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Comparison of screening strategies with two new tests to score and diagnose varices needing treatment

Authors :
Paul Calès
Federico Ravaioli
Arthur Berger
Oana Farcau
Davide Festi
Horia Stefanescu
Carole Vitellius
Pierre Nahon
Christophe Bureau
Nathalie Ganne-Carriè
Annalisa Berzigotti
Victor de Ledinghen
Salvatore Petta
Calès, Paul
Ravaioli, Federico
Berger, Arthur
Farcau, Oana
Festi, Davide
Stefanescu, Horia
Vitellius, Carole
Nahon, Pierre
Bureau, Christophe
Ganne-Carriè, Nathalie
Berzigotti, Annalisa
de Ledinghen, Victor
Petta, Salvatore
Source :
Calès, Paul; Ravaioli, Federico; Berger, Arthur; Farcau, Oana; Festi, Davide; Stefanescu, Horia; Vitellius, Carole; Nahon, Pierre; Bureau, Christophe; Ganne-Carriè, Nathalie; Berzigotti, Annalisa; de Ledinghen, Victor; Petta, Salvatore (2022). Comparison of screening strategies with two new tests to score and diagnose varices needing treatment. Clinics and research in hepatology and gastroenterology, 46(7), p. 101925. Elsevier Masson 10.1016/j.clinre.2022.101925
Publication Year :
2022

Abstract

Background and aims: We aimed to improve non-invasive screening of varices needing treatment (VNT) and compare different screening strategies. Methods: 2,290 patients with chronic liver disease were included in a retrospective study. Etiologies were: virus: 50.0%, NAFLD: 29.5%, alcohol: 20.5%, VNT: 14.9%. Test descriptors were performance (spared endoscopy) and safety (missed VNT). VNT tests were evaluated according to their safety levels either for individual screening (95% negative predictive value (NPV)), population screening (95% sensitivity) or undifferentiated screening (100% sensitivity/NPV) without missed VNT. The tests provided three categories: missed VNT

Details

ISSN :
2210741X
Volume :
46
Issue :
7
Database :
OpenAIRE
Journal :
Clinics and research in hepatology and gastroenterology
Accession number :
edsair.doi.dedup.....d445c80e114b229005856700368ca1d0
Full Text :
https://doi.org/10.1016/j.clinre.2022.101925