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Biannual Screening for HCC Offered to Patients With Cirrhosis. Introducing Surveillance for Hepatocellular Carcinoma (HCC) in the Central Denmark Region Using Ultrasound and Alpha-Fetoprotein to Reduce HCC-Related Mortality in Patients With Compensated Non-Viral Cirrhosis
Sponsor: University of Aarhus
Summary
This study aims to investigate whether repeated 6-monthly screening for hepatocellular carcinoma (HCC) - called "HCC surveillance" - offered to selected patients with chronic liver disease can reduce HCC-related mortality by facilitating earlier detection of HCC. The screening procedure consists of two tests: an ultrasound examination of the liver and a blood sample to measure alpha-fetoprotein. Patients who screen positive on either examination will be offered standard work-up for HCC, typically beginning with a CT-scan. In the study HCC surveillance will be offered to all patients with compensated non-viral cirrhosis residing in the Central Denmark Region, one of five administrative regions of Denmark. The study aims to determine the efficacy of HCC surveillance in reducing HCC-related mortality by comparing HCC-related mortality between the Central Denmark Region and the other four Danish regions, where HCC surveillance is not offered.
Official title: Introducing HCC Surveillance in the Central Denmark Region
Key Details
Gender
All
Age Range
40 Years - 79 Years
Study Type
INTERVENTIONAL
Enrollment
617
Start Date
2026-01-01
Completion Date
2028-06-30
Last Updated
2026-03-13
Healthy Volunteers
No
Conditions
Interventions
Ultrasound of the liver and blood sample for alpha-fetoprotein
Ultrasound of the liver without Doppler or contrast. Alpha-fetoprotein ≥20 \* 10\^3 IE/l, doubling since last measurement or two consecutive increasing measurements.
Locations (6)
Aarhus University Hospital
Aarhus, Central Jutland, Denmark
Regional Hospital Gødstrup
Herning, Central Jutland, Denmark
Horsens Regional Hospital
Horsens, Central Jutland, Denmark
Randers Regional Hospital
Randers, Central Jutland, Denmark
Silkeborg Regional Hospital
Silkeborg, Central Jutland, Denmark
Viborg Regional Hospital
Viborg, Central Jutland, Denmark