The changing place of liver biopsy in clinical practice: an audit of an Australian tertiary hospital | Zendy

Varma P. | Zendy; Jayasekera C. | Zendy; Gibson R. N. | Zendy; Stella D. L. | Zendy; Nicoll A. J. | Zendy

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The changing place of liver biopsy in clinical practice: an audit of an Australian tertiary hospital

Author(s) -

Varma P.,

Jayasekera C.,

Gibson R. N.,

Stella D. L.,

Nicoll A. J.

Publication year - 2014

Publication title -

internal medicine journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.596

H-Index - 70

eISSN - 1445-5994

pISSN - 1444-0903

DOI - 10.1111/imj.12503

Subject(s) - medicine , hepatology , audit , biopsy , liver biopsy , general surgery , clinical practice , retrospective cohort study , gastroenterology , intensive care medicine , family medicine , management , economics

Liver biopsy is an important tool in hepatology, with a role now generally limited to cases of diagnostic uncertainty. A retrospective audit performed at the R oyal M elbourne H ospital aimed to identify the indications for liver biopsy and its impact on management. Ten per cent (20/195) of biopsies lacked a strong clinical indication, with hepatology involvement in only 8/20. We recommend prior hepatologist assessment to minimise unnecessary biopsies.

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