Browsing by Author "Anirvan, P."

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INASL-SAASL consensus statements on NAFLD name change to MAFLD
(Elsevier, 2023) Singh, S.P.; Duseja, A.; Mahtab, M.A.; Anirvan, P.; Acharya, S.K.; Akbar, S.M.F.; Butt, A.S.; Dassanayake, A.S.; De, A.; Dhakal, G.P.; Hamid, S.; Madan, K.; Panigrahi, M.K.; Rao, P.N.; Saigal, S.; Satapathy, S.K.; Shalimar; Shrestha, A.; Shukla, A.; Sudhamshu, K.C.; Wijewantha, H.
There is an ongoing debate on the change of terminology of non-alcoholic fatty liver disease (NAFLD) to metabolic associated fatty liver disease (MAFLD). Experts from the Indian National Association for Study of the Liver (INASL) and the South Asian Association for Study of the Liver (SAASL) involved in diagnosing, managing, and preventing NAFLD met in March 2022 to deliberate if the name change from NAFLD to MAFLD is appropriate, as proposed by a group of experts who published a "consensus" statement in 2020. Proponents of name change to MAFLD opined that NAFLD does not reflect current knowledge, and the term MAFLD was suggested as a more appropriate overarching term. However, this "consensus" group which proposed the name change to MAFLD did not represent the views and opinions of gastroenterologists and hepatologists, as well as perceptions of patients across the globe, given the fact that change of nomenclature for any disease entity is bound to have multidimensional impact on all aspects of patient care. This statement is the culmination of the participants' combined efforts who presented recommendations on specific issues concerning the proposed name change. The recommendations were then circulated to all the core group members and updated based on a systematic literature search. Finally, all the members voted on them using the nominal voting technique as per the standard guidelines. The quality of evidence was adapted from the Grades of Recommendation, Assessment, Development and Evaluation system.
NAFLD vs MAFLD: South Asian NAFLD patients don't favor name change
(Jaypee Prothers Medical Publishers, 2022) Singh, S.P.; Anirvan, P.; Butt, A.S.; Shrestha, A.; Dassanayake, A.S.; Shaikh, B.A.; Mahtab, M.A.
Aim: There have been vociferous attempts to change the name of Nonalcoholic Fatty Liver Disease (NAFLD) to Metabolic Associated Fatty Liver Disease (MAFLD). Of the many arguments put forth in support of this, an important one is the presumed demand by patient groups insisting on the change. However, this claim does not have credible evidence to support it. Therefore, we decided to conduct a survey among South Asian NAFLD patients to understand their perspectives with regard to the change in nomenclature. Materials and methods: The study was conducted at multiple centers across South Asia from January 2021 to June 2021. Patients were surveyed using an 8-question survey questionnaire and responses were categorized by multiple-choice format. Results: Of 218 patients surveyed, 80.3% of the patients were not aware of the entity "NAFLD" before they were first diagnosed. Although 74.3% of patients admitted to being questioned about alcohol intake at the time of the first diagnosis, 75.9% of female patients were not questioned regarding this. After being labelled NAFLD, 92.1% of patients were never questioned again about alcohol intake. While 86.3% of patients found the term "NAFLD" consoling, 83% did not feel that "Non" in NAFLD trivialized their problem. In addition, only 6.9% of patients were scared of developing cardiovascular disease. Conclusion: The term "NAFLD" destigmatizes patients of the taboo associated with alcohol use. It was found to be consoling to most patients and they did not feel it trivialized their problem. A change of name without considering patients' perspectives and peculiarities specific to different populations will have enormous ramifications for both patients and physicians. Clinical significance: Our survey clearly shows that patients are happy with the term "NAFLD" and it effectively destigmatizes them from the taboo of alcohol. This would lead to higher compliance with management and greater patient participation in future studies and trials.
Non-alcoholic fatty liver disease: Not time for an obituary just yet!
(Munksgaard International Publishers, 2020) Singh, S.P.; Anirvan, P.; Reddy, K.R.; Conjeevaram, H.S.; Marchesini, G.; Rinella, M.E.; Madan, K.; Petroni, M.L.; Al-Mahtab, M.; Caldwell, S.H.; Aithal, G.P.; Hamid, S.S.; Farrell, G.C.; Satapathy, S.K.; Duseja, A.; Acharya, S.K.; Dassanayake, A.S.; Goh, K.L.
No abstract available