Evidence map›Paper›PMID 37797967›Full record

ArticleBMJ open gastroenterology2023

Quality standards for the management of alcohol-related liver disease: consensus recommendations from the British Association for the Study of the Liver and British Society of Gastroenterology ARLD special interest group.

Richard Parker, Michael Allison, Seonaid Anderson, Richard Aspinall, Sara Bardell, Vikram Bains, Ryan Buchanan, Lynsey Corless, Ian Davidson, Pauline Dundas and 34 more

Open access · goldAbstract readConsensus Statement
In one paragraph

Article in BMJ open gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Article
  3. Management of acute decompensated cirrhosis.Clinical medicine (London, England) · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Alcohol-related liver disease.Hepatobiliary surgery and nutrition · 2024
    Article
  9. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

44 authors at 20 institutions in 1 country.

Richard ParkerLeeds Liver Unit, Leeds Teaching Hospitals NHS Trust, Leeds, UK richardparker@nhs.net.ORCID 0000-0003-4888-8670
Michael AllisonCambridge Liver Unit, Addenbrooke's Hospital, Cambridge, UK.
Seonaid AndersonAngus Integrated Drug and Alcohol Recovery Service (AIDARS), Ninewells Hospital and Medical School, Dundee, UK.
Richard AspinallGastroenterology & Hepatology, Portsmouth Hospitals NHS Trust, Portsmouth, UK.
Sara BardellBirmingham Liver Services Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Vikram BainsLiver Transplant Unit, King's College Hospital NHS Foundation Trust, London, UK.
Ryan BuchananFaculty of Medicine, University of Southampton, Southampton, UK.
Lynsey CorlessDepartment of Gastroenterology, Hepatology and Endoscopy, Hull University Teaching Hospitals NHS Trust, Hull, UK.
Ian DavidsonNHS Fife Addiction Services, NHS Fife, Kirkcaldy, UK.
Pauline DundasPeter Brunt Centre, Aberdeen Royal Infirmary, NHS Grampian, Aberdeen, UK.
Jeff FernandezAlcohol and Drug Liaison, Royal Free London NHS Foundation Trust, London, UK.
Ewan ForrestDept of Gastroenterology, Glasgow Royal Infirmary, Glasgow, UK.
Erica ForsterLeeds Liver Unit, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Dennis FreshwaterBirmingham Liver Services Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Ruth GailerIslington Primary Care Federation, London, UK.
Robert GoldinDepartment of Digestive Diseases, Department of Medicine, Imperial College London, London, UK.
Vanessa HebditchBritish Liver Trust, Ringwood, UK.
Steve HoodDigestive Diseases Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
Arron JonesPharmacy, Barts and The London NHS Trust, London, UK.
Victoria LaversIndependent researcher, Plymouth, UK.
Deborah LindsayAlcohol Care Team, East Lancashire Hospitals NHS Trust, Blackburn, UK.
James MauriceGastroenterology and hepatology, North Bristol NHS Trust, Westbury on Trym, UK.
Joanne McDonaghBirmingham Liver Services Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Sarah MorganHampstead Group Practice, London, UK.
Tania NurunDepartment of Gastroenterology, Hepatology and Endoscopy, Hull University Teaching Hospitals NHS Trust, Hull, UK.
Christopher OldroydCambridge Liver Unit, Addenbrooke's Hospital, Cambridge, UK.
Elizabeth OxleySt Martins Practice, Leeds, UK.
Sally PannifexHepatology, St George's Healthcare NHS Trust, London, UK.
Graham ParsonsHepatology, Plymouth Hospitals NHS Trust, Plymouth, UK.
Thomas PhillipsFaculty of Health Sciences, University of Hull, Hull, UK.
Nicole RainfordLiver Transplant Unit, King's College Hospital NHS Foundation Trust, London, UK.
Neil RajoriyaBirmingham Liver Services Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Paul RichardsonGastroenterology and Hepatology, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK.
J RyanSheila Sherlock Liver Centre, Royal Free London NHS Foundation Trust, London, UK.
Joanne SayerGastroenterology, Doncaster and Bassetlaw Hospitals NHS Foundation Trust, Doncaster, UK.
Mandy SmithAlcohol care team, Southport and Ormskirk Hospital NHS Trust, Southport, UK.
Ankur SrivastavaGastroenterology and hepatology, North Bristol NHS Trust, Westbury on Trym, UK.
Emma StennettGastroenterology, Guy's and St Thomas' Hospitals NHS Trust, London, UK.
Jennifer ToweyBirmingham Liver Services Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.ORCID 0000-0002-7320-5328
Roya VaziriHumankind, Durham, UK.
Ian WebzellLiver Transplant Unit, King's College Hospital NHS Foundation Trust, London, UK.
Andrew WellsteadGastroenterology, University Hospitals Dorset NHS Foundation Trust, Poole, UK.
Ashwin DhandaFaculty of health, University of Plymouth, Plymouth, UK.
Steven MassonLiver unit, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK.ORCID 0000-0003-1041-9844
University Hospitals Birmingham NHS Foundation Trust · GBKing's College Hospital NHS Foundation Trust · GBAddenbrooke's Hospital · GBNorth Bristol NHS Trust · GBRoyal Free London NHS Foundation Trust · GBAberdeen Royal Infirmary · GBBarts Health NHS Trust · GBBassetlaw Hospital · GBEast Lancashire Hospitals NHS Trust · GBGlasgow Royal Infirmary · GBImperial College London · GBLeeds Teaching Hospitals NHS Trust · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBNHS Fife · GBNinewells Hospital · GBPlymouth Hospital · GBPoole Hospital · GBPortsmouth Hospitals NHS Trust · GBRoyal Liverpool and Broadgreen University Hospital NHS Trust · GBSouthport and Ormskirk Hospital NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAlcohol-related liver disease (ALD) is the most common cause of liver-related ill health and liver-related deaths in the UK, and deaths from ALD have doubled in the last decade. The management of ALD requires treatment of both liver disease and alcohol use; this necessitates effective and constructive multidisciplinary working. To support this, we have developed quality standard recommendations for the management of ALD, based on evidence and consensus expert opinion, with the aim of improving patient care.

designA multidisciplinary group of experts from the British Association for the Study of the Liver and British Society of Gastroenterology ALD Special Interest Group developed the quality standards, with input from the British Liver Trust and patient representatives.

resultsThe standards cover three broad themes: the recognition and diagnosis of people with ALD in primary care and the liver outpatient clinic; the management of acutely decompensated ALD including acute alcohol-related hepatitis and the posthospital care of people with advanced liver disease due to ALD. Draft quality standards were initially developed by smaller working groups and then an anonymous modified Delphi voting process was conducted by the entire group to assess the level of agreement with each statement. Statements were included when agreement was 85% or greater. Twenty-four quality standards were produced from this process which support best practice. From the final list of statements, a smaller number of auditable key performance indicators were selected to allow services to benchmark their practice and an audit tool provided.

conclusionIt is hoped that services will review their practice against these recommendations and key performance indicators and institute service development where needed to improve the care of patients with ALD.

Indexed as

GastroenterologyLiver DiseasesHumansPublic OpinionALCOHOLALCOHOLIC LIVER DISEASELIVER

Identifiers

PMID37797967
PMCPMC10551993
OpenAlexW4387372210

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.