The article discusses the anticipated shortage of hepatologists in the United States by 2033 and the need for gastroenterologists to enhance their skills in hepatology. Key points include:
Projected Shortage of Hepatologists: According to a 2020 model published in Hepatology, the U.S. is expected to experience a significant shortage of hepatology providers by 2033, with an estimated 35% fewer hepatologists than needed to care for the increasing number of chronic liver disease patients.
Role of Gastroenterologists: Edward V. Loftus Jr., MD, from the Mayo Clinic, emphasized the importance of gastroenterologists becoming more proficient in hepatology to help address this shortage. He highlighted the need for gastroenterologists to familiarize themselves with a “four-pronged approach to liver disease,” focusing on metabolic-associated steatotic liver disease, hepatocellular carcinoma, alcohol-associated liver disease, and viral hepatitis.
Geographical Disparities: Nancy S. Reau, MD, noted that most hepatology workforce is centered around transplant centers, which are not always accessible to patients with liver disease. Therefore, connecting patients with accessible providers, including gastroenterologists, is crucial for saving lives.
Practical Approaches for Gastroenterologists: Dr. Loftus suggested that gastroenterologists can contribute significantly in the early stages of metabolic liver disease by counseling patients about weight loss and being vigilant. They can also assist in treating viral hepatitis with combination therapies and counsel patients on alcohol-associated liver disease.
In conclusion, the article highlights the impending shortage of hepatologists in the U.S. and underscores the need for gastroenterologists to enhance their hepatology skills to meet the growing demand for liver disease care. This approach is seen as essential to plug the anticipated gaps in chronic liver disease management.