Discuss PBC symptoms at every visit – EASL 2022 – PODIUM PRESENTATION
Holistic patient care in PBC: moving beyond ALP to QofL
Presenters: David Jones, Gideon Hirschfield
Itching and fatigue in PBC are very common, have significant impact on QoL and are under-recognized by physicians. Itching and fatigue can significantly affect a patient’s emotional health and can lead to embarrassment and social isolation. Active management of cholestatic pruritus and fatigue is needed to improve the well-being of patients with PBC.
Biochemical liver tests such as ALP and bilirubin levels are useful to measure disease progression and treatment response in clinical practice. Pruritus and fatigue can negatively impact QoL in patients with PBC, and management of these symptoms can be just as important to patients as management of their underlying liver disease. Physicians should discuss symptoms with patients at every visit. Physicians should implement both approaches in clinical practice to ensure holistic patient care and prevent end-stage complication of liver disease and manage associated symptoms.