Table 1.
Service standard | Target |
---|---|
All patients with suspected PBC should have an abdominal ultrasound as part of their baseline assessment. | 90% |
All patients should be offered first-line treatment with UDCA at 13–15 mg/kg/day. | 90% |
Individualised risk stratification using biochemical response indices is recommended following 1 year of UDCA therapy. | 80% |
All patients should be evaluated for the presence of symptoms, in particular fatigue and pruritus. | 90% |
All patients with a bilirubin >50 μmol/L or evidence of decompensated liver disease should be discussed with a hepatologist linked to a transplant programme (within 3 months). | 90% |
All patients should have a risk assessment for osteoporosis (within the last 5 years). | 80% |
When overlap with autoimmune hepatitis is suspected, liver biopsy with expert clinicopathological assessment should be undertaken to support diagnosis. | 90% |
BSG, British Society of Gastroenterology; PBC, primary biliary cholangitis; UDCA, ursodeoxycholic acid.