Simplified care-pathway selection for nonspecialist practice: the GLOBAL Primary Biliary Cholangitis Study Group Age, Bilirubin, Alkaline phosphatase risk assessment tool.
Document Type
Article
Publication Date
12-14-2020
Publication Title
European journal of gastroenterology & hepatology
Abstract
BACKGROUND: Opportunity to redefine the care journeys for those living with primary biliary cholangitis (PBC) includes facilitating access to enhanced (PBC-dedicated) programmes by nonspecialist risk 'flagging' of patients.
OBJECTIVE: To develop a nonexpert PBC stratification tool to help care pathway choices (standard vs. enhanced) choices in PBC.
METHODS: We included ursodeoxycholic acid-treated patients with PBC from the Global PBC Study Group. The performance of baseline and 1-year clinical markers with transplant-free survival was assessed to develop the 'ABA' tool using Age (A), Bilirubin (B), and Alkaline phosphatase (A). Added value of fibrosis estimation was assessed.
RESULTS: 'ABA' classification mapped three risk groups (n = 2226): low [Age > 50 years, bilirubin ≤ 1 × ULN, alkaline phosphatase (ALP) ≤ 3 × ULN], high (Age ≤ 50 years, bilirubin > 1 × ULN, ALP > 3 × ULN), and intermediate (other). Transplant-free survival at 10 years in the low-, intermediate-, and high-risk groups were 89, 77, and 59% at baseline and 86, 76, and 40% at 1 year, respectively. We propose that high-risk patients at baseline be directly triaged to enhanced (PBC-dedicated) care and the remaining be reassessed at 1 year. Modelling showed after 1 year 46% patients were proposed to enhanced care and 54% to standard care. The 'ABA' mapped pathways facilitated identification of patients at risk based on a young age, as compared to traditional liver biochemical stratification. In patients proposed to standard care, estimated fibrosis stage had ongoing prognostic value.
CONCLUSION: Nonspecialist use of the 'ABA' risk tool could prioritize care journey choices for patients with PBC.
Clinical Institute
Digestive Health
Department
Gastroenterology
Department
Hepatology
Department
Swedish Digestive Health Institute
Recommended Citation
Murillo Perez, Carla F; Gulamhusein, Aliya; Carbone, Marco; Trivedi, Palak J; van der Meer, Adriaan J; Corpechot, Christophe; Battezzati, Pier Maria; Lammers, Willem J; Cazzagon, Nora; Floreani, Annarosa; Parés, Albert; Nevens, Frederik; Lleo, Ana; Mayo, Marlyn J; Kowdley, Kris V; Ponsioen, Cyriel Y; Dalekos, George N; Gatselis, Nikolaos K; Thorburn, Douglas; Mason, Andrew L; Janssen, Harry; Verhelst, Xavier; Bruns, Tony; Lindor, Keith D; Chazouillères, Olivier; Invernizzi, Pietro; Hansen, Bettina E; Hirschfield, Gideon M; and GLOBAL PBC Study Group, "Simplified care-pathway selection for nonspecialist practice: the GLOBAL Primary Biliary Cholangitis Study Group Age, Bilirubin, Alkaline phosphatase risk assessment tool." (2020). Articles, Abstracts, and Reports. 4236.
https://digitalcommons.providence.org/publications/4236
