💉 Who is doing the tap? 🤔 Diagnostic paracentesis is an important investigation in patients with ascites — but are trainees getting the opportunity and confidence to perform it? 🩺 This multicentre audit + trainee survey in @FrontGastro_BMJ explores the barriers to performing diagnostic paracentesis, shining a light on who performs the procedure and what may be getting in the way. 🚧📊 Time to tap into the findings 👇 fg.bmj.com/content/early/202… #Paracentesis #Ascites #Hepatology #LiverTwitter #MedicalTraining #MedEd #Gastroenterology #MedicalEducation @gemmamarym @BASLedu @BritSocGastro @EASLnews @EASLedu @AASLDtweets @PhilSmithIsBack @dr_aditi_kumar @OTavabie @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

🟡 Who is doing the tap? Diagnostic paracentesis should be performed early in patients admitted with cirrhosis + ascites — but this multicentre audit and trainee survey highlights important gaps. 📋 105 doctors surveyed ⚠️ 61% not confident to perform an ascitic tap independently 🩺 Only 51.4% would perform a tap in the clinical vignette 🕒 207 admissions audited ⏱️ Median time to paracentesis: 10 h 51 min ❌ No centre met the 6-hour standard Delays correlated with longer waits for clerking, antibiotics and specialist review. A clear call for earlier training, better awareness and system-level pathways to improve care for patients with decompensated cirrhosis. 🔗 fg.bmj.com/content/early/202… #FrontlineGastroenterology #Hepatology #Cirrhosis #MedEd #PatientSafety #LiverTwitter @basl_events @heppharm @livernursing @LiverAHPs @Liver4Lifeuk @f4liverresearch @IQILS_Liver @LiverTrust @EASLedu @EASLnews @BritSocGastro @BavenoCoop @BCLC_group @ILCAnews @APASLnews @liverfellow @my_ueg @UKCPAGastro @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BSGtrainees @drkeithsiau @ebtapper @DrLChina @acv69cardenas @GeriKeane @jamesbmaurice @ClinicLiver

🚨 Liver transplantation after emergency admission for CLD: who gets access? This nationwide English study of 82,402 patients with a first emergency admission for chronic liver disease found: ⚠️ 37.8% died within 1 year 🫀 Only 0.64% received liver transplantation 📉 Most deprived patients had ~half the transplant rate of the least deprived 🏥 Admission to a hospital with a transplant unit was associated with markedly higher LT use 🍷 LT rates were lowest in alcohol-related liver disease 🔗 fg.bmj.com/content/early/202… #FrontlineGastroenterology #Hepatology #LiverTransplant #Cirrhosis #HealthInequalities #LiverTwitter @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BASLedu @BSGtrainees @WorldGastroOrg @ulstergastro @pancreatitis_nl @SEEDendoscopia @EASLedu @AmCollegeGastro @Aegastro @SAGES_updates @WAGE_media @my_UEG @amergastroassn @NASPGHAN @UHSEndoscopy @ESGE_news @amergastroassn @BritSocGastro @ASGEendoscopy

Hepatology at home — can hospital-level liver care be delivered safely beyond hospital walls? 🏠🩺 This @FrontGastro_BMJ paper describes a novel integrated pathway for managing patients with liver disease at home, sharing early experience from a service designed around patient-centred, multidisciplinary care. 🚑📋 A timely read for teams rethinking acute hepatology, virtual wards and care closer to home. Read more: fg.bmj.com/content/early/202… #Hepatology #LiverDisease #HospitalAtHome #VirtualWard #IntegratedCare #FrontlineGastro #GItwitter #LiverTwitter #PatientCentredCare #ClinicalService @TamCarg @DanLasserson @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @EASLnews @AASLDtweets @DrLChina @acv69cardenas @GeriKeane @jamesbmaurice @drobeirne @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

Readmission rates only tell part of the story. 🏥 In @FrontGastro_BMJ, this timely piece asks how studies of complex interventions in cirrhosis can move beyond readmission and focus on outcomes that are clinically meaningful, patient-centred and relevant to real-world care. Essential reading for anyone designing or interpreting cirrhosis intervention studies. Read more: fg.bmj.com/content/early/202… #Cirrhosis #PatientCentredCare #OutcomesResearch #Hepatology #FrontlineGastro #GItwitter #LiverTwitter #ClinicalResearch #QualityImprovement #PatientOutcomes @TamCarg @DanLasserson @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @EASLnews @AASLDtweets @DrLChina @acv69cardenas @GeriKeane @jamesbmaurice @drobeirne @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

🏥🩺 Living & Dying with Advanced Chronic Liver Disease Advanced chronic liver disease is not just about MELD scores and varices — it’s about people, trajectories, and timely conversations. This powerful FG paper explores the lived experience, prognostication challenges, and the integration of supportive & palliative care in ACLD. Clinical realism. Compassionate care. Earlier planning. 📖 Read: fg.bmj.com/content/early/202… #Hepatology #ACLD #Cirrhosis #PalliativeCare #LiverDisease #FrontlineGastro @basl_events @heppharm @livernursing @LiverAHPs @Liver4Lifeuk @f4liverresearch @IQILS_Liver @LiverTrust @EASLedu @EASLnews @BritSocGastro @BavenoCoop @BCLC_group @ILCAnews @APASLnews @liverfellow @my_ueg @UKCPAGastro @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BSGtrainees @drkeithsiau @ebtapper @DrLChina @acv69cardenas @GeriKeane @jamesbmaurice @ClinicLiver