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How do you set practical referral and discharge criteria for a MASLD multidisciplinary clinic to capture high-risk phenotypes without being overwhelmed?

What FIB-4 and elastography thresholds do you treat as actionable for referral, hepatology follow-up intensity, and escalation to biopsy or therapeutics?
1 Answer
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Hepatology · Penn State College of Medicine
Answered on

As former Director of the Penn State Health Fatty Liver Program, we structured our multidisciplinary MASLD clinic around risk stratification rather than diagnosis, with the explicit goal of capturing patients at genuine risk of progression while preserving clinic capacity.

We relied on a two‑step tr...

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