Changes in epidemiology of #cirrhosis deaths in USA with steep relative uptick in younger men since 2011; drivers include #covid related #alcohol use. Important data presented by @andrewmmoon.bsky.social at #EASLcongress @easlnews.bsky.social #EpiSky #LiverSky #MedSky 🧪

Turn It Up - the concert to raise colon cancer awareness put on by @amcollegegastro.bsky.social Enjoying this beautiful performance by Michael Franti Tune in here: gi.org/concert/

Metabolic risk factors are increasingly important drivers of primary liver cancer but.... it's complicated Joseph Ahn lays out the power and perils of Global Burden of Disease data in this editorial in @amcollegegastro.bsky.social #AJG editorial journals.lww.com/ajg/fulltext... #GISky #LiverSky

A Global Perspective on Metabolically Driven Primary Liver... : Official journal of the American College of Gastroenterology | ACG

An abstract is unavailable.

journals.lww.com

Can a pop up alert improve the quality of #cirrhosis care? Yes, #liversky Does improving adherence to quality measures improve outcomes? Not so fast New #medsky study: doi.org/10.14309/ajg... @amcollegegastro.bsky.social

Electronic Interventions to Improve Quality for Inpatient... : Official journal of the American College of Gastroenterology | ACG

hemorrhage (AVH) or spontaneous bacterial peritonitis (SBP). Results: Our BPAs increased utilization. Ceftriaxone use was associated with adverse outcomes such as more blood product and broad-spect...

doi.org

10/10 do NOT recommend @amcollegegastro.bsky.social #RedJournal journals.lww.com/ajg/fulltext...

What do hepatic encephalopathy and irritable bowel syndrome have in common? Read this hot take from @jasmohanbajaj.bsky.social and @markpimentelmd.bsky.social in #AJG on whether HE is the original disorder of gut brain interaction (DGBI) #GISky #LiverSky Link: journals.lww.com/ajg/fulltext...

Tumor seeding is a dreaded complication of biopsy for HCC. But how common is it? A systematic review in @amcollegegastro.bsky.social #AmJGastro reports a rate of tumor seeding of 0.62% with even lower rates in recent years #LiverSky Link: journals.lww.com/ajg/abstract...

There have been a lot of recent changes in the world of MASLD - how to make sense of it all?! Never fear. Neha Shah and Arun Sanyal provide us with a pragmatic approach in @amcollegegastro.bsky.social #AJG #GISky #LiverSky #MedSky Link: journals.lww.com/ajg/citation...

Need more fodder to motivate yourself or your colleagues to do that early diagnostic paracentesis? New in @amcollegegastro.bsky.social #AJG, meta-analysis showing that diagnostic paracentesis within 12 hours improves mortality, shortens LOS and reduces AKI. Link: journals.lww.com/ajg/pages/ar...

Psychological distress is prevalent and interdependent among patients with decompensated cirrhosis and their caregivers, confirming cirrhosis as a SHARED EMOTIONAL CONTAGION within dyads - our new study published in @AmJGastro #palliativehepatology journals.lww.com/ajg/abstract...

Psychological Distress is Prevalent and Interdependent... : Official journal of the American College of Gastroenterology | ACG

mong 127 patient-caregiver dyads using Actor-Partner Interdependence Modeling. Results: Among dyads, 26% had both partners reporting clinically significant anxiety and 18% reporting clinically sign...

journals.lww.com

When your patient develops hepatic encephalopathy, give them Lactulose. It improves quality of life. And quantity!!! But if the HE comes back rapidly, consider looking for and closing portosystemic shunts Just ask this cat

GIsky & Liversky: go.bsky.app/8Pho2tp GI & Liver 2: go.bsky.app/VGyLKjR GI Research: go.bsky.app/AHpSAzx Ostomy: go.bsky.app/LYbv12w Peds GI: go.bsky.app/6AQFsXL PSC: go.bsky.app/6hLJsJT 🩺 All med: go.bsky.app/Qg2TA9p 🧠 Clinic neuropsych: go.bsky.app/8fgyJiS Women clin psych: go.bsky.app/SsNPcGP 3/4

Incredibly important numbers to keep in mind as we’re caring for patients with cirrhosis to frame our discussions with patients and families and involvement of palliative care @nnekauferemd.bsky.social discusses important solutions to facilitate patient-centered care at AASLD #TLM24

Do nutritional interventions benefit patients with alcohol associated hepatitis? Sasha Deutsch-Link discusses that evidence is weak but reasonable to recommend given that it’s unlikely to be harmful AASLD #TLM24

Superstar panel discussing the management of hospitalized patients with liver disease AASLD #TLM24 #Liversky

SEER-Medicare to assess diagnosis of HCC in the emergency room: another indicator of disparities in the care of HCC Great work by Ellen Green of UNC Gastro at AASLD #TLM24 #Liversky

Should we have a lower AFP threshold for HCC surveillance for MASLD, ALD and cured HCV? Great work by Nicole Kim presented at AASLD #TLM24 #Liversky

Amazing! @amcollegegastro.bsky.social is now on @bsky.app

In the United States, HCC deaths may have plateaued and soon be on the decline due to successful HCV elimination However, persistent increases in MASLD and ALD-related HCC threaten these trends AASLD #TLM24 #Liversky

Come join me and Allison Kwong to discuss clinically relevant aspects of surgery for HCC in Ballroom6D at 8 am at #TLM24 • How to downstage • Optimizing patient for surgery • Novel surgical techniques • Weighing resection vs transplant • LT allocation for HCC #Liversky

Great look into the future on HCC surveillance by George Ioannou at AASLD #TLM24 Seems likely that blood based biomarkers and aMRI will play some role but, despite its significant flaws, ultrasound has so far stood the test of time

What is the risk of progression to liver disease with high risk alcohol use? Ponni Perumalswami shares natural history and modifiable risk factors at #TLM2024

Proposed algorithm for selecting patients with MASH for treatment with resmetirom at #TLM2024 #LiverSky

In clinical research, you will often receive feedback on study design, stats, and/or data analysis from an editor or reviewer that is simply wrong. Here is a list of common "statistical myths" and references you can use to push back. discourse.datamethods.org/t/reference-...

Reference Collection to push back against "Common Statistical Myths"

Note: This topic is a wiki, meaning that this main body of the topic can be edited by others. Use the Reply button only to post questions or comments about material contained in the body, or to sugge...

discourse.datamethods.org

One AASLD #TLM2024 session that I'm eagerly awaiting is the debate on hepatologists prescribing systemic therapy for HCC With neoadjuvant, adjuvant and combination therapies potentially on the horizon, there's a compelling supply/demand argument but lots of barriers Should be interesting...

Did you know... There are nifty one page summaries of selected ACG guidelines available at gi.org/guidelines Just click on the "Summary" tab under the guidelines Here are some examples with many more in development #GISky #LiverSky

How much do you worry about LIRADS-3 and LR-4 lesions in patients with cirrhosis? HCC incidence rate 110/1000 person-year in patients with LR-3 lesions and 420/1000 for LR-4 lesions 🗝️ importance of close surveillance Link: journals.lww.com/ajg/fulltext... Podcast: webfiles.gi.org/podcasts/ajg...