{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:04:40Z","timestamp":1790708680464,"version":"4.1.0"},"reference-count":105,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Malnutrition in the form of protein\u2010energy deficits and altered micronutrient status is associated with liver cirrhosis (LC). The study aimed to identify physical findings associated with malnutrition in adult patients with LC and to develop an LC\u2010specific nutrition\u2010focused physical exam (LC\u2010specific NFPE) tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A modified Delphi approach was used to obtain consensus among expert panelists who were registered dietitians (RD) working in hepatology, gastrointestinal, transplantation, or other specialized settings treating patients with liver disease. Panelists were recruited through purposive sampling. Each panelist completed a 2\u2010round online survey by scoring potential NFPE components on a 5\u2010point Likert scale and providing optional open\u2010ended feedback.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Panelists (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200916) were \u226525 years of age, 93.75% had a Masters' degree or higher, and 100% reported using NFPE in practice. The 8 NFPE domains that achieved consensus were identified through an evidence\u2010based literature search and include Anthropometrics, Vital Signs, Musculoskeletal and Adipose Exam, Orofacial Exam, Hair, Skin, and Nails Exam, Gastrointestinal Exam, Nervous System Exam, and Disease\u2010specific Exam. Out of 63 initial components, 56 achieved consensus and were included in the LC\u2010specific NFPE tool.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Specific domains and components for an evidence\u2010based LC\u2010specific NFPE tool were identified by obtaining consensus from a panel of expert RDs. This tool may further be developed and validated to assist in comprehensive nutritional assessment of patients with LC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ncp.70159","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T08:02:31Z","timestamp":1785312151000},"page":"1385-1400","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Development of a liver cirrhosis\u2010specific nutrition\u2010focused physical examination tool: A modified Delphi study"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3826-1786","authenticated-orcid":false,"given":"Rucha","family":"Modak","sequence":"first","affiliation":[{"name":"Department of Clinical and Preventive Nutrition Sciences School of Health Professions, Rutgers, The State University of New Jersey Newark New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alainn","family":"Bailey","sequence":"additional","affiliation":[{"name":"Department of Clinical and Preventive Nutrition Sciences School of Health Professions, Rutgers, The State University of New Jersey Newark New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Byham\u2010Gray","sequence":"additional","affiliation":[{"name":"Department of Clinical and Preventive Nutrition Sciences School of Health Professions, Rutgers, The State University of New Jersey Newark New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane Rigassio","family":"Radler","sequence":"additional","affiliation":[{"name":"Department of Clinical and Preventive Nutrition Sciences School of Health Professions, Rutgers, The State University of New Jersey Newark New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu15153487"},{"key":"e_1_2_9_3_1","volume-title":"Chronic liver disease","author":"Sharma A","year":"2023"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.876293"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.5662\/wjm.v13.i4.179"},{"key":"e_1_2_9_6_1","unstructured":"CDC. 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