Seth, S. , Forrest, E. H., Morris, J. M., Heydtmann, M., Konanahalli, P., Kohnen, G. and Oien, K. A. (2022) Audit of medical (non-targeted) liver biopsy specimen quality, pathology reporting and effect on patient management. Journal of Clinical Pathology, 75(7), pp. 498-502. (doi: 10.1136/jclinpath-2020-207366) (PMID:34039666)
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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 |
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Status: | Published |
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 > School 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 75(7): 498-502 |
Publisher Policy: | Reproduced in accordance with the publisher copyright policy |
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