Opinion Article - Archives of General Internal Medicine (2022) Volume 6, Issue 12
Advances in hepatology and its clinical approach.
Mark Pinto *
Department of Medicine, University of Hong Kong, China.
- *Corresponding Author:
- Mark Pinto
Department of Medicine,
University of Hong Kong,
Received:29-Nov-2022, Manuscript No. AAAGIM--22-158; Editor assigned: 01-Nov-2022, PreQC No. AAAGIM--22-158 (PQ); Reviewed: 15-Dec-2022, QC No. AAAGIM--22-158; Revised:19-Dec-2022, Manuscript No. AAAGIM--22-158 (R); Published:26-Dec-2022, DOI:10.35841/ aaagim-6.12.158
Citation: : Pinto M. Advances in hepatology and its clinical approach. Arch Gen Intern Med. 2022;6(12):158.
Despite significant improvements in the treatment, diagnosis, and prevention of liver illnesses in patients, the burden of liver disease is high. Current training paradigms do not meet the unmet public health requirement for professionals with knowledge of liver illnesses. It is necessary to develop and implement new training paradigms, address financial issues for maintaining hepatologists, and create new models of treatment. The facts examined and newly developed solutions created to address the above mentioned problems are reviewed.
Liver illnesses, Hepatologists.
Over the past 30 years, liver-related mortality has remained mostly unchanged while overall mortality in patients with liver illness has somewhat decreased. This is true despite improvements in diagnostic, disease-specific therapies, and hospital care. The decline in deaths from gallstone disease and gallbladder cancer is responsible for a large portion of the total mortality. Although the mortality rate from chronic liver disease decreased from 1979 to 2004 and has subsequently stabilised, the overall liver-related mortality rate, excluding gallbladder disease, has remained reasonably consistent during this time . The complicated elements influencing these trends change depending on what is causing the liver disease. .
About half of cases of clinically evident acute viral hepatitis are caused by the hepatitis A virus (HAV). The most frequent source of acute hepatitis virus infection is the hepatitis B virus (HBV), which is thought to be responsible for around one-third of clinically evident episodes of acute hepatitis .
Beginning in 1990, the incidence of new infections significantly decreased as a result of the 1989 discovery of the hepatitis C virus (HCV), which made it possible to screen blood products. Future hepatology practise will be impacted by quality indicators and measures. The Institute of Medicine has defined quality as the delivery of treatment in a way that is fair, timely, safe, effective, and patient-centered .
The process of creating the quality metrics that serve as the foundation of PQRI is still evolving. A voluntary consensus standards body, which PQRI defines as an organisation that upholds openness, balance of interests, due process, an appeals process, and consensus, is required to establish, support, or implement quality measures .
Advances in hepatology care have created an unmet need for hepatology expertise that is anticipated to grow over the next ten years, especially given the rising frequency of advanced liver disease and HCC brought on by the epidemics of viral hepatitis and obesity-related liver disease. However, it is unknown what proportion of patients with liver disease is now being treated by professionals who have the necessary training (either gastroenterologists or hepatologists) .
Effective vaccinations, antiviral treatments, liver transplantation, and the abundance of newly developed diagnostics and therapies are just a few examples of the significant returns on investment in fundamental and clinical research that point to the speciality entering a golden age in the years to come. To reach this potential, however, a number of obstacles must be overcome, including changing the way that training is now done in order to attract more motivated students to the field of hepatology and increase the number of workers available to satisfy the need.
- Lin SY, Chang ET, So SK.Why we should routinely screen Asian American adults for hepatitis B: a cross-sectional study of Asians in California Hepatol. 2007;46:1034-1040.
- Alter MJ, Kruszon-Moran D, Nainan OV, et al.. The prevalence of hepatitis C virus infection in the United States, 1988 through 1994 . N Engl J Med. 1999;341:556-562.
- Armstrong GL, Wasley A, Simard EP, et al. The prevalence of hepatitis C virus infection in the United States, 1999 through 2002. Ann Intern Med 2006;144:705-714.
- Bosch FX, Ribes J, Diaz M, et al..Primary liver cancer: worldwide incidence and trends.Gastroenterol. 2004;127:S5-S16.
- Schwimmer JB, Deutsch R, Kahen T, et al. Prevalence of fatty liver in children and adolescents.Pediatrics. 2006;118:1388-1393.