ArticleJournal of the Canadian Association of Gastroenterology2026
Improving the quality of paracentesis practices in people with advanced cirrhosis in an ambulatory care setting.
Article in Journal of the Canadian Association of Gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
- Evaluation of a Registered Nurse-Led Outpatient Paracentesis Service for Decompensated Cirrhosis: A Retrospective Review.Journal of evaluation in clinical practice · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Aims: Spontaneous bacterial peritonitis (SBP) is a lethal complication of decompensated cirrhosis with a 90% mortality rate if untreated. Despite AASLD guidelines, a practice gap exists in fluid cell count (FCC) collection during paracentesis. We initiated a quality improvement (QI) project to increase FCC collection from 78% to 100% in an ambulatory setting between September 11, 2022, and April 17, 2023. Methods: We evaluated 233 ambulatory patient encounters for paracentesis procedures at a quaternary care centre in Toronto. A multidisciplinary QI initiative included focused groups, AASLD guideline education, a paracentesis bundle, and workflow streamlining. Descriptive statistics and statistical analyses using run charts and p-charts were conducted via QI Macros. Institutional QI Review Committee approval was obtained. Results: Baseline FCC adherence was 78%. Process mapping identified inconsistencies in documentation, label printing, and FCC collection. Bedside paracentesis bundles were introduced, increasing FCC collection marginally to 79.6% with no special cause variation. Subgroup analysis showed FCC collection rates of 100% among RNs/NPs, 97% among residents, and 92% among attending physicians. General hepatology had a 97% collection rate, while specialty hepatology had 40%. The SBP rate was 1.62% ( Discussion: This study highlights a persistent gap in FCC collection during ambulatory paracentesis. Understanding reasons for non-compliance and assessing the FCC collection's impact on morbidity and mortality in ambulatory settings are next crucial steps to optimize care for this high-risk population.
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Registered trials
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