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Войти в исследования 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.
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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
Аннотация
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.