Table 1.

Holistic approach to the patient with hepatocellular carcinoma

‐ Preventative measures to promote “liver health” at all levels: “to inform is to cure”

‐ Recognition of subjects with risk factors for liver disease and aggressive management

‐ Assessment and management of social determinants of health and removal of barriers to care

‐ Early treatment of liver disease to prevent chronicity

‐ Preservation of liver function in patient with cirrhosis and chemoprevention of progression

‐ Oncologic surveillance of patients at risk

‐ Diagnosis of liver cancer and treatment strategy

‐ Team-based multimodal treatment with personalization of care

‐ Establishment of a treatment strategy going beyond the single episode

‐ Management and treatment of comorbidities

‐ Evaluation of potential candidacy for liver transplant

‐ Post-treatment oncologic surveillance

‐ Retreatment of recurrence as needed and feasible, again through a team-based approach

‐ Identifying the transition time to palliative care and participation in palliative care delivery