Critical shortfalls in PBC management – EASL 2022 – PODIUM PRESENTATION
UK PBC Audit: Critical shortfalls in the management of PBC: results of the first nationwide, population-based study of care delivery across the UK.
Presenter: Nadir Abbas
Findings from an audit of 8968 PBC patient records in 122 UK hospitals over a one-year period, accessed: accurate diagnosis, treatment, symptom directed therapy, timely referral to transplant, surveillance of complications and management of extrahepatic disease. Key findings: Liver biopsies performed in >30% of PBC patients; UDCA treatment under dosed in >30% of PBC patients; >50% of PBC patients deemed high risk did not receive 2nd line treatment; 50% of PBC patients with decompensated liver disease are linked to transplant centres; surveillance of cirrhosis complications is suboptimal; assessment of symptoms and extrahepatic disease is sub-optimal.