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Cited by 89Hepatocellular Carcinoma Treatment and PrognosisPatient-Provider Communication in HealthcareLiver Disease Diagnosis and Treatment

Patient involvement in healthcare is associated with higher rates of surveillance for hepatocellular carcinoma

Singal, Amit G., Volk, Michael L., Rakoski, Mina O., Fu, Sherry, Su, Grace L., McCurdy, Heather, Marrero, Jorge A.·2011·Journal of Clinical Gastroenterology
DOI 10.1097/mcg.0b013e31820989d3
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Abstract

BACKGROUND: Surveillance for hepatocellular carcinoma (HCC) is recommended in patients with cirrhosis, but earlier studies suggest that it is used less than one-third of the time. Patient factors associated with surveillance rates are incompletely understood. GOALS: The aims of our study were to determine HCC surveillance rates in a tertiary-care center and to identify patient predictors of receiving surveillance. STUDY: Patients with Child A or B cirrhosis seen in the University of Michigan liver clinics between October 2008 and March 2009 were enrolled to complete a self-administered survey. Surveillance rates and clinical data were extracted from the patient electronic medical record. RESULTS: Of the 160 patients enrolled, 74.4% had HCC surveillance performed in the past year. On multivariate analysis, predictors of receiving surveillance included male sex (odds ratio 7.1, 95% confidence interval, 1.2-43.2) and patient involvement in their care (odds ratio 3.4, 95% confidence interval, 1.5-7.9). Patients expressed high levels of concern regarding HCC, desired more information from their physicians, and wanted to be more involved in their care. CONCLUSIONS: HCC surveillance rates in a tertiary-care center were significantly higher than earlier reported rates. Direct patient involvement in decisions regarding HCC surveillance may help to improve surveillance rates.

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Crossref · 10.1097/mcg.0b013e31820989d3

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  • HCC is a common cause of death in patients with cirrhosis, and prior studies have suggested patients express fear of developing or dying from HCC.

    “HCC is a common cause of death in patients with cirrhosis, and prior studies have similarly suggested patients express fear of developing or dying from HCC.31,32”

    From Depression and anxiety are common among patients with cirrhosis (2022) · cites this paper as [31]

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Authors
Singal, A. G., Volk, M. L., Rakoski, M. O., Fu, S., Su, G. L., McCurdy, H., & Marrero, J. A.
Affiliations
  • University of Michigan (US)
  • VA Ann Arbor Healthcare System (US)
Corresponding author
  • Singal, Amit G.
  • Volk, Michael L.
  • Rakoski, Mina O.
  • Fu, Sherry
  • Su, Grace L.
  • Marrero, Jorge A.
ORCID
Venue
Journal of Clinical Gastroenterology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2011-09
Volume
45
Issue
8
Pages
727-732
ISSN
0192-0790 (ISSN-L)
DOI
10.1097/mcg.0b013e31820989d3
OpenAlex
W2082617838
Cited by
89
References
0
Citations by year
2026: 1 · 2025: 5 · 2024: 2 · 2023: 1 · 2022: 8 · 2021: 3 · 2020: 8 · 2019: 5 · 2018: 5 · 2017: 8 · 2016: 11 · 2015: 7 · 2014: 10 · 2013: 7 · 2012: 8
FWCI
5.07
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Clinical Gastroenterology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Hepatology › Hepatocellular Carcinoma Treatment and Prognosis
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
Keywords
HCC surveillance, patient involvement, patient-centered care, liver cirrhosis, patient predictors, patient concerns, shared decision-making, patient-provider communication
MeSH terms
Adult, Aged, Aged, 80 and over, Female, Carcinoma, Hepatocellular, Humans, Health Knowledge, Attitudes, Practice, Liver Cirrhosis, Liver Neoplasms, Male, Michigan, Middle Aged, Patient Compliance, Patient Education as Topic, Patient Participation, Perception, Predictive Value of Tests, Prognosis, Surveys and Questionnaires, Severity of Illness Index, Sex Factors, Time Factors, Health Behavior, Multivariate Analysis, Logistic Models, Odds Ratio, Disease Progression, Young Adult

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