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    Attention COACH STUDY participants:

    The principal investigators of the study request that you use the official version of the modified score here.

    BARD Score for NAFLD Fibrosis

    Predicts risk of advanced fibrosis in NAFLD patients.
    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
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    Next Steps
    Evidence
    Creator Insights
    Dr. Stephen A. Harrison

    About the Creator

    Stephen A. Harrison, MD, is the medical director of Pinnacle Clinical Research. He is also a visiting professor of hepatology at the Radcliffe College of Medicine, University of Oxford. Dr. Harrison’s research focuses primarily on hepatitis C and non-alcoholic fatty liver disease.

    To view Dr. Stephen A. Harrison's publications, visit PubMed

    Are you Dr. Stephen A. Harrison? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    Content Contributors
    • Ahmad Khan, MD
    About the Creator
    Dr. Stephen A. Harrison
    Are you Dr. Stephen A. Harrison?
    Content Contributors
    • Ahmad Khan, MD