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

作者：Richard A. Parker, Michael E. Allison, Seonaid Morag Anderson, Richard Aspinall, Sara Bardell, Vikram Bains, Ryan Malcolm Buchanan, Lynsey Corless, I. A. Davidson, Pauline Dundas, Jeff Fernandez, Ewan H. Forrest, Erica Forster, Dennis A. Freshwater, Ruth Gailer, Robert David Goldin, Vanessa Hebditch, Steve Hood, Arron Jones, Victoria Lavers, Deborah Lindsay, James B. Maurice, Joanne McDonagh, Sarah Morgan, Tania Nurun, Christopher Keith Oldroyd, Elizabeth Oxley, Sally Pannifex, Graham Parsons, Thomas Phillips, Nicole Rainford, Neil Rajoriya, Paul Richardson, Jennifer D. Ryan, Joanne Sayer, Mandy M. Smith, Ankur Srivastava, Emma Stennett, Jennifer Towey, Roya Vaziri, Ian Webzell, Andrew Wellstead, Ashwin Dhanda, Steven Masson · 发表于：BMJ Open Gastroenterology · 年份：2023 · DOI：10.1136/bmjgast-2023-001221 · 被引用次数：18 · 研究领域：Alcohol Consumption and Health Effects、Alcoholism and Thiamine Deficiency、Liver Disease and Transplantation

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 stateme...