4.2 Article

Safety, Utilization, and Cost of Image-Guided Percutaneous Liver Biopsy Among Cancer Patients

Journal

CANCER INVESTIGATION
Volume 34, Issue 4, Pages 189-196

Publisher

TAYLOR & FRANCIS INC
DOI: 10.3109/07357907.2016.1166232

Keywords

Health sciences research; Outcomes research; Imaging

Categories

Funding

  1. National Cancer Institute [R25 CA09406, NCI R01 CA166084, NCI R01CA169121]
  2. Conquer Cancer Foundation of the American Society of Clinical Oncology

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Image-guided percutaneous liver biopsy (PLB) is a diagnostic tool for lesions in the liver. Hemorrhage is the most common complication. We selected patients with a diagnostic claim for cancer who had undergone PLB. There were a total of 26,941 patients who underwent PLB. Hemorrhage risk was 1.43% among patients undergoing PLB. When stratified by setting, odds of hemorrhage were 4.5times higher when biopsy was performed in an inpatient setting (p < .001). Risk factors associated with hemorrhage included marital status, liver cancer and comorbidity score. The use of PLB has increased over time. Reassuringly, the hemorrhage risk associated with PLB is low.

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