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National Institute for Health and Care Excellence. (2017) Liver disease. London: NICE. Quality standard QS152.

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External website: https://www.nice.org.uk/guidance/QS152

This quality standard covers identifying, assessing and managing chronic liver disease in children, young people and adults, and cirrhosis in young people and adults. It describes high-quality care in priority areas for improvement.


Statement 1 People with non‑alcoholic fatty liver disease are given advice on physical activity, diet and alcohol.

Statement 2 People with non‑alcoholic fatty liver disease are offered regular testing for advanced liver fibrosis.

Statement 3 Young people and adults with risk factors for cirrhosis are offered non‑invasive testing for cirrhosis.

Statement 4 Adults with cirrhosis are offered 6‑monthly surveillance for hepatocellular carcinoma.

Statement 5 Young people and adults with cirrhosis and upper gastrointestinal bleeding are given prophylactic intravenous antibiotics at presentation.

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