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lidopete

10/16/19 1:02 AM

#219573 RE: sharinky #219487

"Non-alcoholic fatty liver disease (NAFLD) analyses using NAFLD Fibrosis Score (NFS), assessing – ITT Population::"

I am proof V works, I have the scores before and after 1 year on C

sts66

10/16/19 12:36 PM

#219646 RE: sharinky #219487

My bad - you're right, it's in the Appendix to the NEJM paper - but I don't put too much weight into the NFS, it just uses some measured parameters and a calculator to predict NAFLD status (serum glucose, platelet count, albumin, AST/ALT ratio, age, BMI, and diabetes status). My doc had me get an ultrasound to confirm that my numbers indicated I had NAFLD (oddly, TGs aren't part of the NFS, and why mine were elevated is the answer we were looking for). IOW, he used the them to determine whether I needed diagnostic imaging - I don't think the NFS even existed way back then. The NFS is really only accurate if you already have advanced fibrosis.

https://www.jwatch.org/na48108/2018/12/14/noninvasive-scoring-systems-predicting-liver-related

NFS and FIB-4 were superior to BARD and APRI in accurately determining risk for severe liver disease and mortality. Despite the moderately predictive accuracy of NFS and FIB-4 scores for determining liver-related outcomes and mortality, these systems are not accurate enough to be considered for routine use in clinical practice. Furthermore, their inadequacy in predicting long-term outcomes makes them problematic for use in therapeutic clinical trials in patients with NAFLD. New noninvasive scoring systems are urgently needed.