کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3314736 1211215 2007 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Are there ethnicity-based differences in the evaluation of individuals with abnormal liver biochemistries?
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های گوارشی
پیش نمایش صفحه اول مقاله
Are there ethnicity-based differences in the evaluation of individuals with abnormal liver biochemistries?
چکیده انگلیسی

Background/AimsRecent studies suggested NAFLD is less infrequent in African Americans (AA) than in Caucasians but it is unclear if this difference is biological or due to under-recognition/under-referral. This study examined if there is an ethnicity-based difference in obtaining liver biochemistries or evaluating abnormal liver biochemistries by primary care physicians.MethodsThis study consisted of 45,016 AA and 49,660 Caucasians seen at our primary care clinics over a 3-year period. From these two groups, we identified patients with elevated aminotransferases (AA: 3676, Caucasians: 4644) and elevated bilirubin (AA: 1295, Caucasians: 1199) based on predefined criteria. Subsequently, we assessed the proportion of patients in each group who had liver-specific evaluation (viral serologies, abdominal imaging or GI clinic visit).ResultsAmong patients with elevated aminotransferases, compared to Caucasians, AA did not have lower testing for viral hepatitis (26% vs. 25%), imaging (16% vs. 13%) or GI clinic visits (17% vs. 17%). Similarly, we did not observe clinically significant difference in the evaluation of elevated bilirubin between AA and Caucasians (viral serologies: 22% vs. 22%; imaging: 25% vs. 27%; GI clinic: 15% vs. 21%).ConclusionsUnder-recognition and under-referral are not likely to explain the reported ethnic differences in the prevalence of NAFLD.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Hepatology - Volume 47, Issue 1, July 2007, Pages 123–127
نویسندگان
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