Recommendations and quality criteria to improve the early diagnosis of primary biliary cholangitis
Objective: The study aimed to establish recommendations and quality criteria to enhance the healthcare process of PBC. Patients and methods: It was conducted using qualitative techniques, preceded by a literature review. A consensus conference involving five specialists in the field was held, follow...
| Authors: | , , , , , , , , |
|---|---|
| Format: | article |
| Status: | Published version |
| Publication Date: | 2024 |
| Country: | España |
| Institution: | Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) |
| Repository: | r-FISABIO. Repositorio Institucional de Producción Científica |
| OAI Identifier: | oai:fisabio.fundanetsuite.com:p16282 |
| Online Access: | https://fisabio.portalinvestigacion.com/publicaciones/16282 |
| Access Level: | Open access |
| Keyword: | Primary biliary cholangitis Early diagnosis Quality criteria Indicators |
| Summary: | Objective: The study aimed to establish recommendations and quality criteria to enhance the healthcare process of PBC. Patients and methods: It was conducted using qualitative techniques, preceded by a literature review. A consensus conference involving five specialists in the field was held, followed by a Delphi process developed in two waves, in which 30 specialist physicians in family and community medicine, digestive system and internal medicine were invited to participate. Results: Seven recommendations and 15 sets of quality criteria, indicators and standards were obtained. Those with the highest consensus were << Know the impact on the patient's quality of life. Consider their point of view and agree on recommendations and care>> and << Evaluate possible fibrosis at the time of diagnosis and during PBC follow-up, assessing the evolution of factors associated with poor disease prognosis: noninvasive fibrosis (elastography > 2.1 kPa/year), GGT, Conclusions: The implementation of the consensus recommendations and criteria would provide better patient care. The need for multidisciplinary follow-up and an increased role of primary care is emphasized. (c) 2023 The Authors. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
|---|