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Digestive Diseases and Sciences

03-05-2024 | Ascites | Invited Commentary

Outpatient Management of Symptomatic Ascites: Bypassing the Path of Least Resistance

Authors: Carrie Bergmans, Elliot B. Tapper

Published in: Digestive Diseases and Sciences

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Excerpt

Ascites is present in up to half of hospitalizations for patients with decompensated cirrhosis and/or portal hypertension [1]. Many of these hospitalizations began as emergency department (ED) visits to address symptomatic ascites. As therapeutic paracenteses are often deferred by busy ED providers [2], patients are frequently admitted to the hospital in order to obtain relief. Such hospitalizations are disruptive to the patient and caregiver, do not provide value over outpatient paracentesis, and are financially wasteful. …
Literature
1.
Tapper EB, Parikh ND. Diagnosis and management of cirrhosis and its complications: a review. Jama. 2023;329:1589–1602.CrossRefPubMed
2.
3.
Duszak R Jr, Chatterjee AR, Schneider DA. National fluid shifts: fifteen-year trends in paracentesis and thoracentesis procedures. J Am Coll Radiol. 2010;7:859–864.CrossRefPubMed
4.
Tublin JM, Lindquester WS, Dhangana R, Tublin ME. Growth in thoracentesis and paracentesis performed by radiology and advanced practice providers: medicare volume and reimbursement trends from 2012 to 2018. J Am Coll Radiol. 2022;19:597–603.CrossRefPubMed
5.
6.
Tapper EB, Parikh ND. The future of quality improvement for cirrhosis. Liver Transplant. 2021;27:1479–1489.CrossRef
Metadata
Title
Outpatient Management of Symptomatic Ascites: Bypassing the Path of Least Resistance
Authors
Carrie Bergmans
Elliot B. Tapper
Publication date
03-05-2024
Publisher
Springer US
Published in
Digestive Diseases and Sciences
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-024-08403-y
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

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Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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