Development of a decision support tool to facilitate primary care management of patients with abnormal liver function tests without clinically apparent liver disease
2007

Decision Support Tool for Managing Abnormal Liver Function Tests

Sample size: 99000 publication Evidence: moderate

Author Information

Author(s): Donnan Peter T, McLernon David, Steinke Douglas, Ryder Stephen, Roderick Paul, Sullivan Frank M, Rosenberg William, Dillon John F

Primary Institution: University of Dundee

Hypothesis

What is the natural history of abnormalities in liver function tests before overt liver disease presents in the population?

Conclusion

The study aims to identify patients who require minimal further investigations, potentially reducing NHS costs.

Supporting Evidence

  • The study will utilize the ELDIT database to determine outcomes of liver disease.
  • Approximately 25% of patients with abnormal liver function tests are dead within a year.
  • The study aims to reduce unnecessary investigations and costs for the NHS.

Takeaway

This study looks at how to help doctors decide what to do when a liver test shows something unusual, so they can avoid unnecessary tests and costs.

Methodology

A population-based retrospective cohort study will follow up patients with abnormal liver function tests over 15 years.

Potential Biases

Potential bias due to missing data from some peripheral hospitals.

Limitations

The study may not account for all patients with liver disease who were not included in the initial tests.

Participant Demographics

Patients registered with a GP in Tayside, Scotland, with no clinical signs of liver disease.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6963-7-54

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