Variation in the management of benign liver tumors: A European survey and case vignette study

Autor: Martijn P.D. Haring, Robbert J. de Haas, Frederike G.I. van Vilsteren, Joost M. Klaase, Evelien W. Duiker, Hans Blokzijl, Koert P. de Jong, Vincent E. de Meijer, Frans J.C. Cuperus, Y.S. de Boer, R.A. de Man, C.M. den Hoed, J.P.H. Drenth, M.G. Garcovich, T.J.G. Gevers, A.J. Klompenhouwer, M. Kramer, M.E. Tushuizen, A.J. van der Meer, M.C. Burgmans, R.C. Cannella, F.C. Caseiro-Alves, T.D. Denecke, R.S. Dwarkasing, U.F. Fehrenbach, S. Feshtali, R.L. Miclea, A.P. Poyanli, M.R. Ronot, R.S. Sartoris, Maarten Thomeer, C. van der Leij, S.K. van Koeverden, M.V. Vermersch, F.V. Vernuccio, F.E.J.A. Willemssen, P.A. Addeo, H. Alexandrino, A. Belli, M.H.A. Bemelmans, E.B. Boleslawski, R.J.S. Coelen, M.T. de Boer, R.H. de Kleine, M. den Dulk, A.F. Frilling, A. Furumaya, I.P. Irinel, J.M. Regimbeau, M.C. Manuela, İ. Özden, V.S. Sallinen, A.F. Schaapherder, M.S. Schmelzle, D. Seehofer, B. Trotovšek, S.T. Truant, P.B. van den Boezem, B.V. van Rosmalen
Přispěvatelé: Gastroenterology & Hepatology, Surgery, Radiology & Nuclear Medicine, Gastroenterology and hepatology, Value, Affordability and Sustainability (VALUE), Groningen Institute for Organ Transplantation (GIOT), Guided Treatment in Optimal Selected Cancer Patients (GUTS), Center for Liver, Digestive and Metabolic Diseases (CLDM)
Rok vydání: 2023
Předmět:
Zdroj: Clinics and Research in Hepatology and Gastroenterology, 47, 3
Clinics and Research in Hepatology and Gastroenterology, 47(3):102094. Elsevier Masson
Collaborators 2023, ' Variation in the management of benign liver tumors : A European survey and case vignette study ', Clinics and research in hepatology and gastroenterology, vol. 47, no. 3, 102094 . https://doi.org/10.1016/j.clinre.2023.102094
Clinics and research in hepatology and gastroenterology, 47(3):102094. Elsevier Masson
Clinics and Research in Hepatology and Gastroenterology, 47
Clinics and research in hepatology and gastroenterology, 47(3):102094
ISSN: 2210-7401
Popis: Contains fulltext : 290866.pdf (Publisher’s version ) (Open Access) BACKGROUND: Management of focal nodular hyperplasia (FNH) and hepatocellular adenoma (HCA), is multidisciplinary and subject to practice variation. We aimed to evaluate variation in clinical management of FNH and HCA in Europe. METHODS: We distributed an online survey (November 2021-March 2022) among 294 European experts. The survey included questions on local practice and included eight clinical vignettes. The clinical vignettes focused on FNH or HCA management in the setting of sex, lifestyle modification, and pregnancy. RESULTS: The response rate was 32% and respondents included surgeons (38%), gastroenterologists/hepatologists (25%), radiologists (32%), and pathologists (1.6%) from ten European countries. We observed practice variation with regard to lifestyle modification and imaging follow-up in patients with FNH, and with regard to the management of HCA >5 cm before and during pregnancy. Finally, the management of HCA >5 cm after lifestyle modification deviated from EASL guideline recommendations. CONCLUSION: Our survey illustrates variability in FNH and HCA management in Europe. Several areas were identified for future research and guideline recommendations, including FNH follow-up and the management of HCA >5 cm. We propose the organization of Delphi consensus meetings to prioritize areas of research and update current guidelines to optimize management for all patients with benign liver tumors.
Databáze: OpenAIRE
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