The rise of multidisciplinary clinics in hepatology: A practical, how-to-guide, and review of the literature-Reference-Cited by-同舟云学术

The rise of multidisciplinary clinics in hepatology: A practical, how-to-guide, and review of the literature

Published:2024-07-30 Issue: Volume: Page:
ISSN:0270-9139
Container-title:Hepatology
language:en
Short-container-title:

Author:

Lim Nicholas¹^ORCID,Devuni Deepika²^ORCID,German Margarita³^ORCID,Guy Jennifer⁴^ORCID,Rabiee Atoosa⁵^ORCID,Sharma Pratima⁶^ORCID,Shingina Alexandra⁷^ORCID,Shroff Hersh⁸^ORCID,Pillai Anjana⁹^ORCID

Affiliation:

1. Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA

2. Division of Gastroenterology and Hepatology, Department of Medicine, University of Massachusetts, Worcester, Massachusetts, USA

3. Division of Gastroenterology and Hepatology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA

4. Department of Transplantation, California Pacific Medical Center, San Francisco, California, USA

5. Division of Gastroenterology and Hepatology, Department of Medicine, Washington DC Veterans Affairs Medical Center, Washington, District of Columbia, USA

6. Division of Gastroenterology and Hepatology, Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA

7. Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA

8. Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA

9. Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Chicago Medicine, Chicago, Illinois, USA

Abstract

Multidisciplinary clinics (MDCs) are gaining momentum throughout the medical field, having initially been pioneered in oncology clinics due to their inherent ability to streamline complex care and improve both patient outcomes and the patient care experience. Liver transplant and hepatobiliary tumor clinics are examples of established MDCs in hepatology. With the changing landscape of liver disease in regard to etiology and patient complexity and acuity, there is a clear need for efficient, highly coordinated care. These changes highlight opportunities for hepatology MDCs in alcohol-associated liver disease, metabolic dysfunction–associated steatotic liver disease, and palliative care. This review provides practical advice in navigating the complex logistics of establishing and maintaining a hepatology MDC while also reviewing the emerging evidence on clinical outcomes for patients seen in these MDCs. As hepatology looks to the future, establishment of MDCs in key clinical areas will be the cornerstone of patient care.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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