Zhang, HuaiTargher, GiovanniByrne, Christopher D.Kim, Seung UpWong, Vincent Wai-SunValenti, LucaGlickman, MyerPonce, JaimeMantzoros, Christos S.Örmeci, NecatiZou, Zhuo-Lin2024-09-242024-09-242024Zhang, H., Targher, G., Byrne, C.D. et al. (2024). A global survey on the use of the international classification of diseases codes for metabolic dysfunction-associated fatty liver disease. Hepatology International, 18(4), 1178–1201. https://doi.org/10.1007/s12072-024-10702-51936-05411936-0533https://doi.org/10.1007/s12072-024-10702-5https://hdl.handle.net/20.500.13055/798Background: With the implementation of the 11th edition of the International Classification of Diseases (ICD-11) and the publication of the metabolic dysfunction-associated fatty liver disease (MAFLD) nomenclature in 2020, it is important to establish consensus for the coding of MAFLD in ICD-11. This will inform subsequent revisions of ICD-11. Methods: Using the Qualtrics XM and WJX platforms, questionnaires were sent online to MAFLD-ICD-11 coding collaborators, authors of papers, and relevant association members. Results: A total of 890 international experts in various fields from 61 countries responded to the survey. We also achieved full coverage of provincial-level administrative regions in China. 77.1% of respondents agreed that MAFLD should be represented in ICD-11 by updating NAFLD, with no significant regional differences (77.3% in Asia and 76.6% in non-Asia, p = 0.819). Over 80% of respondents agreed or somewhat agreed with the need to assign specific codes for progressive stages of MAFLD (i.e. steatohepatitis) (92.2%), MAFLD combined with comorbidities (84.1%), or MAFLD subtypes (i.e., lean, overweight/obese, and diabetic) (86.1%). Conclusions: This global survey by a collaborative panel of clinical, coding, health management and policy experts, indicates agreement that MAFLD should be coded in ICD-11. The data serves as a foundation for corresponding adjustments in the ICD-11 revision.eninfo:eu-repo/semantics/closedAccessGlobal surveyICD-11MAFLDArticle10.1007/s12072-024-10702-518411781201Q1WOS:0012529194000012-s2.0-85196002868PMID: 38878111Q1