Alcohol-associated Liver Disease in the MENA Region: A 16-Country Survey of Healthcare Provider Perspectives
Makaleler > Tam Makale · 2026
Yazarlar: Mohamed El-Kassas, Abeer Awad, Mohammed A. Medhat, Yusuf Yilmaz, Asma Labidi, Khalid M. AlNaamani, Faisal M. Sanai, Maen Almattooq, Nabil Debzi, Ali Tumi, Mustapha Benazzouz, Cesar Yaghi, Mohamed Elbadry, Mohamed Alsenbesy, Imam Waked, Abdel-Naser Elzouki, Mohamed O. Nour, Khalid A. Alswat, Luis Antonio Diaz, Juan Pablo Arab, Zobair M Younossi, Abdalaziz Omar Adali, Abdalraouf Ammar Abdulsalam, Abdalrazig Elsadig FadlElmula, Abdul Aziz Zafar, Abdulatif Alsuleimani, Khadidja Saidani, Abdullah Khathlan, Abdullah S Alghamdi, Majed Almaghrabi, Mohammad Saud Numan, Mohammed A Baseer, Saad Aldosari, Waleed Alshumrani, Abdullah Humaid Alkalbani, Badriya Saleh Al farsi, Bola Rajendra Kamath, Halima Hamed Al Shuaili, Hassan Abdullah Alqartoobi, Imad Mohammad Abumallouh, Khaled Mohammed Hamad, Abdulnasser Said Aladawi, Hour AlKaabi, Husna Omran, Mohammed Raziuddin Shajee, Ruchir Kumar Bichu, Abdulrahman M. Barakat, Jenan Ebrahim Obaid, Abdulwahab Hamid, Ahmed Mohamed Badi, Ali Ibrahim Rahil, Arshad Muneerudeen, Joe Varghese Mathew, Monder Mustafa Jebril Karayem, Taha M H Abulghasm, Zubair Anwer, Adnan Alzanzagi, Fahd Almalki, Mohammed Saeed Khan, Ahmad Alhouti, Bader Alansari, Ahmed Tawheed, Samia Ali Gamie, Ahmed Atya Abdelmoaty, Ahmed Abudeif, Khairy Hammam Morsy, Usama Ahmed Arafa, Walaa Abdelhamed, Ahmed F Sherief, Ahmed Samir Abdelhalim, Amal Tohamy Abdelmoez, Doaa Zakaria Zaky, Enaam Ali El Sayed, Heba Mohamed Abdella, Ossama Ashraf Hamed, Yasmeen Abdellatif Ahmed, Ahmed Mohamed Abdelaziz, Ahmed Ramadan, Aisha Elsharkawy, Amal Anwar Helmy, Hesham I Elmakhzangy, Mona A Amin, Ahmed B. Elhaddad, Ahmed Al-Darmaki, Hisham Abdullah AlDhahab, Maimouna N Al Mandhari, Nadya Abdullah AlHarthy, Omar Alsiyabi, Ahmed Gouda, Ahmed Abdurrahman Algeblawi, Al Sayed Abozid Ebrahim, Al Warith Al Hashmi, Nooreen Yousuf Al balushi, Salah Al Jabri, Salim Mohammed AlRiyami, Aldana Alaamer, Brett Geoffrey Garrett, Danah Quintana, Moses Jayachander Kantipudi, Ali Qoqazeh, İlker TURAN
Annals of Hepatology, Uluslararası, Wos, 2026, ss 102253-102253
DOI: 10.1016/j.aohep.2026.102253
Özet
INTRODUCTION AND OBJECTIVES: Despite low alcohol consumption across most MENA countries, the burden and management challenges of alcohol-associated liver disease (ALD) remain poorly characterized. This study assessed healthcare providers' perceptions, clinical experiences, and barriers to ALD care in the region. PATIENTS AND METHODS: A cross-sectional survey was distributed to clinicians involved in liver disease management in MENA. The survey explored perceived ALD prevalence, diagnosis patterns, clinical practices, access to services, and sociocultural barriers. Selected variables were compared across three subregions (Gulf, North Africa, and Levant & Turkey). RESULTS: A total of 286 providers from 16 MENA countries participated. ALD prevalence was perceived as low or moderate by most respondents, and 52.1% reported an increase in ALD case numbers over the past five years. ALD was commonly diagnosed during routine assessments or at advanced stages. Only 12.9% reported existing national ALD guidelines, and 28.3% had access to specialized clinics. Medical management and nutritional support were widely available, whereas liver transplantation was accessible to 54.5%. Stigma (76.6%) and limited treatment facilities (46.9%) were major barriers. CONCLUSION: This region-wide assessment highlights major gaps in ALD recognition, clinical pathways, and policy infrastructure. Reducing stigma, strengthening provider training, and developing region-specific guidelines are essential to improve ALD care in culturally sensitive settings.