Imperial College London
Alternate

Shahid A Khan

Faculty of Medicine, Faculty of Medicine Centre

Professor of Practice (Hepatology)
 
 
 
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Contact

 

+44 (0)20 3312 6254shahid.khan

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Cross:2016:10.1136/flgastro-2015-100617,
author = {Cross, TJS and Villanueva, A and Shetty, S and Wilkes, E and Collins, P and Adair, A and Jones, RL and Foxton, MR and Meyer, T and Stern, N and Warshow, U and Khan, N and Prince, M and Khakoo, S and Alexander, GJ and Khan, S and Reeves, H and Marshall, A and Williams, R},
doi = {10.1136/flgastro-2015-100617},
journal = {Frontline Gastroenterol},
pages = {82--89},
title = {A national survey of the provision of ultrasound surveillance for the detection of hepatocellular carcinoma.},
url = {http://dx.doi.org/10.1136/flgastro-2015-100617},
volume = {7},
year = {2016}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - OBJECTIVE: Hepatocellular carcinoma (HCC), the sixth most common cancer worldwide and third most common cause of cancer related death, is closely associated with the presence of cirrhosis. Survival is determined by the stage of the cancer, with asymptomatic small tumours being more amenable to treatment. Early diagnosis is dependent on regular surveillance and the primary objective of this survey was to gain a better understanding of the baseline attitudes towards and provision of ultrasound surveillance (USS) HCC surveillance in the UK. In addition, information was obtained on the stages of cancer of the patients being referred to and discussed at regional multidisciplinary team meetings. DESIGN: UK hepatologists, gastroenterologists and nurse specialists were sent a questionnaire survey regarding the provision of USS for detection of HCC in their respective hospitals. RESULTS: Provision of surveillance was poor overall, with many hospitals lacking the necessary mechanisms to make abnormal results, if detected, known to referring clinicians. There was also a lack of standard data collection and in many hospitals basic information on the number of patients with cirrhosis and how many were developing HCC was not known. For the majority of new HCC cases was currently being made only at an incurable late stage (60%). CONCLUSIONS: In the UK, the current provision of USS based HCC surveillance is poor and needs to be upgraded urgently.
AU  - Cross,TJS
AU  - Villanueva,A
AU  - Shetty,S
AU  - Wilkes,E
AU  - Collins,P
AU  - Adair,A
AU  - Jones,RL
AU  - Foxton,MR
AU  - Meyer,T
AU  - Stern,N
AU  - Warshow,U
AU  - Khan,N
AU  - Prince,M
AU  - Khakoo,S
AU  - Alexander,GJ
AU  - Khan,S
AU  - Reeves,H
AU  - Marshall,A
AU  - Williams,R
DO  - 10.1136/flgastro-2015-100617
EP  - 89
PY  - 2016///
SN  - 2041-4137
SP  - 82
TI  - A national survey of the provision of ultrasound surveillance for the detection of hepatocellular carcinoma.
T2  - Frontline Gastroenterol
UR  - http://dx.doi.org/10.1136/flgastro-2015-100617
UR  - https://www.ncbi.nlm.nih.gov/pubmed/28840911
VL  - 7
ER  -
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