Chronic alcoholic and metabolic liver diseases are the two main liver diseases in France. The long-term prognosis of these two diseases are not well known because main studies are retrospective and with only alcoholic patients. The knowledge of the natural history of these diseases should improve the management of patients with such diseases. The aim of this prospective cohort is to describe the natural history of patients with chronic liver disease due to alcohol or metabolic disease and to identify factors associated with complications of these liver diseases (cirrhosis, hepatocellular carcinoma, ascites. ..).
In 2010, the two most frequent chronic liver diseases are alcoholic and metabolic disease. The natural history of these two diseases is not well known. Indeed, most of the studies were retrospective and evaluated alcoholic disease or metabolic disease but never both diseases. However, these two diseases have the same histological lesions and can be associated. The knowledge of the natural history of these diseases could improve the management of patients in order to decrease complications and improve survival. The aim of this prospective study is to describe the natural history of chronic liver disease due to alcohol and/or metabolic syndrome and to identify factors associated with complications (ascites, encephalopathy, death, complications of obesity, diabetes or chronic alcohol abuse). All patients will be followed every 6 months for 3 years with clinical, biological and morphological parameters.
Study Type
OBSERVATIONAL
Enrollment
527
Every 6 months, patients will have clinical, biological and morphological evaluation according to the standard of care.
CHU d'Angers
Angers, France
CHU de Besançon - Hôpital Jean Minjoz
Besançon, France
CH Pierre Oudot
Bourgoin, France
CHU de Brest - Hôpital La Cavale Blanche
Brest, France
CHU de Caen
Caen, France
CH de Chateauroux
Châteauroux, France
Death
Time frame: up to 84 months
Complications of liver disease
ascites, encephalopathy, liver cancer, bleeding from oesophageal varices
Time frame: up to 84 months
Complications of obesity
cardiovascular diseases, pulmonary diseases, etc.
Time frame: up to 84 months
Complications of diabetes
renal failure,etc.
Time frame: up to 84 months
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CHU Clermont-Ferrand - Hôpital Estaing
Clermont-Ferrand, France
CH Laennec
Creil, France
CHU de Grenoble - Hôpital Albert Michallon
Grenoble, France
CH Le Mans
Le Mans, France
...and 26 more locations