Using transient elastography to detect chronic liver diseases in a primary care nurse consultancy
Background: Chronic liver diseases (CLDs) are significant causes of death in adults in many countries and are usually diagnosed at late stages. Early detection may allow time for treatment to prevent disease progression. Objectives: The aim of this study was to assess the feasibility of screening fo...
| Autores: | , , , , , , , , |
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| Formato: | artículo |
| Estado: | Versión aceptada para publicación |
| Fecha de publicación: | 2013 |
| País: | España |
| Recursos: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:2445/54184 |
| Acesso em linha: | https://hdl.handle.net/2445/54184 |
| Access Level: | acceso abierto |
| Palavra-chave: | Malalties del fetge Malalts crònics Infermeria en l'atenció primària Liver diseases Chronically ill Primary nursing |
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Using transient elastography to detect chronic liver diseases in a primary care nurse consultancyFabrellas i Padrès, NúriaAlemany, MagdaUrquizu, MartaBartrés, ConcepcióPera Blanco, GuillemJuvé Udina, EulàliaRodríguez, LluísTorán, PereCaballería Rovira, LlorençMalalties del fetgeMalalts crònicsInfermeria en l'atenció primàriaLiver diseasesChronically illPrimary nursingBackground: Chronic liver diseases (CLDs) are significant causes of death in adults in many countries and are usually diagnosed at late stages. Early detection may allow time for treatment to prevent disease progression. Objectives: The aim of this study was to assess the feasibility of screening for unrecognized CLDs in a primary care nurse consultancy and report findings from screening. Methods: Two experienced nurses in a primary care nurse consultancy were trained to perform transient elastography (TE). Subjects aged from 18 to 70 years were identified randomly from the health registry and invited to participate in a feasibility pilot study. Exclusion criteria were past or current history of liver diseases. Nurses collected demographic and clinical data and performed TE tests using Fibroscan tomeasure liver stiffness; a cutoff score of 6.8 kPa or greater was used as an indicator of the presence of CLD with fibrosis. Results: Accurate measurements were obtained in 495 of 502 participants (98.6%). Prevalence of elevated liver stiffness was observed in 28 of 495 subjects (5.7%). Compared to patients with normal liver stiffness, patients with increased liver stiffness were older, were more frequently male, and had higher frequency of metabolic syndrome. Nonalcoholic fatty liver was the most common cause of CLD. Discussion: Following training in procedures for conducting TE, nurses in a primary care clinic were able to detect unrecognized CLDs in presumably healthy subjects. Early detection of CLDs is feasible in primary care clinics and may facilitate identification of undiagnosed CLD in adults.Lippincott, Williams & Wilkins. Wolters Kluwer Health2014201420132014info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersion5 p.application/pdfapplication/pdfhttps://hdl.handle.net/2445/54184Articles publicats en revistes (Infermeria Fonamental i Clínica)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésVersió postprint del document publicat a: http://dx.doi.org/10.1097/NNR.0000000000000001Nursing Research, 2013, vol. 62, num. 6, p. 450-454http://dx.doi.org/10.1097/NNR.0000000000000001(c) Lippincott, Williams & Wilkins. Wolters Kluwer Health, 2013info:eu-repo/semantics/openAccessoai:recercat.cat:2445/541842026-05-29T05:05:01Z |
| dc.title.none.fl_str_mv |
Using transient elastography to detect chronic liver diseases in a primary care nurse consultancy |
| title |
Using transient elastography to detect chronic liver diseases in a primary care nurse consultancy |
| spellingShingle |
Using transient elastography to detect chronic liver diseases in a primary care nurse consultancy Fabrellas i Padrès, Núria Malalties del fetge Malalts crònics Infermeria en l'atenció primària Liver diseases Chronically ill Primary nursing |
| title_short |
Using transient elastography to detect chronic liver diseases in a primary care nurse consultancy |
| title_full |
Using transient elastography to detect chronic liver diseases in a primary care nurse consultancy |
| title_fullStr |
Using transient elastography to detect chronic liver diseases in a primary care nurse consultancy |
| title_full_unstemmed |
Using transient elastography to detect chronic liver diseases in a primary care nurse consultancy |
| title_sort |
Using transient elastography to detect chronic liver diseases in a primary care nurse consultancy |
| dc.creator.none.fl_str_mv |
Fabrellas i Padrès, Núria Alemany, Magda Urquizu, Marta Bartrés, Concepció Pera Blanco, Guillem Juvé Udina, Eulàlia Rodríguez, Lluís Torán, Pere Caballería Rovira, Llorenç |
| author |
Fabrellas i Padrès, Núria |
| author_facet |
Fabrellas i Padrès, Núria Alemany, Magda Urquizu, Marta Bartrés, Concepció Pera Blanco, Guillem Juvé Udina, Eulàlia Rodríguez, Lluís Torán, Pere Caballería Rovira, Llorenç |
| author_role |
author |
| author2 |
Alemany, Magda Urquizu, Marta Bartrés, Concepció Pera Blanco, Guillem Juvé Udina, Eulàlia Rodríguez, Lluís Torán, Pere Caballería Rovira, Llorenç |
| author2_role |
author author author author author author author author |
| dc.subject.none.fl_str_mv |
Malalties del fetge Malalts crònics Infermeria en l'atenció primària Liver diseases Chronically ill Primary nursing |
| topic |
Malalties del fetge Malalts crònics Infermeria en l'atenció primària Liver diseases Chronically ill Primary nursing |
| description |
Background: Chronic liver diseases (CLDs) are significant causes of death in adults in many countries and are usually diagnosed at late stages. Early detection may allow time for treatment to prevent disease progression. Objectives: The aim of this study was to assess the feasibility of screening for unrecognized CLDs in a primary care nurse consultancy and report findings from screening. Methods: Two experienced nurses in a primary care nurse consultancy were trained to perform transient elastography (TE). Subjects aged from 18 to 70 years were identified randomly from the health registry and invited to participate in a feasibility pilot study. Exclusion criteria were past or current history of liver diseases. Nurses collected demographic and clinical data and performed TE tests using Fibroscan tomeasure liver stiffness; a cutoff score of 6.8 kPa or greater was used as an indicator of the presence of CLD with fibrosis. Results: Accurate measurements were obtained in 495 of 502 participants (98.6%). Prevalence of elevated liver stiffness was observed in 28 of 495 subjects (5.7%). Compared to patients with normal liver stiffness, patients with increased liver stiffness were older, were more frequently male, and had higher frequency of metabolic syndrome. Nonalcoholic fatty liver was the most common cause of CLD. Discussion: Following training in procedures for conducting TE, nurses in a primary care clinic were able to detect unrecognized CLDs in presumably healthy subjects. Early detection of CLDs is feasible in primary care clinics and may facilitate identification of undiagnosed CLD in adults. |
| publishDate |
2013 |
| dc.date.none.fl_str_mv |
2013 2014 2014 2014 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion |
| format |
article |
| status_str |
acceptedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/2445/54184 |
| url |
https://hdl.handle.net/2445/54184 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
Versió postprint del document publicat a: http://dx.doi.org/10.1097/NNR.0000000000000001 Nursing Research, 2013, vol. 62, num. 6, p. 450-454 http://dx.doi.org/10.1097/NNR.0000000000000001 |
| dc.rights.none.fl_str_mv |
(c) Lippincott, Williams & Wilkins. Wolters Kluwer Health, 2013 info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
(c) Lippincott, Williams & Wilkins. Wolters Kluwer Health, 2013 |
| eu_rights_str_mv |
openAccess |
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5 p. application/pdf application/pdf |
| dc.publisher.none.fl_str_mv |
Lippincott, Williams & Wilkins. Wolters Kluwer Health |
| publisher.none.fl_str_mv |
Lippincott, Williams & Wilkins. Wolters Kluwer Health |
| dc.source.none.fl_str_mv |
Articles publicats en revistes (Infermeria Fonamental i Clínica) reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Recercat. Dipósit de la Recerca de Catalunya |
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Recercat. Dipósit de la Recerca de Catalunya |
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