The role of primary care in response to the global liver disease syndemic

https://www.thelancet.com/commissions-do/liver-disease-primary-care?dgcid=raven_jbs_etoc_feature_langaslivdiscare26 Executive summary Liver disease causes substantial global morbidity and mortality, with a growing burden from steatotic liver disease, driven by alcohol use and metabolic dysfunction, alongside persisting challenges from chronic viral hepatitis. Liver disease frequently coexists with multimorbidity (including diabetes, cancer, and mental illness), with bidirectional relationships that demand integrated, person-centred pathways of care. Primary care is uniquely positioned to deliver population-level prevention, early detection, and management of liver disease while reducing health disparities. The Lancet Gastroenterology & Hepatology Commission on the role of primary care in the management of liver disease brings together multidisciplinary global expertise to formulate recommendations to strengthen primary care-led management of individuals living with chronic liver disease, and to place it at the centre of efforts to tackle the growing global burden of liver disease.