Liver Biopsy | 2009 AASLD

Estadiamento Doença Hepática 2009

Preamble

These recommendations provide a data-supported ap- proach. They are based on the following: (1) formal re- view and analysis of the recently published world literature on the topic; (2) American College of Physi- cians Manual for Assessing Health Practices and De- signing Practice Guidelines1; (3) guideline policies, including the AASLD Policy on the Development and Use of Practice Guidelines and the American Gastro- enterological Association Policy Statement on Guide- lines2; and (4) the experience of the authors in the specified topic.

Intended for use by physicians, these recommenda- tions suggest preferred approaches to the diagnostic, ther- apeutic, and preventive aspects of care. They are intended to be flexible, in contrast to standards of care, which are inflexible policies to be followed in every case. Specific recommendations are based on relevant published infor- mation. To more fully characterize the quality of evidence supporting recommendations, the Practice Guidelines Committee of the AASLD requires a Class (reflecting benefit versus risk) and Level (assessing strength or cer- tainty) of Evidence to be assigned and reported with each recommendation (Table 1, adapted from the American

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