Failure in all steps of hepatocellular carcinoma surveillance process is frequent in daily practice

Failure in all steps of hepatocellular carcinoma surveillance process is frequent in daily practice

Introduction and objectives: Failures at any step in the hepatocellular carcinoma (HCC) surveillance process can result in HCC diagnostic delays and associated worse prognosis. We aimed to estimate the prevalence of surveillance failure and its associated risk factors in patients with HCC in Argenti...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Melisa Dirchwolf, Sebastián Marciano, Andres E. Ruf, Amit G. Singal, Vanina D'Ercole, Paola Coisson, Alina Zerega, Federico Orozco, Ana Palazzo, Eduardo Fassio, Diego Arufe, Margarita Anders, Claudia D'Amico, Luis Gaite, Marcos Thompson, Daniela Perez, Leila Haddad, Ezequiel Demirdjian, Moira Zunino, Adrián Gadano, María Dolores Murga, Carla Bermudez, Jesica Tomatis, Nadia Grigera, Florencia Antinucci, Manuel Baravalle, Maria Mercedes Rodriguez Gazari, Melina Ferreiro, Manuel Barbero, Andrea Curia, Manuel Demonte, Gisela Gualano
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
Materias:
Liver cancer
Screening
Failure
Alpha fetoprotein
Cirrhosis
Specialties of internal medicine
RC581-951
Acceso en línea:https://doaj.org/article/148f48033b174727940f3a48ccc6adc6
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
Descripción
Sumario:Introduction and objectives: Failures at any step in the hepatocellular carcinoma (HCC) surveillance process can result in HCC diagnostic delays and associated worse prognosis. We aimed to estimate the prevalence of surveillance failure and its associated risk factors in patients with HCC in Argentina, considering three steps: 1) recognition of at-risk patients, 2) implementation of HCC surveillance, 3) success of HCC surveillance. Methods: We performed a multi-center cross-sectional study of patients at-risk for HCC in Argentina seen between10.01.2018 and 10.30.2019. Multivariable logistic regression analysis was used to identify correlates of surveillance failure. Results: Of 301 included patients, the majority were male (74.8%) with a mean age of 64 years old. At the time of HCC diagnosis, 75 (25%) patients were unaware of their diagnosis of chronic liver disease, and only 130 (43%) patients were under HCC surveillance. Receipt of HCC surveillance was significantly associated with follow-up by a hepatologist. Of 119 patients with complete surveillance, surveillance failure occurred in 30 (25%) patients. Surveillance failure was significantly associated with alpha fetoprotein ≥20 ng/mL (OR 4.0, CI 95% 1.43−11.55). Conclusions: HCC surveillance failure was frequent in all the evaluated steps. These data should help guide strategies to improve the implementation and results of HCC surveillance in our country.

Ejemplares similares