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Unlocking the benefits of the Baveno VI guidance when screening for varices: an audit of clinical practice across London

Colwill, Michael; Lake, Luke; El-Sayed, Ahmed; King, Jonathan; Kader, Rawen; Shakweh, Eathar; Caracostea, Andra; ... Maurice, James; + view all (2022) Unlocking the benefits of the Baveno VI guidance when screening for varices: an audit of clinical practice across London. Future Healthcare Journal , 9 (1) pp. 41-44. 10.7861/fhj.2021-0130. Green open access

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Abstract

Background: The Baveno VI consensus identifies patients with compensated advanced chronic liver disease (cACLD) who can safely avoid screening endoscopy. However, concordance in clinical practice with this guidance is unknown. We audited clinical practice and the provision of transient elastography (TE) aiming to identify potential cost savings and benefits. Methods: Retrospective data collection from 12 sites across London over 6 months by reviewing oesophagogastroduodenoscopy (OGD) reports, platelet count and TE results as well as information on site-specific provision of TE. Results: Three-hundred and fifty-one screening procedures were identified; 177 (50.43%) had a TE test performed within the preceding 12 months; 142 (80.23%) patients with a recent TE test did not meet criteria for screening OGD. TE provision varied widely between sites. Conclusion: Improving concordance with the Baveno criteria through improved provision of TE would have benefits for patients, healthcare systems and the environment and would help to address the challenges of moving on from the COVID-19 pandemic.

Type: Article
Title: Unlocking the benefits of the Baveno VI guidance when screening for varices: an audit of clinical practice across London
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.7861/fhj.2021-0130
Publisher version: https://doi.org/10.7861/fhj.2021-0130
Language: English
Additional information: This version is the version of record. For information on re-use, please refer to the publisher's terms and conditions.
Keywords: elasticity imaging techniques, endoscopy, gastrointestinal, liver cirrhosis, oesophageal and gastric varices
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Targeted Intervention
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > UCL Medical School
URI: https://discovery.ucl.ac.uk/id/eprint/10147105
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