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dc.creatorĆulafić, Milica
dc.creatorVezmar-Kovačević, Sandra
dc.creatorDopsaj, Violeta
dc.creatorStulić, Miloš
dc.creatorVlaisavljević, Željko
dc.creatorMiljković, Branislava
dc.creatorĆulafić, Đorđe
dc.date.accessioned2019-09-02T12:08:58Z
dc.date.available2019-09-02T12:08:58Z
dc.date.issued2019
dc.identifier.issn1648-9144
dc.identifier.urihttp://farfar.pharmacy.bg.ac.rs/handle/123456789/3262
dc.description.abstractBackground and objectives: Data suggests that nearly 30% of the general population have steatosis and up to 5% of this population develops nonalcoholic steatohepatitis (NASH). Liver biopsy is still considered to be the gold standard for the diagnosis of NASH. Great effort is being made toward the identification of sensitive diagnostic tests that do not involve invasive procedures to address a common concern in patients with the nonalcoholic fatty liver disease-whether they have NASH or simple steatosis. We aimed to investigate the independent predictors and develop a non-invasive, easy-to-perform, low-cost set of parameters that may be used in clinical practice to differentiate simple steatosis from NASH. Methods: А cross-sectional study of nonalcoholic fatty liver disease (NAFLD) patients divided into two groups: group I-simple steatosis (SS) and group II-biopsy-proven NASH. Strict inclusion criteria and stepwise analysis allowed the evaluation of a vast number of measured/estimated parameters. Results: One hundred and eleven patients were included-82 with simple steatosis and 29 with biopsy-proven NASH. The probability of NASH was the highest when homeostatic model assessment of insulin resistance (HOMA-IR) was above 2.5, uric acid above 380 µmol/L, ferritin above 100 µg/L and ALT above 45 U/L. An acronym of using first letters was created and named the HUFA index. This combined model resulted in an area under the receiver operator characteristic curve (AUROC) of 0.94, provided sensitivity, specificity, positive predictive value and a negative predictive value for NASH of 70.3%, 95.1%, 83.1% and 90.0%, respectively. Conclusion: We suggest a simple non-invasive predictive index HUFA that encompasses four easily available parameters (HOMA-IR, uric acid, ferritin and ALT) to identify patients with NASH, which may reduce the need for a liver biopsy on a routine basis in patients with NAFLD.en
dc.publisherNLM (Medline)
dc.rightsopenAccess
dc.sourceMedicina (Kaunas, Lithuania)
dc.subjectfatty liver diseaseen
dc.subjectidentificationen
dc.subjectindexen
dc.subjectNAFLDen
dc.subjectNASHen
dc.titleA Simple Index for Nonalcoholic Steatohepatitis-HUFA-Based on Routinely Performed Blood Testsen
dc.typearticle
dc.rights.licenseARR
dcterms.abstractСтулић, Милош; Везмар-Ковачевић, Сандра; Допсај, Виолета; Ћулафић, Милица; Влаисављевић, Жељко; Ћулафић, Ђорђе; Миљковић, Бранислава;
dc.citation.volume55
dc.citation.issue6
dc.citation.other55(6): -
dc.identifier.wos000475303800028
dc.identifier.doi10.3390/medicina55060243
dc.identifier.scopus2-s2.0-85067442310
dc.identifier.fulltexthttp://farfar.pharmacy.bg.ac.rs//bitstream/id/1838/3260.pdf
dc.identifier.rcubconv_4533
dc.type.versionpublishedVersion


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