Surveillance for Hepatocellular Carcinoma
Authors: Jessica A. Davila, Hashem B. El-Serag
Journal: Annals of Internal Medicine (2011)

Letters16 August 2011Surveillance for Hepatocellular CarcinomaJessica A. Davila, PhD and Hashem B. El-Serag, MD, MPHJessica A. Davila, PhDFrom The Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030.Search for more papers by this author and Hashem B. El-Serag, MD, MPHFrom The Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-155-4-201108160-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Hepatocellular carcinoma is the fastest rising cause of cancer-related deaths in the United States. We reported underutilization of surveillance for HCC in hepatitis C virus–infected patients with cirrhosis. In this study of U.S. veterans, as well as in our previous study conducted in a population not associated with Veterans Affairs health care facilities, we provided evidence that adherence to clinical practice guidelines for HCC surveillance is poor (1).Practice guidelines from the American Association of the Study of Liver Diseases and the European Association for the Study of the Liver recommend HCC surveillance every 6 to 12 months ...References1. Davila JA, Morgan RO, Richardson PA, Du XL, McGlynn KA, El-Serag HB. Use of surveillance for hepatocellular carcinoma among patients with cirrhosis in the United States. Hepatology. 2010;52:132-41. [PMID: 20578139] CrossrefMedlineGoogle Scholar2. Bruix J, Sherman M; American Association for the Study of Liver Diseases. Management of hepatocellular carcinoma: an update. Hepatology. 2011;53:1020-2. [PMID: 21374666] CrossrefMedlineGoogle Scholar3. U. S. Department of Veterans Affairs. Hepatitis C: management of hepatocellular carcinoma. Accessed at www.hepatitis.va.gov/provider/tools/algorithm-hcc/hcc_guide.asp on 12 July 2011. Google Scholar4. Kramer JR, Hachem CY, Kanwal F, Mei M, El-Serag HB. Meeting vaccination quality measures for hepatitis A and B virus in patients with chronic hepatitis C infection. Hepatology. 2011;53:42-52. [PMID: 21254161] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Jessica A. Davila, PhD; Hashem B. El-Serag, MD, MPHAffiliations: From The Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M10-0880. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoUtilization of Surveillance for Hepatocellular Carcinoma Among Hepatitis C Virus–Infected Veterans in the United States Jessica A. Davila , Louise Henderson , Jennifer R. Kramer , Fasiha Kanwal , Peter A. Richardson , Zhigang Duan , and Hashem B. El-Serag Surveillance for Hepatocellular Carcinoma Michael J. Kelley Surveillance for Hepatocellular Carcinoma Alain Braillon Surveillance for Hepatocellular Carcinoma Steven H. Smoger Metrics Cited byScreening for Liver Cancer: The Rush to JudgmentFrank A. Lederle, MD and Christine Pocha, MD, PhD 16 August 2011Volume 155, Issue 4Page: 275KeywordsCirrhosisComputed axial tomographyHepatitis C virusHepatocellular carcinomaLiverMagnetic resonance imagingTreatment guidelinesUltrasound imagingVeteran care ePublished: 16 August 2011 Issue Published: 16 August 2011 Copyright & PermissionsCopyright © 2011 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...