Volume 224 - Published ahead of Issue 10

Beyond Fibrosis Stratification: Integrating Behavioural, Metabolic and Policy-Level Interventions in Metabolic Dysfunction-Associated Steatotic Liver Disease

Authors:  Yousef Hakimi, Prarthana Thiagarajan, Michael Braude

Correspondence: yousef.hakimi@monashhealth.org

Med J Aust 2026 || doi: 10.5694/mja2.70309
Published online: 29 September 2026

Abstract

To the Editor, 

We read with interest the review by Vaz and colleagues [1] examining metabolic dysfunction-associated steatotic liver disease (MASLD) in Australia. They should be commended on synthesising epidemiological data and emphasising fibrosis as the principal determinant of liver-related morbidity and mortality. Their focus on fibrosis risk stratification, using the Fibrosis-4 Index followed by vibration-controlled transient elastography or enhanced liver fibrosis testing, reflects international consensus and is pragmatic and scalable given rising disease prevalence [2].

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