Audit of medical (non-targeted) liver biopsy specimen quality, pathology reporting and effect on patient management

Seth, S. , Forrest, E. H., Morris, J. M., Heydtmann, M., Konanahalli, P., Kohnen, G. and Oien, K. A. (2021) Audit of medical (non-targeted) liver biopsy specimen quality, pathology reporting and effect on patient management. Journal of Clinical Pathology, (doi: 10.1136/jclinpath-2020-207366) (PMID:34039666) (Early Online Publication)

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Abstract

Aims: To evaluate our medical liver pathology practice and its influence on patient management, using audit templates published by the UK Royal College of Pathologists (RCPath). Methods: We audited medical liver biopsies reported in our centre in 2019 using RCPath proformas. Data were collected from pathology reports and corresponding electronic patient record. Results: 60 cases were selected for audit from 135 eligible biopsies reported in 2019. 58/60 cases were core biopsies and 2/60 were laparoscopic wedge biopsies. 53/57 (93%) core biopsies with available data met RCPath adequacy criteria (length >15 mm and/or ≥6 portal tracts). Most reports (57/60; 95%) were judged to have helped patient management. 25/60 (42%) biopsy reports helped to clarify the clinical diagnosis and 48/60 (80%) led to altered management. Conclusions: We demonstrate the utility of the RCPath audit templates, highlighting the clinical value of medical liver biopsies in the diagnostic work-up and management of patients with liver disease.

Item Type:Articles
Status:Early Online Publication
Refereed:Yes
Glasgow Author(s) Enlighten ID:Oien, Professor Karin and Seth, Dr Sidhant and Heydtmann, Dr Mathis and Forrest, Dr Ewan
Authors: Seth, S., Forrest, E. H., Morris, J. M., Heydtmann, M., Konanahalli, P., Kohnen, G., and Oien, K. A.
College/School:College of Medical Veterinary and Life Sciences > Institute of Cancer Sciences
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Journal of Clinical Pathology
Publisher:BMJ Publishing Group
ISSN:0021-9746
ISSN (Online):1472-4146
Published Online:26 May 2021
Copyright Holders:Copyright © 2021 The Authors
First Published:First published in Journal of Clinical Pathology 2021
Publisher Policy:Reproduced in accordance with the publisher copyright policy

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