Acceptability of chronic liver disease screening in a UK primary care setting: a qualitative evaluation

BMJ Open
Holly KnightManpreet Bains

Abstract

The increasing incidence of chronic liver disease (CLD) in the UK may be attributed to a rise in preventable risk factors, including hazardous alcohol use and type 2 diabetes. Transient elastography (TE) can rapidly stratify risk of CLD in primary care populations and provide an opportunity to raise patient awareness of risk factors.This study explores patients' experiences of TE screening in a primary care setting. In addition, patient awareness of CLD risk is explored. This study used a qualitative process evaluation of a community screening pathway for CLD (Nottingham, UK). Participants completed semistructured interviews, which were audio-recorded, transcribed verbatim and analysed thematically. Twenty adults were purposively recruited 6 months to 2 years after TE screening. Inclusion criteria included (1) hazardous alcohol use, (2) type 2 diabetes and/or (3) persistently elevated liver enzymes without known cause. Undergoing TE in primary care was seen as acceptable to most participants. Hazardous alcohol use was identified as the primary cause of CLD; no participants were aware of metabolic risk factors. TE improved understanding of personal risk factors and prompted contemplation of lifestyle changes across all TE strati...Continue Reading

References

Jul 4, 2006·Social Science & Medicine·Tim RapleyEileen Frances Kaner
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May 8, 2016·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Neeraj BhalaUNKNOWN Scottish Health and Ethnicity Linkage Study (SHELS) Collaboration
Jun 16, 2016·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Veronica Wendy SetiawanMazen Noureddin
Sep 1, 2017·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Raj VuppalanchiUNKNOWN NASH Clinical Research Network
Nov 11, 2017·Gut·Philip N NewsomeAndrew Yeoman
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Aug 31, 2019·Journal of Hepatology·Miquel Serra-BurrielUNKNOWN investigators of the LiverScreen Consortium

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Citations

Sep 12, 2021·Journal of Patient-reported Outcomes·Andy McKayRajarshi Banerjee

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Methods Mentioned

BETA
biopsy

Software Mentioned

NVivo

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