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Commentary

Preventing cirrhosis: Why primary care clinicians should screen for liver disease in patients who drink heavily

Pranay Nadella, MD, MPhil, Esperance Schaefer, MD, MPH and Clare Landefeld, MD, MS
Cleveland Clinic Journal of Medicine February 2026, 93 (2) 88-93; DOI: https://doi.org/10.3949/ccjm.93a.25045
Pranay Nadella
Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital, Boston, MA
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  • For correspondence: pnadella{at}mgb.org
Esperance Schaefer
Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Boston, MA
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Clare Landefeld
Department of Internal Medicine, Division of General Internal Medicine and Bioethics, University of California, Davis School of Medicine, Sacramento, CA
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Article Information

vol. 93 no. 2 88-93
DOI 
https://doi.org/10.3949/ccjm.93a.25045
PubMed 
41629063

Published By 
Cleveland Clinic Journal of Medicine
Print ISSN 
0891-1150
Online ISSN 
1939-2869
History 
  • Published online February 2, 2026.

Copyright & Usage 
Copyright © 2026 The Cleveland Clinic Foundation. All Rights Reserved.

Author Information

  1. Pranay Nadella, MD, MPhil⇑
  1. Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital, Boston, MA
  1. Address:
    Pranay Nadella, MD, MPhil, Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA 02115; pnadella{at}mgb.org
  1. Esperance Schaefer, MD, MPH
  1. Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Boston, MA
  1. Clare Landefeld, MD, MS
  1. Department of Internal Medicine, Division of General Internal Medicine and Bioethics, University of California, Davis School of Medicine, Sacramento, CA
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Cleveland Clinic Journal of Medicine: 93 (2)
Cleveland Clinic Journal of Medicine
Vol. 93, Issue 2
1 Feb 2026
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Preventing cirrhosis: Why primary care clinicians should screen for liver disease in patients who drink heavily
Pranay Nadella, Esperance Schaefer, Clare Landefeld
Cleveland Clinic Journal of Medicine Feb 2026, 93 (2) 88-93; DOI: 10.3949/ccjm.93a.25045

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Preventing cirrhosis: Why primary care clinicians should screen for liver disease in patients who drink heavily
Pranay Nadella, Esperance Schaefer, Clare Landefeld
Cleveland Clinic Journal of Medicine Feb 2026, 93 (2) 88-93; DOI: 10.3949/ccjm.93a.25045
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  • Article
    • PREVALENCE OF ALCOHOL-RELATED LIVER DISEASE IS INCREASING
    • EVIDENCE SHOWS EARLY INTERVENTION CAN BENEFIT PATIENTS
    • A SIMPLE WAY TO INTEGRATE SCREENING INTO PRIMARY CARE
    • POSSIBLE IMPLEMENTATION CHALLENGES
    • OUR CLOSING ARGUMENT
    • DISCLOSURES
    • REFERENCES
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