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建立本地登记系统以改善原发性胆汁性胆管炎患者的护理。

Setting Up a Local Registry to Improve the Care of Patients With Primary Biliary Cholangitis.

作者信息

Alrubaiy Laith, Oztumer Ceyhun A

机构信息

Gastroenterology, St. Mark's Hospital, London, GBR.

Gastroenterology and Hepatology, St. Mark's Hospital, London, GBR.

出版信息

Cureus. 2022 May 23;14(5):e25247. doi: 10.7759/cureus.25247. eCollection 2022 May.

Abstract

Primary biliary cholangitis (PBC) is a rare but progressive chronic disease of the liver. The national guidelines aim to standardise the care of patients with PBC across the UK. The guidelines also recommend routine screening for the presence of symptoms in patients with PBC, although none suggest how such screening should be achieved in clinical practice. We aim to develop a sustainable and comprehensive local registry for patients with PBC to examine current practice and help define long-term complications and survival. Setting up the registry involves working with several workstreams to identify the data required for the registry, technical IT infrastructure to support the data collection, and a steering committee to oversee the work of the PBC registry. This registry will involve patients aged ≥18 years from the London North West University Health Trust hospitals with a diagnosis of PBC as defined by the British Society of Gastroenterology (BSG) and the European Association for the Study of the Liver (EASL) criteria. Patients will not be subjected to any additional treatments or investigations as the registry will be part of routine clinical practice.

摘要

原发性胆汁性胆管炎(PBC)是一种罕见但会进展的慢性肝病。国家指南旨在规范全英国PBC患者的护理。这些指南还建议对PBC患者进行症状的常规筛查,不过没有提及在临床实践中应如何进行此类筛查。我们旨在为PBC患者建立一个可持续且全面的本地登记处,以检查当前的实践情况,并帮助确定长期并发症和生存率。建立登记处需要与多个工作流程合作,以确定登记处所需的数据、支持数据收集的技术信息技术基础设施,以及一个指导委员会来监督PBC登记处的工作。该登记处将纳入来自伦敦西北大学健康信托医院的年龄≥18岁、根据英国胃肠病学会(BSG)和欧洲肝脏研究协会(EASL)标准确诊为PBC的患者。由于该登记处将成为常规临床实践的一部分,患者不会接受任何额外的治疗或检查。

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本文引用的文献

1
Widespread gaps in the quality of care for primary biliary cholangitis in UK.英国原发性胆汁性胆管炎护理质量存在广泛差距。
Frontline Gastroenterol. 2021 Mar 9;13(1):32-38. doi: 10.1136/flgastro-2020-101713. eCollection 2022.
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Obeticholic acid for the treatment of primary biliary cirrhosis.奥贝胆酸用于治疗原发性胆汁性肝硬化。
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Primary biliary cirrhosis.原发性胆汁性肝硬化。
Lancet. 2011 May 7;377(9777):1600-9. doi: 10.1016/S0140-6736(10)61965-4. Epub 2011 Apr 28.

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