2026-04-01 ブラウン大学
＜関連情報＞
- https://www.brown.edu/news/2026-04-01/liver-disease-screening
- http://www.rimed.org/rimedicaljournal/2026/04/2026-04-37-busph-treolar-padovano.pdf
地域社会との連携、統合的な行動介入、および診療現場での診断を通じた慢性脂肪性肝疾患への取り組み Addressing Chronic Steatotic Liver Disease through Community Partnerships, Integrated Behavioral Interventions, and Point-of-Care Diagnostics
HAYLEY TRELOAR PADOVANO, PhD; MOLLIE A. MONNIG, PhD; ARDHYS DE LEON, PhD; KITTICHAI PROMRAT, MD; MARIA DE SOUSA; JULISSA GODIN, BA; JACOB TALAMANTES, BA; ABIGAÍL MORALES, AM; KEVIN MCCURDY, BA; WENDY HERNANDEZ; STEPHANIE GOLDSTEIN, PhD; PETER M. MONTI, PhD; MORGAN LEONARD
Rhode Island Medical Journal Published:April 2026
ABSTRACT
OBJECTIVE: To evaluate the feasibility of a community- based, point-of-care (POC) screening and intervention model for Metabolic and Alcohol-associated Liver Disease (MetALD) in an underserved Rhode Island population. APPROACH: A partnership between the Brown University CADRE and Clínica Esperanza/Hope Clinic (CEHC) utilized electronic health record (EHR) screening followed by on-site FibroScan® imaging and a Motivational Interviewing (MI) lifestyle intervention. RESULTS: Preliminary pilot data identified liver stiffness (fibrosis) in 21% of participants and steatosis in 57%. All identified patients were previously unaware of their condition. CONCLUSIONS: Integrating POC diagnostics with culturally attuned behavioral interventions in a community- centric clinic can bypass traditional barriers to care and detect “silent” liver disease at treatable stages. KEYWORDS: MetALD; metabolic and alcohol-associated liver disease; community-based participatory research; steatotic liver disease; vibration-controlled transient elastography; VCTE™; FibroScan®
