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    Patent Pending

    BARD Score for NAFLD Fibrosis

    Predicts risk of advanced fibrosis in NAFLD patients.
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    When to Use
    Pearls/Pitfalls
    Why Use

    Patients with suspected NAFLD.

    • Strong negative predictive value for ruling out fibrosis (Raszeja-Wyszomirska 2010).

    • Original study involved mostly Caucasian patients and therefore score may be less applicable in other populations.

    • Doesn’t predict fibrosis but rules out (high sensitivity).

    • Helps differentiate adult patients with NAFLD from NASH who have not yet developed clinical stigmata of cirrhosis.

    • Predicts advanced fibrosis in NAFLD patients with a NPV of 97% (rules out fibrosis), thus potentially avoiding need for liver biopsy.

    • Comparable to NAFLD Fibrosis Score in terms of sensitivity and specificity.

    No
    0
    Yes
    +1
    U/L
    U/L
    No
    0
    Yes
    +1

    Result:

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    Next Steps
    Evidence
    Creator Insights

    Advice

    Patients identified at high risk of fibrosis related to NAFLD can get focused interventions to prevent future complications through life style modifications.

    Management

    Lifestyle modifications include:

    • Tight glycemic control

    • Blood pressure control

    • Balanced diet

    • Regular aerobic exercise

    Critical Actions

    Patients with advanced fibrosis can be monitored closely on the basis of BARD score for their disease progression and can be referred to liver transplant centers.

    Content Contributors
    • Ahmad Khan, MD
    About the Creator
    Dr. Stephen A. Harrison
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    Content Contributors
    • Ahmad Khan, MD