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Lookup NU author(s): Laura HaighORCiD, Dr Kate HallsworthORCiD, Professor Dina Tiniakos
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© 2026 The Authors. Steatotic liver disease (SLD) is a spectrum of highly prevalent liver diseases encountered at many different healthcare levels. Awareness about metabolic dysfunction-associated SLD (MASLD), MetALD (MASLD and increased alcohol intake) and ALD (alcohol-related liver disease) is increasing beyond hepatology, as reflected by the various SLD guidelines issued by scientific societies from different disciplines, including endocrinology. The guidance presented here aims to improve cross-disciplinary knowledge and know-how by providing guidance to healthcare professionals from a global, holistic, multi-society and multi-stakeholder perspective. The patient trajectory was used as an overarching anchor point to ensure uniform guidance at all points along the SLD spectrum, with the ultimate goal of improving patient identification and optimising care. This consensus guidance covers patient identification and risk stratification, relevant cross-disciplinary primary and secondary care approaches, referral to and from tertiary care and strategies for disease management and monitoring.
Author(s): Brouwer WP, Vonghia L, Thiele M, Schattenberg J, Anastasiou F, Beckmann S, Bugianesi E, Castera L, Caussy C, Cordie A, De Bruyne R, Fabrellas N, Fruhbeck G, Gadi Z, Gastaldelli A, Geerts A, Haigh L, Hallsworth K, Holleboom A, Lackner C, Lazarus JV, Mendive J, Michel M, Mooney V, Ratziu V, Roden M, Sanyal AJ, Spearman WC, Stefanescu H, Tiniakos D, Tsochatsis E, Willemse J, Zannad F, Zelber-Sagi S, Krag A, Francque S
Publication type: Review
Publication status: Published
Journal: JHEP Reports
Year: 2026
Volume: 8
Issue: 9
Print publication date: 01/09/2026
Online publication date: 25/02/2026
Acceptance date: 24/02/2026
ISSN (electronic): 2589-5559
Publisher: Elsevier B.V.
URL: https://doi.org/10.1016/j.jhepr.2026.101798
DOI: 10.1016/j.jhepr.2026.101798
Data Access Statement: Supplementary data included with the article.
