Evidence map›Paper›PMID 42022629›Full record

ArticleHealth science reports2026

The Role of the Multidisciplinary Team in the Management of Complex Cases of Liver Disease in a Peripheral Hospital: A Retrospective Analysis of MDT Registry.

Gabriele A Vassallo, Tommaso Dionisi, Angelo Randazzo, Antonio Limblici, Monica Failla, Marcella Ferraro, Oriana Maiorana, Eleonora Taibi, Filomena Pietrantonio, Francesca Brovelli and 2 more

Abstract read
In one paragraph

Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Gabriele A VassalloInternal Medicine Unit Barone Lombardo Hospital Canicattì Agrigento Italy.
Tommaso DionisiInternal Medicine and Alcohol Related Disease Unit, Columbus-Gemelli Hospital Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.ORCID https://orcid.org/0000-0002-2196-076X
Angelo RandazzoRadiology Unit Barone Lombardo Hospital Canicattì Agrigento Italy.
Antonio LimbliciSurgery Unit Barone Lombardo Hospital Canicattì Agrigento Italy.
Monica FaillaInternal Medicine Unit Barone Lombardo Hospital Canicattì Agrigento Italy.
Marcella FerraroRadiology Unit Barone Lombardo Hospital Canicattì Agrigento Italy.
Oriana MaioranaOncology Unit Barone Lombardo Hospital Canicattì Agrigento Italy.
Eleonora TaibiOncology Unit Barone Lombardo Hospital Canicattì Agrigento Italy.
Filomena PietrantonioInternal Medicine Unit, Medical Area Department Castelli Hospital Rome Italy.
Francesca BrovelliRadiology Unit Barone Lombardo Hospital Canicattì Agrigento Italy.
Giovanni AddoloratoInternal Medicine and Alcohol Related Disease Unit, Columbus-Gemelli Hospital Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy.
Giuseppe AugelloInternal Medicine Unit Barone Lombardo Hospital Canicattì Agrigento Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: In liver disease (LD), multidisciplinary teams (MDTs) support complex decision-making and may improve care delivery. The present study aims to evaluate the role of a multidisciplinary approach in complex cases of LD in a peripheral hospital. Methods: We retrospectively analyzed a prospectively maintained MDT registry. Since November 2023, consecutive complex cases referred to the Liver Disease Outpatient Clinic of Barone Lombardo Hospital were discussed in MDT meetings. The initial proposals of clinicians were compared with the decisions taken by the team to evaluate the appropriateness of prescribing imaging tests and the need for referral. The MDT also re-reviewed prior imaging and applied guideline-concordant criteria to minimize low-value testing. Results: Of 52 cases presented, 1 was excluded (non-hepatic lesion), leaving 51 patients analyzed. The median age was 60 years, 32 patients (62.7%) were female, and 27 patients (52.9%) had chronic LD. A total of 22 imaging tests and 1 liver biopsy were avoided, and no patients were referred to a secondary or tertiary hospital. Conclusions: The multidisciplinary approach in a peripheral hospital appears to improve the appropriateness of prescribing imaging tests with consequent reduction of costs and contrast-related adverse events. It also allows for a better allocation of resources and avoids unnecessary referrals to secondary and tertiary hospitals, with potential benefits for patient experience and diagnostic safety.

Indexed as

diagnostic imaginghospitals, communityinterdisciplinary communicationliver diseasespatient care teamreferral and consultation

Identifiers

PMID42022629
PMCPMC13097358

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Registered trials

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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.