Liver Diseases Clinical Trial
Official title:
Long-term Follow Up of Patients in the Birmingham and Lambeth Liver Evaluation Strategies (BALLETS) Study
This study will follow-up a cohort of patients from the Birmingham and Lambeth Liver
Evaluation Strategies (BALLETS) study using a database search based on their individual
National Health Service (NHS) numbers. The investigators will interrogate the Hospital
Episode Statistics database and the Office of National Statistics database, and examine three
categories of end points: death, inpatient attendance primarily due to liver disease, and
outpatient attendance primarily due to liver disease.
A logistic regression analysis will then be conducted to determine associations between these
end points and the presence, and degree, of fatty liver in the original BALLETS study,
adjusted for age, sex, alcohol intake, BMI, and baseline ALT measurement.
The Birmingham and Lambeth Liver Evaluation Strategies (BALLETS) study was a prospective
study of people in General Practice who had an abnormal liver function test result.
Recruitment took place between 2005 and 2008, and patients were able to be grouped into four
primary categories: hepato-cellular disease, hepato-biliary disease, tumour, non-specific
with or without fatty liver. This study will focus on the fourth, non-specific, group of
which there were 1,237 patients.
This study will follow-up this cohort of patients using a database search based on their
individual National Health Service (NHS) numbers. The investigators will interrogate the
Hospital Episode Statistics database (health outcomes) and the Office of National Statistics
database (death), and examine three categories of end points: death, inpatient attendance
primarily due to liver disease, and outpatient attendance primarily due to liver disease.
Deaths would be sub-categorised as including liver disease, or not.
A logistic regression analysis will then be conducted to determine associations between these
end points and the presence, and degree, of fatty liver in the original BALLETS study, with
adjustment for age and sex. Similar age- and sex-adjusted analyses will be conducted to
investigate the association with other patient risk factors - alcohol intake and BMI. The
analyses will be repeated incorporating an additional adjustment for baseline Alanine
Aminotransferase (ALT) measurement.
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