| Revista: | Annals of hepatology |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000415007 |
| ISSN: | 1665-2681 |
| Autors: | Farah Al Hasani1 Knoepfli, Marina1 Gemperli, Armin2 Kollar, Attila1 Banz, Vanessa1 Kettenbach, Joachim1 Juni, Peter1 Dufour, Jean-Francois1 |
| Institucions: | 1University of Bern, Inselspital, Berna. Suiza 2University of Bern, Institut of Social and Preventive Medicine, Berna. Suiza |
| Any: | 2014 |
| Període: | Mar-Abr |
| Volum: | 13 |
| Número: | 2 |
| Paginació: | 204-210 |
| País: | México |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | Hepatocellular carcinoma (HCC) is a frequent cancer. Its prognosis is highly dependent on early diagnosis. Patients at risk for developing HCC should be enrolled in a surveillance programme. Nevertheless, many patients at risk are not regularly screened. We aimed at exploring the characteristics that affect enrolment in a surveillance programme. Material and methods. The characteristics of the patients included in the prospective Bern HCC cohort between August 2010 and August 2011 were analysed according to their participation in a surveillance programme. Results. Among the 82 patients included in the cohort during this period of time, 48 were in a surveillance program before the diagnosis of HCC. Thirty five percent of cirrhotic patients were not screened. Age, sex, level of education, Child-Pugh status and MELD score were similar between the patients who were screened and those who were not screened. Patients with a private insurance and patients treated by a liver specialist were more frequently enrolled in a surveillance program. Sixty seven percent of the screened patients were eligible for curative treatment whereas only 15% of the non-screened patients were. Conclusions. In conclusion the surveillance of patients at risk for developing HCC increases their chances to be diagnosed at an early stage to allow curative treatment. More than one third of cirrhotic patients were not regularly screened. Patients with chronic liver disease should be referred to identify those at risk and enrol them in a surveillance program |
| Disciplines | Medicina |
| Paraules clau: | Diagnóstico, Gastroenterología, Oncología, Carcinoma hepatocelular, Programas de vigilancia, Factores de riesgo, Función hepática, Carga tumoral |
| Keyword: | Medicine, Diagnosis, Gastroenterology, Oncology, Hepatocellular carcinoma, Surveillance programs, Risk factors, Liver function, Tumor burden |
| Text complet: | Texto completo (Ver PDF) |
