This is a national prospective long-term multicentre observational cohort study following patients with cirrhosis in order to systematically and longitudinally record epidemiological, clinical, histological, psychosocial and patient-reported data and biobank biological material from patients with cirrhosis. The central element of all scientific operation and productivity in the Swiss Cirrhosis Cohort Study (SSCiCoS) is the so-called "nested project" (NP). Based on the evolving large pool of data and biological samples, SSCiCoS investigators use the data pool in order to investigate specific hypotheses and questions.
For patients with end-stage cirrhosis there are no treatment options other than transplantation, a medically and ethically challenging procedure. The challenge therefore is to prevent the need for liver transplantation in as many patients with cirrhosis as possible. In order to reach this aim, patients with cirrhosis should be identified and followed regularly according to the highest standard of current knowledge. Numerous aspects of the disease need to be detailed: its epidemiology in Switzerland, its pathophysiology including the mechanism of scar tissue generation and resolution, the associated immune dysfunction and subsequent organ failures, disease related psychosocial and behavioural factors, perceived burden of liver cirrhosis in patients, diagnostic and prognostic biomarkers for disease dynamics, both progression and regression of disease, and stage-specific therapeutic strategies. This is a national prospective long-term multicentre observational cohort study following patients with cirrhosis in order to systematically and longitudinally record epidemiological, clinical, histological, psychosocial and patient-reported data and biobank biological material from patients with cirrhosis.
Study Type
OBSERVATIONAL
Enrollment
3,000
Clinical assessment and blood sampling at day of inclusion and in 6- monthly intervals for stable cirrhotic patients; at day of inclusion and on days 3, 7, 14 and 28 for acute decompensation or acute-on-chronic liver failure patients; assessment of clinical, psychosocial/behavioural and patient-reported data in parallel with blood sampling; * Biobanking of PBMCs and serum/plasma samples * Biobanking of other biological material if sampled for clinical reasons (liver biopsies, ascites, urine, gut mucosa, lymph nodes)
Gastroenterology and Hepatology, Cantonal Hospital Ticino
Lugano, Canton Ticino, Switzerland
RECRUITINGUniversity Centre for Gastrointestinal and Liver Diseases, University Hospital Basel, Switzerland
Basel, Switzerland
RECRUITINGDepartment of Visceral Surgery and Medicine, University Hospital of Berne
Bern, Switzerland
NOT_YET_RECRUITINGGastroenterology and Hepatology, University Hospital Geneva
Geneva, Switzerland
NOT_YET_RECRUITINGGastroenterology and Hepatology, Lausanne University Hospital
Lausanne, Switzerland
RECRUITINGTicino Liver Centre
Lugano, Switzerland
NOT_YET_RECRUITINGGastroenterology and Hepatology, Cantonal Hospital St. Gallen
Sankt Gallen, Switzerland
NOT_YET_RECRUITINGArud Centre for addiction medicine Zurich
Zurich, Switzerland
NOT_YET_RECRUITINGDigestive Diseases Insti- tute GastroZentrum, Hirslanden Clinic Zurich
Zurich, Switzerland
NOT_YET_RECRUITINGGastroenterology and Hepatology, University Hospital Zurich
Zurich, Switzerland
NOT_YET_RECRUITINGChange in Number of liver transplantations
Change in Number of liver transplantations
Time frame: Through study completion, an average of 10 years
Change in Number of survival
Change in Number of survival
Time frame: Through study completion, an average of 10 years
Change in Number of transplant free survival
Change in Number of transplant free survival
Time frame: Through study completion, an average of 10 years
Change in Number of decompensation events
Change in Number of decompensation events
Time frame: Through study completion, an average of 10 years
Change in Number of organ failure
Change in Number of organ failure
Time frame: Through study completion, an average of 10 years
Change in Number of infectious complications
Change in Number of infectious complications
Time frame: Through study completion, an average of 10 years
Change in Number of maligancies
Change in Number of maligancies
Time frame: Through study completion, an average of 10 years
Change in Patient Reported Outcome Measures (PROMs, e.g. Epworth Sleepiness Scale)
The Epworth Sleepiness Scale is a subjective measure of a patient's sleepiness. The test is a list of eight situations in which the tendency to become sleepy on a scale of 0 (no chance of dozing) to 3 (high chance of dozing) is rated. (0 - 10: Normal range; 10 - 12: Borderline; 12 - 24: Abnormal)
Time frame: Through study completion, an average of 10 years
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