A global survey on the use of the international classification of diseases codes for metabolic dysfunction-associated fatty liver disease

Huai Zhang, Giovanni Targher, Christopher D. Byrne, Seung Up Kim, Vincent Wai-Sun Wong, Luca Valenti, Myer Glickman, Jaime Ponce, Christos S. Mantzoros, Javier Crespo, Henning Gronbaek, Wah Yang, Mohammed Eslam, Robert J. Wong, Mariana Verdelho Machado, Ming-Lung Yu, Omar M. Ghanem, Takeshi Okanoue, Jun-Feng Liu, Yong-ho LeeXiao-Yuan Xu, Qiuwei Pan, Meili Sui, Amedeo Lonardo, Yusuf Yilmaz, Li-Yong Zhu, Christophe Moreno, Luca Miele, Monica Lupsor-Platon, Lei Zhao, Teresa Le Ann LaMasters, Robert G. Gish, Huijie Zhang, Marius Nedelcu, Wah Kheong Chan, Ming-Feng Xia, Fernando Bril, Jun-Ping Shi, Christian Datz, Stefano Romeo, Jian Sun, Dan Liu, Silvia Sookoian, Yi-Min Mao, Nahum Méndez-Sánchez, Xiao-Yan Wang, Nikolaos T. Pyrsopoulos, Jian-Gao Fan, Yasser Fouad, Dan-Qin Sun, Cosimo Giannini, Jin Chai, Ze-Feng Xia, Dae Won Jun, Guo-Jing Li, Sombat Treeprasertsuk, Ying-Xu Li, Tan To Cheung, Faming Zhang, George Boon-Bee Goh, Masato Furuhashi, Wai-Kay Seto, Hui Huang, Anna Di Sessa, Qing-Hong Li, Evangelos Cholongitas, Le Zhang, Themis Reverbel Silveira, Giada Sebastiani, Leon A. Adams, Wei Chen, Xiaolong Qi, Ivan Rankovic, Victor De Ledinghen, Wen-Jie Lv, Masahide Hamaguchi, Radwan Kassir, Dirk Müller-Wieland, Manuel Romero-Gomez, Ying Xu, Yi-Cong Xu, Shi-Yao Chen, Mohammad Kermansaravi, Mohammad Shafi Kuchay, Sander Lefere, Chetan Parmar, Gregory Y.H. Lip, Chun-Jen Liu, Fredrik Åberg, George Lau, Jacob George, Shiv Kumar Sarin, Jing-Ya Zhou, Ming-Hua Zheng, on behalf of the MAFLD ICD-11 coding collaborators, Alan J. Wigg

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Background: With the implementation of the 11th edition of the International Classification of Diseases (ICD-11) and the publication of the metabolic dysfunction-associated fatty liver disease (MAFLD) nomenclature in 2020, it is important to establish consensus for the coding of MAFLD in ICD-11. This will inform subsequent revisions of ICD-11. Methods: Using the Qualtrics XM and WJX platforms, questionnaires were sent online to MAFLD-ICD-11 coding collaborators, authors of papers, and relevant association members. Results: A total of 890 international experts in various fields from 61 countries responded to the survey. We also achieved full coverage of provincial-level administrative regions in China. 77.1% of respondents agreed that MAFLD should be represented in ICD-11 by updating NAFLD, with no significant regional differences (77.3% in Asia and 76.6% in non-Asia, p = 0.819). Over 80% of respondents agreed or somewhat agreed with the need to assign specific codes for progressive stages of MAFLD (i.e. steatohepatitis) (92.2%), MAFLD combined with comorbidities (84.1%), or MAFLD subtypes (i.e., lean, overweight/obese, and diabetic) (86.1%). Conclusions: This global survey by a collaborative panel of clinical, coding, health management and policy experts, indicates agreement that MAFLD should be coded in ICD-11. The data serves as a foundation for corresponding adjustments in the ICD-11 revision.

Original languageEnglish
Pages (from-to)1178-1201
Number of pages24
JournalHepatology International
Volume18
Issue number4
DOIs
Publication statusPublished - Aug 2024

Keywords

  • Global survey
  • ICD-11
  • MAFLD

Fingerprint

Dive into the research topics of 'A global survey on the use of the international classification of diseases codes for metabolic dysfunction-associated fatty liver disease'. Together they form a unique fingerprint.

Cite this