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Updated: Apr 10, 2026

Implementation of Non-invasive Point of Care Transient Elastography for Evaluation of Liver Disease in Pediatric Populations with Cystic Fibrosis
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Transient elastography in Canada: current state and future directions.

Mohammed Aljawad, Sanjeev Sirpal, Eric M Yoshida

    Canadian Journal of Gastroenterology & Hepatology
    |June 13, 2015
    PubMed
    Summary
    This summary is machine-generated.

    Transient elastography (TE) is underutilized in Canada, with most devices in academic/hospital settings. Limited access and variable patient fees highlight the need for a national policy to improve hepatic fibrosis assessment.

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    Area of Science:

    • Hepatology
    • Medical Technology Assessment
    • Clinical Practice Research

    Background:

    • Transient elastography (TE) offers a safe, noninvasive method for assessing hepatic fibrosis across various liver conditions.
    • Current data on TE integration into Canadian clinical practice and accessibility are limited.

    Purpose of the Study:

    • To delineate current TE practices within Canada.
    • To identify strategies for enhancing TE accessibility and utilization.

    Main Methods:

    • A survey was distributed to all Canadian centers possessing TE devices.
    • Purchasing data were acquired from the national distributor.
    • Descriptive statistics were employed for data analysis.

    Main Results:

    • As of January 2015, 42 TE devices were operational in Canada, predominantly in academic (71%) and hospital-based (74%) settings.
    • TE is performed by nurses (48%), physicians (19%), technicians (9.5%), or general healthcare staff (19%).
    • Nineteen percent of centers offer satellite clinics; however, 29% of centers charge patients variable fees.

    Conclusions:

    • The concentration of TE devices in academic and hospital settings restricts patient access.
    • Variable out-of-pocket fees and limited satellite clinic availability further impede access.
    • A need for a national policy to standardize TE practices and improve patient access in Canada is evident.