Safety, Utilization, and Cost of Image-Guided Percutaneous Liver Biopsy Among Cancer Patients

Cancer Invest. 2016;34(4):189-96. doi: 10.3109/07357907.2016.1166232. Epub 2016 Apr 11.

Abstract

Image-guided percutaneous liver biopsy (PLB) is a diagnostic tool for lesions in the liver. Hemorrhage is the most common complication. We selected patients with a diagnostic claim for cancer who had undergone PLB. There were a total of 26,941 patients who underwent PLB. Hemorrhage risk was 1.43% among patients undergoing PLB. When stratified by setting, odds of hemorrhage were 4.5 times higher when biopsy was performed in an inpatient setting (p < .001). Risk factors associated with hemorrhage included marital status, liver cancer and comorbidity score. The use of PLB has increased over time. Reassuringly, the hemorrhage risk associated with PLB is low.

Keywords: Health sciences research; Imaging; Outcomes research.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cohort Studies
  • Female
  • Hemorrhage / epidemiology
  • Hemorrhage / etiology
  • Humans
  • Image-Guided Biopsy / adverse effects*
  • Image-Guided Biopsy / economics
  • Image-Guided Biopsy / methods
  • Image-Guided Biopsy / statistics & numerical data*
  • Liver Neoplasms / pathology*
  • Male
  • Middle Aged
  • United States / epidemiology