Table 2.
Selected guideline related questions | Guideline based answer | GI-hepatologists adherent to guideline | Hepatologists adherent to guideline | p value |
---|---|---|---|---|
Are elevated liver enzymes required for you to consider liver biopsy in patients with fatty liver identified on imaging? | No | 27/67 (40%) | 41/90 (46%) | 0.52 |
If you use vitamin E, do you require biopsy confirmed NASH before starting therapy? | Yes | 23/55 (42%) | 42/90 (47%) | 0.61 |
If you use pioglitazone, do you require biopsy confirmed NASH before starting therapy? | Yes | 22/37 (59%) | 36/49 (73%) | 0.25 |
Are there are subgroups of patients to whom you do not prescribe vitamin E? | Yes – diabetics and cirrhotics | 33/56 (59%) | 40/77 (52%) | 0.48 |
GI, gastrointestinal; NASH, nonalcoholic steatohepatitis.