology
Division of Gastroenterology
Department of Epidemiology and Biostatistics
Department of Gastroenterology
Aix Marseille Univ
Houston Methodist Hospital
Barts Liver Centre
Fatty Liver Program
King Faisal Specialist Hospital & Research Centre
Translational & Clinical Research Institute
Liver Unit
Division of Hepatology
Division of Hepatology
Multivisceral Transplant Unit-Gastroenterology
Department of Hepatology and Transplant
Department of Gastroenterology
Asociación Latinoamericana para el Estudio del Hígado (ALEH)
Clinica Universitária de Gastrenterologia
Division of Endocrinology
Greek Patients Association
Department of Hepatology
Department of Gastroenterology and Hepatology
InflaMed Centre of Excellence
Institute of Clinical Physiology
Department of Medicine
CUNY Center for Systems and Community Design
Kautz 5 gUG
Ponte de Lima
Department of Gastroenterology and Hepatology
National Institute for Health Research Birmingham Biomedical Research Centre
Department of Medicine
Department of Community Health and Social Sciences
Department of Hepatology
Hepatology and Clinical Research Units
Division of Hepatology
Gastrointestinal and Liver Disease Division
UCL Institute for Liver and Digestive Health
Precision Medicine
Department of Pathophysiology and Transplantation
School of Public Health
Department of Gastroenterology
Metabolic Liver Research Program
The Chinese University of Hong Kong
Center for Liver Disease
Transplantation and Liver Surgery
Medical School
Department of Internal Medicine
Gastroenterology
Republican Clinical Hospital Timofei Mosneaga
Liver Unit
Department of Primary Care & Public Health
Liver Disease Research Center
School of Medicine
Department of Translational and Precision Medicine
Department of Biomedicine
Servicio de Aparato Digestivo
University of Health and Allied Science
Mongolian National University of Medical Sciences
VA Boston Healthcare System and Harvard Medical School
Scientific Department
Icahn School of Medicine at Mount Sinai
Université Paris Cité
Centre for Obesity Research
Pacific Rim Pathology Group
Internal Medicine Department
Department of Visceral Surgery and Medicine
Fatty Liver Alliance
Precision Medicine Lab
IRCCS Ospedale San Raffaele
Angers University
Dept. of Pathology and Immunology
Dept. of Medical Sciences
School of Medicine
Liver Unit
Department of Medicine
Division of Gastroenterology
Institute of Gastroenterology
Université Paris Cité
Departamento Unidad Metabólica
Endocrinology Diabetes Nutrition Hospices Civils de Lyon
Central Military Hospital
IRCCS Multi-Medica
Gastroenterology and Hepatology Unit
Center for Cohort Studies
Faculty of Medicine Siriraj Hospital
Médica Sur Clinic & Foundation
Liver Center
European Association for the Study of the Liver (EASL) International Liver Foundation
Department of Medicine
School of Medicine
School of Medicine
Gastroenterology and Hepatology Department
Faculty of Medicine
Washington University School of Medicine
Erasmus MC University Medical Center
CHU Bordeaux
Department of Hepatology & Gastroenterology
St. Pauls Hospital Millennium Medical College
Digestive Diseases Department
Banner Liver Support Group
Department of Family Medicine
Liver Unit
Centre des Maladies Digestives Lausanne
Fourth Department of Internal Medicine
Department of Health
Endemic Medicine Department
Department of Surgery
Tropical Medicine Department
Fatty Liver Foundation
Storr Liver Centre
Endemic Medicine Department
Department of Gastroenterology
Federal University of Sao Paulo
Department of Infectious Diseases and Hepatology
Faculty of Medicine
Central Virginia VA Health Care System
Liver Unit
Department of Gastroenterology & Hepatology
Division of Hepatology
Beatty Liver and Obesity Center
Nikomed Medical Center
Carol Davila University of Medicine and Pharmacy
Myrtle Beach
Departamento de Gastroenterología
Department of Gastroenterology and Hepatology
Division of Gastroenterology and Hepatology
Liver Unit
Department of Hepatology and Gastroenterology
Department of Medicine
British Liver Trust
Department of Nutrition and Dietetics
Central Clinical School
Medical Care Center for Gastroenterology Bayerischer Platz
Department of Gastroenterology
Department of Medicine
Department of Gastroenterology & Hepatology
King Fahd Hospital of the University
Department of Transplantation and Surgery
Newcastle University
Geneva University Hospital
National Academy of Medical Sciences
Department of Clinical Research
Emory University School of Medicine
Division of Gastroenterology
School of Human Movement and Nutrition Sciences
Department of Public Health
Department of Internal Medicine
Department of Internal Medicine
Laboratory of Pathology
Maastricht University Medical Center
Institut Pasteur de Bangui
Center for Global Health
Department of Pediatric Gastroenterology
European Liver Patients Association
Nature Reviews Gastroenterology & Hepatology
Cyprus Liver Patients Association
Department of Pediatrics
South Denver Gastroenterology
Gastroenterology A Department
Department of Visceral Surgery and Medicine
Urban Health Collaborative
Department of Internal Medicine
Division of Gastroenterology and Hepatology
Novo Nordisk A/S
Masira Research Institute
Cayetano Heredia Peruvian University
INOVA4HEALTH
Digestive Disease Research Institute
Alma Mater-University of Bologna
GLI
University Hospital St Ivan Rilski
CIC bioGUNE
Service of Hepatology and Gastroenterology
Mid-Atlantic Permanente Medical Group
Liver Health Programs
London School of Hygiene & Tropical Medicine
La Mina Primary Health Care Academic Centre
Department of Gastroenterology
Powell
School of Medicine
Houston
Gastroenterology Department
Medical Service
University of KwaZulu-Natal
Dept. General Practice
Diabetes Metabolic Department
Facultad de Salud Pública y Nutrición
University of Geneva
Department of Gastroenterology
Saint Louis University
University Clinic for Gastroenterohepatology
Department of Hepatology
Dept. of Gastroenterology and Hepatology
Makerere University College of Health Sciences
University of the Philippines Manila
Section of Gastroenterology and Hepatology
Department of Internal Medicine
Liver Unit
Sorbonne Université
Division of Gastroenterology and Hepatology
Genomic Medicine in Hepatology
All India Institute of Medical Sciences
Medical School of National
University Health Network
Instituto Gulbenkian de Ciência
Gastroenterología- Hepatología-Trasplante Hepático
Gastroenterology Department
Liver Unit
Department of Medicine and Surgery
Division of Gastroenterology and Hepatology
Section of Gastroenterology and Hepatology
Department of Gastroenterology
Centre for Chronic Disease Control
Bewdley Medical Centre
Rutgers New Jersey Medical School
Washington DC VA Medical Center
University of British Columbia
Sorbonne Université
Department of Hepatology
Nature Reviews Gastroenterology & Hepatology
Department of Endocrinology and Diabetology
Department of Molecular and Clinical Medicine
Digestive Diseases Department and CIBERehd
Liver & Energy Metabolism Section
Internal Medicine Department
University of Leeds
The Research Institute of Virology of the MoH of the Republic of Uzbekistan
Ibrahim bin Hamad Obaidullah Hospital
Tartu University Hospital
North Shore University Hospital
Division of Gastroenterology
Division of Gastroenterology and Hepatology
American Liver Foundation
Weight Loss and Metabolic Surgery Center
University Joseph KI-ZERBO
Integrated Quality Resources
Infectious Diseases
Baker Heart and Diabetes Institute
University of Derby
Sree Gokulam Medical College and Research Foundation
Department of Gastroenterology & Hepatology
Institut Pasteur
Touro University California
Kalinga Gastroenterology Foundation
The University of Zambia
HEGITO Liver & Transplant Unit
Internal Medicine No 1 Department
Department of Internal Medicine
Clinical and Molecular Hepatology
Respiratory Department
Arabian Gulf University
University Hospital of Tubingen
Penn State Health Milton S. Hershey Medical Center
Anna Medical College
Digestive Health Institute
Liver Injury and Transplant Unit
Department of Medicine
Hamad Medical Corporation
Department of Hepatology
University of Michigan
Section of Diabetes and Endocrinology
Discipline of Gastroenterology
Dept. of Pathology
Riga East University Hospital
Metabolic Unit
Department of Medicine
Chulalongkorn University
Faculty of Medical Sciences
Vilnius University Hospital Santaros Clinics
Hospital Civil de Guadalajara Fray Antonio Alcalde
Dept. of Clinical Science
Indiana University School of Medicine
National Liver Institute
Department of Medicine
Department of Gastroenterology
Lexington Medical Center
Dutch Liver Patients Association
Division of Gastroenterology and Hepatology
Department of Gastroenterology
University of Helsinki
Hepatobiliary Division
Istanbul University-Cerrahpaşa
Department of Gastroenterology and Hepatology
MAFLD Research Center
College of Medicine

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