A global survey on the use of the international classification of diseases codes for metabolic dysfunction-associated fatty liver disease.
Journal
Hepatology international
Journal Volume
18
Journal Issue
4
Start Page
1178
End Page
1201
ISSN
1936-0541
Date Issued
2024-08
Author(s)
Zhang, Huai
Targher, Giovanni
Byrne, Christopher D
Kim, Seung Up
Wong, Vincent Wai-Sun
Valenti, Luca
Glickman, Myer
Ponce, Jaime
Mantzoros, Christos S
Crespo, Javier
Gronbaek, Henning
Yang, Wah
Eslam, Mohammed
Wong, Robert J
Machado, Mariana Verdelho
Yu, Ming-Lung
Ghanem, Omar M
Okanoue, Takeshi
Liu, Jun-Feng
Lee, Yong-Ho
Xu, Xiao-Yuan
Pan, Qiuwei
Sui, Meili
Lonardo, Amedeo
Yilmaz, Yusuf
Zhu, Li-Yong
Moreno, Christophe
Miele, Luca
et al.
Abstract
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.
Using the Qualtrics XM and WJX platforms, questionnaires were sent online to MAFLD-ICD-11 coding collaborators, authors of papers, and relevant association members.
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%).
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.
Subjects
Global survey
ICD-11
MAFLD
SDGs
Type
journal article