A global survey on the use of the international classification of diseases codes for metabolic dysfunction-associated fatty liver disease

Internal Diseases MAFLD Gastroenterology and Hepatology 613 Global survey Sağlık Bilimleri İç Hastalıkları Clinical Medicine (Med) Global survey; MAFLD; ICD-11 03 medical and health sciences Gastroenteroloji-(Hepatoloji) SDG 3 - Good Health and Well-being ICD-11 616 Health Sciences Klinik Tıp (Med) 0303 health sciences Internal Medicine Sciences Klinik Tıp Gastroenterology & Hepatology Hepatology Dahili Tıp Bilimleri Tıp Hepatoloji Gastroenteroloji Ve Hepatoloji global survey; ICD-11; MAFLD Global survey; ICD-11; MAFLD Medicine Clinical Medicine Global survey; ICD-11; MAFLD;
DOI: 10.1007/s12072-024-10702-5 Publication Date: 2024-06-15T09:01:42Z
AUTHORS (974)
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.
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