Ethnicity influences pain after ultrasound-guided percutaneous liver biopsy

European Journal of Gastroenterology & Hepatology
Sanjiv MahadevaAnushya Vijayananthan

Abstract

The influence of ethnicity on pain complicating ultrasound-guided percutaneous liver biopsy (US-guided PLB) and its clinical impact has not been reported to date. Consecutive adults from a multiethnic background, undergoing an US-guided PLB, were independently assessed for pain up to 6 h after the procedure. Clinical and demographic parameters were analysed to determine independent predictors of significant pain after PLB. Willingness to undergo a repeat procedure was assessed 1 week after PLB. Data from 203 patients (median age 50 years; 43.9% female; ethnicity: Malay 41.5%, Chinese 40%, Indian 18%; median BMI 27.7 kg/m; median waist circumference 92.0 cm) were analysed. Pain after US-guided PLB was experienced in 133 (61.1%) patients, with severity grades as follows: none, n=81 (39.9%); mild, n=56 (27.6%); moderate, n=51 (25.1%); and severe, n=15 (7.4%). Analgesia requirements correlated well with severity of pain. Independent predictors of significant pain after PLB (moderate and severe categories) in patients included age less than 50 years [odds ratio (OR) 3.0], female sex (OR 3.7), Indian ethnicity (OR 2.9) and Malay ethnicity (OR 2.7), but not number of needle passes, BMI and educational levels. Patients who experienced ...Continue Reading

References

May 1, 1996·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·K D LindorA R Zinsmeister
Dec 28, 1999·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·L CastéraC Buffet
Aug 29, 2000·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·J F CadranelF Degos
Oct 25, 2002·Digestive Diseases and Sciences·Thomas R Riley
Apr 23, 2003·Anesthesia and Analgesia·E EisenbergY Baruch
Dec 4, 2003·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Peter J Scheuer
Sep 10, 2005·Journal of Vascular and Interventional Radiology : JVIR·Kong T TanChia S Ho
Oct 9, 2007·Liver International : Official Journal of the International Association for the Study of the Liver·Bandar Al Knawy, Mitchell Shiffman
Jun 14, 2008·The Journal of Pain : Official Journal of the American Pain Society·Ene-Choo TanAlex T Sia
Aug 12, 2009·Hepatology International·Gamal ShihaUNKNOWN Jury of the APASL Consensus Development Meeting 29 January 2008 on Liver Fibrosis With Without Hepatitis B or C
Apr 7, 2010·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Leonard B SeeffUNKNOWN HALT–C Trial Group

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Citations

Mar 3, 2019·Liver International : Official Journal of the International Association for the Study of the Liver·Kee-Huat ChuahWah-Kheong Chan
Jan 8, 2020·Journal of Gastroenterology and Hepatology·Kee-Huat ChuahWah-Kheong Chan
Jan 31, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Guo TianLanjuan Li
Oct 22, 2019·JGH Open : an Open Access Journal of Gastroenterology and Hepatology·Sivesh K KamarajahSanjiv Mahadeva
Jun 16, 2021·Digestive Diseases and Sciences·Helena B Thomaides-BrearsDonna R H Cryer

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Methods Mentioned

BETA
biopsy
sedation

Software Mentioned

SPSS

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