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Quality standards for the management of alcohol-related liver disease: consensus recommendations from the British Association for the Study of the Liver and British Society of Gastroenterology ARLD special interest group
OBJECTIVE: Alcohol-related liver disease (ALD) is the most common cause of liver-related ill health and liver-related deaths in the UK, and deaths from ALD have doubled in the last decade. The management of ALD requires treatment of both liver disease and alcohol use; this necessitates effective and...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10551993/ https://www.ncbi.nlm.nih.gov/pubmed/37797967 http://dx.doi.org/10.1136/bmjgast-2023-001221 |
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author | Parker, Richard Allison, Michael Anderson, Seonaid Aspinall, Richard Bardell, Sara Bains, Vikram Buchanan, Ryan Corless, Lynsey Davidson, Ian Dundas, Pauline Fernandez, Jeff Forrest, Ewan Forster, Erica Freshwater, Dennis Gailer, Ruth Goldin, Robert Hebditch, Vanessa Hood, Steve Jones, Arron Lavers, Victoria Lindsay, Deborah Maurice, James McDonagh, Joanne Morgan, Sarah Nurun, Tania Oldroyd, Christopher Oxley, Elizabeth Pannifex, Sally Parsons, Graham Phillips, Thomas Rainford, Nicole Rajoriya, Neil Richardson, Paul Ryan, J Sayer, Joanne Smith, Mandy Srivastava, Ankur Stennett, Emma Towey, Jennifer Vaziri, Roya Webzell, Ian Wellstead, Andrew Dhanda, Ashwin Masson, Steven |
author_facet | Parker, Richard Allison, Michael Anderson, Seonaid Aspinall, Richard Bardell, Sara Bains, Vikram Buchanan, Ryan Corless, Lynsey Davidson, Ian Dundas, Pauline Fernandez, Jeff Forrest, Ewan Forster, Erica Freshwater, Dennis Gailer, Ruth Goldin, Robert Hebditch, Vanessa Hood, Steve Jones, Arron Lavers, Victoria Lindsay, Deborah Maurice, James McDonagh, Joanne Morgan, Sarah Nurun, Tania Oldroyd, Christopher Oxley, Elizabeth Pannifex, Sally Parsons, Graham Phillips, Thomas Rainford, Nicole Rajoriya, Neil Richardson, Paul Ryan, J Sayer, Joanne Smith, Mandy Srivastava, Ankur Stennett, Emma Towey, Jennifer Vaziri, Roya Webzell, Ian Wellstead, Andrew Dhanda, Ashwin Masson, Steven |
author_sort | Parker, Richard |
collection | PubMed |
description | OBJECTIVE: Alcohol-related liver disease (ALD) is the most common cause of liver-related ill health and liver-related deaths in the UK, and deaths from ALD have doubled in the last decade. The management of ALD requires treatment of both liver disease and alcohol use; this necessitates effective and constructive multidisciplinary working. To support this, we have developed quality standard recommendations for the management of ALD, based on evidence and consensus expert opinion, with the aim of improving patient care. DESIGN: A multidisciplinary group of experts from the British Association for the Study of the Liver and British Society of Gastroenterology ALD Special Interest Group developed the quality standards, with input from the British Liver Trust and patient representatives. RESULTS: The standards cover three broad themes: the recognition and diagnosis of people with ALD in primary care and the liver outpatient clinic; the management of acutely decompensated ALD including acute alcohol-related hepatitis and the posthospital care of people with advanced liver disease due to ALD. Draft quality standards were initially developed by smaller working groups and then an anonymous modified Delphi voting process was conducted by the entire group to assess the level of agreement with each statement. Statements were included when agreement was 85% or greater. Twenty-four quality standards were produced from this process which support best practice. From the final list of statements, a smaller number of auditable key performance indicators were selected to allow services to benchmark their practice and an audit tool provided. CONCLUSION: It is hoped that services will review their practice against these recommendations and key performance indicators and institute service development where needed to improve the care of patients with ALD. |
format | Online Article Text |
id | pubmed-10551993 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-105519932023-10-06 Quality standards for the management of alcohol-related liver disease: consensus recommendations from the British Association for the Study of the Liver and British Society of Gastroenterology ARLD special interest group Parker, Richard Allison, Michael Anderson, Seonaid Aspinall, Richard Bardell, Sara Bains, Vikram Buchanan, Ryan Corless, Lynsey Davidson, Ian Dundas, Pauline Fernandez, Jeff Forrest, Ewan Forster, Erica Freshwater, Dennis Gailer, Ruth Goldin, Robert Hebditch, Vanessa Hood, Steve Jones, Arron Lavers, Victoria Lindsay, Deborah Maurice, James McDonagh, Joanne Morgan, Sarah Nurun, Tania Oldroyd, Christopher Oxley, Elizabeth Pannifex, Sally Parsons, Graham Phillips, Thomas Rainford, Nicole Rajoriya, Neil Richardson, Paul Ryan, J Sayer, Joanne Smith, Mandy Srivastava, Ankur Stennett, Emma Towey, Jennifer Vaziri, Roya Webzell, Ian Wellstead, Andrew Dhanda, Ashwin Masson, Steven BMJ Open Gastroenterol Alcoholic Liver Disease OBJECTIVE: Alcohol-related liver disease (ALD) is the most common cause of liver-related ill health and liver-related deaths in the UK, and deaths from ALD have doubled in the last decade. The management of ALD requires treatment of both liver disease and alcohol use; this necessitates effective and constructive multidisciplinary working. To support this, we have developed quality standard recommendations for the management of ALD, based on evidence and consensus expert opinion, with the aim of improving patient care. DESIGN: A multidisciplinary group of experts from the British Association for the Study of the Liver and British Society of Gastroenterology ALD Special Interest Group developed the quality standards, with input from the British Liver Trust and patient representatives. RESULTS: The standards cover three broad themes: the recognition and diagnosis of people with ALD in primary care and the liver outpatient clinic; the management of acutely decompensated ALD including acute alcohol-related hepatitis and the posthospital care of people with advanced liver disease due to ALD. Draft quality standards were initially developed by smaller working groups and then an anonymous modified Delphi voting process was conducted by the entire group to assess the level of agreement with each statement. Statements were included when agreement was 85% or greater. Twenty-four quality standards were produced from this process which support best practice. From the final list of statements, a smaller number of auditable key performance indicators were selected to allow services to benchmark their practice and an audit tool provided. CONCLUSION: It is hoped that services will review their practice against these recommendations and key performance indicators and institute service development where needed to improve the care of patients with ALD. BMJ Publishing Group 2023-10-04 /pmc/articles/PMC10551993/ /pubmed/37797967 http://dx.doi.org/10.1136/bmjgast-2023-001221 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Alcoholic Liver Disease Parker, Richard Allison, Michael Anderson, Seonaid Aspinall, Richard Bardell, Sara Bains, Vikram Buchanan, Ryan Corless, Lynsey Davidson, Ian Dundas, Pauline Fernandez, Jeff Forrest, Ewan Forster, Erica Freshwater, Dennis Gailer, Ruth Goldin, Robert Hebditch, Vanessa Hood, Steve Jones, Arron Lavers, Victoria Lindsay, Deborah Maurice, James McDonagh, Joanne Morgan, Sarah Nurun, Tania Oldroyd, Christopher Oxley, Elizabeth Pannifex, Sally Parsons, Graham Phillips, Thomas Rainford, Nicole Rajoriya, Neil Richardson, Paul Ryan, J Sayer, Joanne Smith, Mandy Srivastava, Ankur Stennett, Emma Towey, Jennifer Vaziri, Roya Webzell, Ian Wellstead, Andrew Dhanda, Ashwin Masson, Steven Quality standards for the management of alcohol-related liver disease: consensus recommendations from the British Association for the Study of the Liver and British Society of Gastroenterology ARLD special interest group |
title | Quality standards for the management of alcohol-related liver disease: consensus recommendations from the British Association for the Study of the Liver and British Society of Gastroenterology ARLD special interest group |
title_full | Quality standards for the management of alcohol-related liver disease: consensus recommendations from the British Association for the Study of the Liver and British Society of Gastroenterology ARLD special interest group |
title_fullStr | Quality standards for the management of alcohol-related liver disease: consensus recommendations from the British Association for the Study of the Liver and British Society of Gastroenterology ARLD special interest group |
title_full_unstemmed | Quality standards for the management of alcohol-related liver disease: consensus recommendations from the British Association for the Study of the Liver and British Society of Gastroenterology ARLD special interest group |
title_short | Quality standards for the management of alcohol-related liver disease: consensus recommendations from the British Association for the Study of the Liver and British Society of Gastroenterology ARLD special interest group |
title_sort | quality standards for the management of alcohol-related liver disease: consensus recommendations from the british association for the study of the liver and british society of gastroenterology arld special interest group |
topic | Alcoholic Liver Disease |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10551993/ https://www.ncbi.nlm.nih.gov/pubmed/37797967 http://dx.doi.org/10.1136/bmjgast-2023-001221 |
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