Safety, Utilization, and Cost of Image-Guided Percutaneous Liver Biopsy Among Cancer Patients

被引:9
|
作者
Cui, Zhu [1 ]
Wright, Jason D. [2 ,3 ]
Accordino, Melissa K. [2 ,4 ]
Buono, Donna [1 ]
Neugut, Alfred I. [1 ,2 ,4 ]
Hu, Jim C. [5 ]
Hershman, Dawn L. [1 ,2 ,4 ]
机构
[1] Columbia Univ, Dept Epidemiol, Mailman Sch Publ Hlth, New York, NY USA
[2] Columbia Univ, Coll Phys & Surg, Herbert Irving Comprehens Canc Ctr, New York, NY USA
[3] Columbia Univ, Coll Phys & Surg, Dept Obstet & Gynecol, New York, NY USA
[4] Columbia Univ, Dept Med, Coll Phys & Surg, New York, NY USA
[5] Weill Cornell Med Coll, Dept Urol, New York, NY USA
关键词
Health sciences research; Outcomes research; Imaging; TREATMENT FAILURE; ULTRASOUND; MORTALITY; THERAPY; RATES;
D O I
10.3109/07357907.2016.1166232
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Image-guided percutaneous liver biopsy (PLB) is a diagnostic tool for lesions in the liver. Hemorrhage is the most common complication. We selected patients with a diagnostic claim for cancer who had undergone PLB. There were a total of 26,941 patients who underwent PLB. Hemorrhage risk was 1.43% among patients undergoing PLB. When stratified by setting, odds of hemorrhage were 4.5times higher when biopsy was performed in an inpatient setting (p < .001). Risk factors associated with hemorrhage included marital status, liver cancer and comorbidity score. The use of PLB has increased over time. Reassuringly, the hemorrhage risk associated with PLB is low.
引用
收藏
页码:189 / 196
页数:8
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