Does the CHER trial open up new therapeutic perspectives?

摘要

The provision of appropriate services for patients with liver disease is also important. The creation of multidisciplinary alcohol care teams is needed, which should include a lead clinician, 7-day alcohol specialist nurse availability, and close liaison with psychiatrists and outreach services. This approach has been pioneered in Bolton Royal Hospital, where mortality has been reduced by nearly 50% and length of hospital stay and numbers of readmissions have also decreased.8 Establishing specialised multidisciplinary metabolic clinics that involve endocrinologists, nurse specialists, and dieticians, with input from hepatologists, is another proposal to consider. Outcome data from such clinics in Birmingham and St Mary's Hospital, London, confirm the benefits for patients in terms of reductions in weight, glycated haemoglobin Alc, cholesterol, and serum transaminase concentrations.