Read thread 👇 for key points about the Scarred Liver Project which demonstrates #EvidencetoImpact as we lead up to #WorldEBHCDay on 20 Oct.
Impact story by Neil Guha
Impact story by Neil Guha
Deaths from #LiverDisease in the UK continue to rise. In the majority of patients, liver disease is preventable and caused by lifestyle-related risk factors such as excessive alcohol use, type 2 #diabetes and #obesity.
In the UK, 50% of patients are first diagnosed with liver disease following an emergency admission to hospital with complications from liver failure. These patients have a reduced quality of life, a short life expectancy and expensive associated healthcare costs.
The aim of the Scarred Liver Project was to identify patients with liver disease much earlier.
The project team developed & piloted a new pathway in 2 GP practices in Nottingham in May 2013 to determine the practicality & success of a new approach: allowing GPs direct access to specialist tests in the community in order to assess at-risk patients for liver damage.
The project challenged practitioners and healthcare organisations about how they thought about these patients and the improvements in the service that they could provide, a ‘re-engineering [of] how primary care thinks about liver disease’.
Three other GP practices across the cities of Nottingham and Leicester adopted further pilot studies from 2014 to 2016 to further determine the success of the project within different socioeconomic and geographical areas.
Results from pilot studies led to the pathway being implemented into clinical practice in September 2016. The pathway is now accessible to more than 100 GP practices across South Nottinghamshire, serving a population of 700,000 people
Since implementation of the commissioned pathway into clinical practice in July 2020:
•4187 patients had a specialist test & received lifestyle advice;
•5.1% (215) patients were identified as having evidence of advanced liver disease consistent with severe irreversible scarring
•4187 patients had a specialist test & received lifestyle advice;
•5.1% (215) patients were identified as having evidence of advanced liver disease consistent with severe irreversible scarring
An economic evaluation demonstrated that this pathway is cost-effective compared to standard clinical practice.
Read more about the Scarred Liver Project and how it has had national and international influence at worldebhcday.org/stories/story?…
Also find links to resources
#Cirrhosis
Also find links to resources
#Cirrhosis
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