June 15, 2026 · Gastroenterology · DOI: 10.1053/j.gastro.2026.06.003

Validated early detection metrics reduce the population requiring liver fibrosis screening

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The authors aimed to evaluate and refine indicators for liver fibrosis screening to reduce the burden on healthcare resources while maintaining effective identification of at-risk individuals. By analyzing data from various cohorts, they developed a refined screening strategy that targeted only 10-22% of the population, significantly increasing the prevalence of liver fibrosis among those eligible for screening while keeping the risk low in those not eligible. This approach demonstrates a more efficient method for identifying individuals at risk of liver-related events compared to current guidelines.

Laurens A van Kleef, Jesse Pustjens, Carolin V Schneider, Guillem Pera, Pere Toran, Maurice Michel, Kai M Schneider, Adriaan G Holleboom, Manuel Castro Cabezas, Maarten E Tushuizen, Harry L A Janssen, Jörn M Schattenberg, Pere Gines, Sven M Francque, Zobair M Younossi, Aleksander Krag, Willem Pieter Brouwer

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