title: Safety, Utilization, and Cost of Image-Guided Percutaneous Liver Biopsy Among Cancer Patients.
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.
authors.affiliation: a Department of Epidemiology , Mailman School of Public Health, Columbia University , New York , New York , USA.
authors.forename: Zhu
authors.initials: Z
authors.lastname: Cui
authors.affiliation: b Herbert Irving Comprehensive Cancer Center, College of Physicians and Surgeons, Columbia University , New York , New York , USA.|c Department of Obstetrics and Gynecology , College of Physicians and Surgeons, Columbia University , New York , New York , USA.
authors.forename: Jason D
authors.initials: JD
authors.lastname: Wright
authors.affiliation: b Herbert Irving Comprehensive Cancer Center, College of Physicians and Surgeons, Columbia University , New York , New York , USA.|d Department of Medicine , College of Physicians and Surgeons, Columbia University , New York , New York , USA.
authors.forename: Melissa K
authors.initials: MK
authors.lastname: Accordino
authors.affiliation: a Department of Epidemiology , Mailman School of Public Health, Columbia University , New York , New York , USA.
authors.forename: Donna
authors.initials: D
authors.lastname: Buono
authors.affiliation: a Department of Epidemiology , Mailman School of Public Health, Columbia University , New York , New York , USA.|b Herbert Irving Comprehensive Cancer Center, College of Physicians and Surgeons, Columbia University , New York , New York , USA.|d Department of Medicine , College of Physicians and Surgeons, Columbia University , New York , New York , USA.
authors.forename: Alfred I
authors.initials: AI
authors.lastname: Neugut
authors.affiliation: e Department of Urology , Weill Cornell Medical College , New York , New York , USA.
authors.forename: Jim C
authors.initials: JC
authors.lastname: Hu
authors.affiliation: a Department of Epidemiology , Mailman School of Public Health, Columbia University , New York , New York , USA.|b Herbert Irving Comprehensive Cancer Center, College of Physicians and Surgeons, Columbia University , New York , New York , USA.|d Department of Medicine , College of Physicians and Surgeons, Columbia University , New York , New York , USA.
authors.forename: Dawn L
authors.initials: DL
authors.lastname: Hershman
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D005260:Female; D006470:Hemorrhage / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D061705:Image-Guided Biopsy / Q000009:adverse effects* / Q000191:economics / Q000379:methods / Q000706:statistics & numerical data*; D008113:Liver Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D014481:United States / Q000453:epidemiology
keywords: Health sciences research; Imaging; Outcomes research