A global survey on the use of the international classification of diseases codes for metabolic dysfunction-associated fatty liver disease
(2024) Hepatology International — Vol. 18, n° 4, p. 1178-1201 (2024)
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- 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.
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De Ledinghen, V., Furuhashi, M., Giannini, C., Chai, J., Xia, Z.-F., Jun, D. W., Li, G.-J., Treeprasertsuk, S., Li, Y.-X., Cheung, T. T., Zhang, F., Goh, G. B.-B., Seto, W.-K., Fouad, Y., Huang, H., Di Sessa, A., Li, Q.-H., Cholongitas, E., Zhang, L., et al. (2024). A global survey on the use of the international classification of diseases codes for metabolic dysfunction-associated fatty liver disease. Hepatology International, 18(4), 1178-1201. https://doi.org/10.1007/s12072-024-10702-5 (Original work published 2024)