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• W2799694218 abstract "Background Transient elastography is a non‐invasive tool which can stratify patients at risk of chronic liver disease. However, a raised body mass index has been independently associated with a failed or unreliable examination. Objective The purpose of this study was to analyse the performance of two probes (M/XL) on a portable transient elastography device within an obese community population. Method The method involved a prospective study with recruitment from a primary care practice. Patients identified with a risk factor for chronic liver disease were invited to a community‐based risk stratification pathway for transient elastography readings with both probes. A threshold of ≥8.0 kPa defined elevated liver stiffness. Results A total of 477 patients attended the pathway. Of the patients, 21% had no valid measurements with the M probe. There was a significant difference between the probes in the proportion achieving ≥10 valid readings (M versus XL probe: 66.2% versus 90.2%; p ≤ 0.001) and in their reliability (M versus XL probe: 77.4% versus 98.5%; p = 0.028). Unreliable readings with the M probe increased as the body mass index increased. The XL probe re‐stratified 5.2% of patients to have a normal reading. Conclusion The XL probe on a portable device significantly improves the applicability of transient elastography within a community‐based risk stratification pathway." @default.
• W2799694218 created "2018-05-17" @default.
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• W2799694218 date "2018-11-01" @default.
• W2799694218 modified "2023-10-03" @default.
• W2799694218 title "The XL probe: A luxury or a necessity? Risk stratification in an obese community cohort using transient elastography" @default.
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• W2799694218 doi "https://doi.org/10.1177/2050640618772944" @default.
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