Copyright ©2011 Baishideng Publishing Group Co.
World J Gastroenterol. May 14, 2011; 17(18): 2273-2282
Published online May 14, 2011. doi: 10.3748/wjg.v17.i18.2273
Table 4 Standard objectives for an efficient out clinic care of cirrhotic patients
1 Early diagnosis of chronic liver disease. Identification of etiology
2   Identification of patients with chronic liver disease at risk of cirrhosis
3 Evaluation of patient’s general health status
4 Act on etiologic factors and on factors favoring disease progression. Identify treatment end-points and place the patient within his family and social setting
5 Promote family and cohabitants’ participation to primary prevention for infective forms (health education), secondary prevention for inherited or metabolic disorders, support and surveillance for toxic forms (alcohol)
6 Suggest health-dietetic measures and therapeutic remedies
7 Check parameters of effectiveness and control side effects of specific treatments (antiviral, phlebotomy, immune-depressants, β-blockers, etc.)
8 Identify and treat associated conditions (diabetes, osteoporosis, malnutrition, etc.)
9 Avoid administration of hepatotoxic drugs, drugs promoting renal sodium retention and central nervous system depressants
10 Promote vaccination against flu and pneumonia, including transplanted patients, and against hepatitis A and B virus
11  Supervise for complications by promoting clinical, biochemical and instrumental follow-up
12  Assist specialists in identifying candidates for liver transplantation
13  Assist the patient requiring legal problems