Please use this identifier to cite or link to this item:
https://hdl.handle.net/10316/113848
DC Field | Value | Language |
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dc.contributor.author | Haring, Martijn P. D. | - |
dc.contributor.author | de Haas, Robbert J. | - |
dc.contributor.author | van Vilsteren, Frederike G. I. | - |
dc.contributor.author | Klaase, Joost M. | - |
dc.contributor.author | Duiker, Evelien W. | - |
dc.contributor.author | Blokzijl, Hans | - |
dc.contributor.author | de Jong, Koert P. | - |
dc.contributor.author | de Meijer, Vincent E. | - |
dc.contributor.author | Cuperus, Frans J. C. | - |
dc.contributor.author | Alves, Filipe Caseiro | - |
dc.contributor.author | Alexandrino, H. | - |
dc.contributor.author | et al. | - |
dc.date.accessioned | 2024-03-06T09:11:57Z | - |
dc.date.available | 2024-03-06T09:11:57Z | - |
dc.date.issued | 2023-03 | - |
dc.identifier.issn | 22107401 | pt |
dc.identifier.uri | https://hdl.handle.net/10316/113848 | - |
dc.description.abstract | Background: Management of focal nodular hyperplasia (FNH) and hepatocellular adenoma (HCA), is multidisciplinary and subject to practice variation. We aimed to evaluate variation in clinical management of FNH and HCA in Europe. Methods: We distributed an online survey (November 2021 March 2022) among 294 European experts. The survey included questions on local practice and included eight clinical vignettes. The clinical vignettes focused on FNH or HCA management in the setting of sex, lifestyle modification, and pregnancy. Results: The response rate was 32% and respondents included surgeons (38%), gastroenterologists/ hepatologists (25%), radiologists (32%), and pathologists (1.6%) from ten European countries. We observed practice variation with regard to lifestyle modification and imaging follow-up in patients with FNH, and with regard to the management of HCA >5 cm before and during pregnancy. Finally, the management of HCA >5 cm after lifestyle modification deviated from EASL guideline recommendations. Conclusion: Our survey illustrates variability in FNH and HCA management in Europe. Several areas were identified for future research and guideline recommendations, including FNH followup and the management of HCA >5 cm. We propose the organization of Delphi consensus meetings to prioritize areas of research and update current guidelines to optimize management for all patients with benign liver tumors. | pt |
dc.language.iso | eng | pt |
dc.publisher | Elsevier | pt |
dc.rights | openAccess | pt |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | pt |
dc.subject | Liver neoplasms | pt |
dc.subject | Hepatic adenoma | pt |
dc.subject | Focal nodular hyperplasia | pt |
dc.subject | Surveys and questionnaires | pt |
dc.subject.mesh | Humans | pt |
dc.subject.mesh | Europe | pt |
dc.subject.mesh | Liver | pt |
dc.subject.mesh | Diagnosis, Differential | pt |
dc.subject.mesh | Magnetic Resonance Imaging | pt |
dc.subject.mesh | Contrast Media | pt |
dc.subject.mesh | Liver Neoplasms | pt |
dc.subject.mesh | Adenoma, Liver Cell | pt |
dc.subject.mesh | Focal Nodular Hyperplasia | pt |
dc.title | Variation in the management of benign liver tumors: A European survey and case vignette study | pt |
dc.type | article | - |
degois.publication.firstPage | 102094 | pt |
degois.publication.issue | 3 | pt |
degois.publication.title | Clinics and Research in Hepatology and Gastroenterology | pt |
dc.peerreviewed | yes | pt |
dc.identifier.doi | 10.1016/j.clinre.2023.102094 | pt |
degois.publication.volume | 47 | pt |
dc.date.embargo | 2023-03-01 | * |
uc.date.periodoEmbargo | 0 | pt |
item.grantfulltext | open | - |
item.cerifentitytype | Publications | - |
item.languageiso639-1 | en | - |
item.openairetype | article | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.fulltext | Com Texto completo | - |
crisitem.author.researchunit | CNC - Center for Neuroscience and Cell Biology | - |
crisitem.author.orcid | 0000-0001-9397-6149 | - |
Appears in Collections: | FMUC Medicina - Artigos em Revistas Internacionais |
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File | Description | Size | Format | |
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Variation in the management of benign liver tumors A European survey and case vignette study.pdf | 859.03 kB | Adobe PDF | View/Open |
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This item is licensed under a Creative Commons License