12 research outputs found
Carbono orgânico, óxidos de ferro e distribuição de agregados em dois solos derivados de basalto no Rio Grande do Sul - Brasil
Alterations and spatial variability of soil fertility in successive years under no tillage system
Variáveis relacionadas à estabilidade de complexos organo-minerais em solos tropicais e subtropicais brasileiros
Estoque de carbono orgânico no solo e emissões de dióxido de carbono influenciadas por sistemas de manejo no sul do Brasil
Disponibilidade de nutrientes no solo: decomposição e liberação de compostos orgânicos de resíduos vegetais
Mineralogy of the clay fraction of alfisols in two slope curvatures: IV - spatial correlation with physical properties
Research in an ecoregional framework for sustainable land use and food production: report of a symposium
The future of the land. Mobilizing and integrating knowledge for land use options Conference, Wageningen Agricultural University, the Netherlands, 22-25 August 1993.
Variation in the management of benign liver tumors: A European survey and case vignette study.
BACKGROUND: Management of focal nodular hyperplasia (FNH) and hepatocellular adenoma (HCA), is multidisciplinary and subject to practice variation. We aimed to evaluate variation in clinical management of FNH and HCA in Europe. METHODS: We distributed an online survey (November 2021-March 2022) among 294 European experts. The survey included questions on local practice and included eight clinical vignettes. The clinical vignettes focused on FNH or HCA management in the setting of sex, lifestyle modification, and pregnancy. RESULTS: The response rate was 32% and respondents included surgeons (38%), gastroenterologists/hepatologists (25%), radiologists (32%), and pathologists (1.6%) from ten European countries. We observed practice variation with regard to lifestyle modification and imaging follow-up in patients with FNH, and with regard to the management of HCA >5 cm before and during pregnancy. Finally, the management of HCA >5 cm after lifestyle modification deviated from EASL guideline recommendations. CONCLUSION: Our survey illustrates variability in FNH and HCA management in Europe. Several areas were identified for future research and guideline recommendations, including FNH follow-up and the management of HCA >5 cm. We propose the organization of Delphi consensus meetings to prioritize areas of research and update current guidelines to optimize management for all patients with benign liver tumors