RT Journal Article
SR Electronic
T1 A template for a clinico-pathological audit of medical liver biopsies
JF Journal of Clinical Pathology
JO J Clin Pathol
FD BMJ Publishing Group Ltd and Association of Clinical Pathologists
SP 935
OP 937
DO 10.1136/jclinpath-2015-203023
VO 68
IS 11
A1 Richard Colling
A1 Eve Fryer
A1 Jeremy Cobbold
A1 Jane Collier
A1 Elena Collantes
A1 Lai Mun Wang
A1 Stefan Hubscher
A1 Judith Wyatt
A1 Kenneth Fleming
YR 2015
UL http://jcp.bmj.com/content/68/11/935.abstract
AB Aims With changing indications for performing medical liver biopsies, we aimed to develop a tool to allow pathologists to evaluate the current usefulness, value and impact of their medical liver biopsy service.Methods We designed and piloted a questionnaire-based clinico-pathological audit for medical liver biopsies.Results The audit tool was simple to implement and provided useful information about our service. Hepatologists felt that 96% of reports were clinically useful. 56% of biopsies confirmed clinical diagnoses, 46% helped differentiate between diagnoses and 42% were able to exclude possible diagnoses. 74% resulted in a change of management and 27% of liver biopsies resulted in a diagnosis which was not clinically suspected.Conclusions We demonstrate the usefulness of an audit tool in providing evidence of the value of the liver pathology service in a large UK regional centre.