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Related Experiment Video

Updated: Jan 11, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
05:36

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

Published on: May 2, 2025

597

Optimizing clinic consultations in primary biliary cholangitis: International consensus recommendations.

Heike Bantel1, Gideon M Hirschfield2, David E Jones3

  • 1Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Hannover, Germany.

Hepatology Communications
|November 14, 2025
PubMed
Summary

This study developed 15 consensus-based recommendations to standardize and improve consultations for primary biliary cholangitis (PBC) patients. These guidelines aim to enhance disease management and patient quality of life by addressing symptom burden and support needs.

Keywords:
Delphi studyfatigueprimary biliary cholangitispruritussicca syndromesymptom assessment

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Last Updated: Jan 11, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
05:36

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Published on: May 2, 2025

597

Area of Science:

  • Hepatology and Gastroenterology
  • Clinical Practice Guidelines
  • Patient-Centered Care

Background:

  • Variability in primary biliary cholangitis (PBC) care delivery impacts disease management and patient quality of life.
  • Effective patient-provider consultations are crucial for optimal PBC management but vary in quality.
  • A Delphi study was conducted to establish consensus recommendations for improving PBC consultations.

Purpose of the Study:

  • To develop consensus-based recommendations for standardizing and enhancing patient-provider consultations in primary biliary cholangitis (PBC).
  • To provide a framework for optimizing care delivery and addressing patient needs in PBC management.
  • To improve the quality of interaction between healthcare providers and patients with PBC.

Main Methods:

  • An international survey of 151 healthcare professionals was conducted.
  • A 9-member Delphi panel, including PBC experts, physicians, patients, and advocates, was formed.
  • Delphi methodology was employed to reach consensus on best practice recommendations, with ≥75% agreement defining consensus.

Main Results:

  • Fifteen best practice recommendations were identified across three key areas: diagnosis/first consultation, symptom assessment/ongoing management, and wider care/support.
  • Recommendations address patient needs concerning symptom burden, specialist referrals, and connection to patient support organizations.
  • The consensus-based recommendations serve as a resource for providers to improve PBC care.

Conclusions:

  • Specific recommendations are provided for healthcare providers to optimize consultations for patients with primary biliary cholangitis (PBC).
  • Implementing these recommendations aims to improve the overall quality of care and enhance patient satisfaction in PBC management.
  • Standardized consultations can lead to better disease management and improved quality of life for individuals with PBC.