Review of doctors' notes for patients not under hospital follow up (n=342) |
38 |
Repeated liver function tests normal when requested by doctor |
39 |
Died |
30 |
Left practice (no follow up possible) |
69 |
No further investigation appropriate (age, cancer, congestive heart failure) |
9 |
Referred to hospital, awaiting outpatient appointment |
157 |
Partial or no investigation |
Positive test results in patients being managed by doctor (n=7) |
3 |
Antimitochondrial antibody |
2 |
Increased ferritin concentration |
1 |
Bile duct 9 mm on ultrasonography, stones in gall bladder |
1 |
Smooth muscle antibody |
Final diagnoses fully investigated (n=157) |
36 |
Normal result for repeated liver function test requested by liver clinic |
18 |
Normal results for serological tests; declined liver biopsy |
6 |
Normal liver on biopsy |
42 |
Alcoholic liver disease (23 with cirrhosis) |
26 |
Fatty liver or non-alcoholic steatohepatitis (11 fibrotic on biopsy) |
5 |
Primary biliary cirrhosis |
4 |
Primary haemochromatosis |
2 |
Hepatitis B |
6 |
Hepatitis C |
2 |
Autoimmune hepatitis |
2 |
Common bile duct stones |
1 |
Primary sclerosing cholangitis |
1 |
α1 antitrypsin deficiency |
6 |
Cryptogenic hepatitis |