Society guideline links: Cirrhosis

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately.

●(See "Society guideline links: Alcohol-associated liver disease".)

●(See "Society guideline links: Nonalcoholic fatty liver disease".)

●(See "Society guideline links: Primary biliary cholangitis".)

●(See "Society guideline links: Hyponatremia".)

●(See "Society guideline links: Gastrointestinal bleeding in adults".)

International

●International Society on Thrombosis and Haemostasis (ISTH): Guidance for the periprocedural management of abnormal coagulation parameters and thrombocytopenia in patients with cirrhosis (2021)

●Society of Critical Care Medicine (SCCM): Guidelines for the management of adult acute and acute-on-chronic liver failure in the ICU – Cardiovascular, endocrine, hematologic, pulmonary, and renal considerations (2020)

Canada

●Choosing Wisely Canada: Don't routinely transfuse fresh frozen plasma, vitamin K, or platelets to reverse abnormal tests of coagulation in patients with cirrhosis prior to abdominal paracentesis, endoscopic variceal band ligation, or any other minor invasive procedures (2022)

United States

●American Association for the Study of Liver Diseases (AASLD): Practice guidance on acute-on-chronic liver failure and the management of critically ill patients with cirrhosis (2023)

●AASLD: Practice guidance on risk stratification and management of portal hypertension and varices in cirrhosis (2023)

●AASLD: Practice guidance on palliative care and symptom-based management in decompensated cirrhosis (2022)

●American College of Gastroenterology (ACG): Acute-on-chronic liver failure clinical guidelines (2022)

●AASLD: Practice guidance for the diagnosis, evaluation, and management of ascites, spontaneous bacterial peritonitis, and hepatorenal syndrome (2021)

●American Gastroenterological Association (AGA): Clinical practice update on palliative care management in cirrhosis – Expert review (2021)

●American College of Radiology (ACR): Appropriateness Criteria on radiologic management of gastric varices (2020)

●AGA: Clinical practice update on coagulation in cirrhosis – Expert review (2019)

●AGA: Clinical practice update on surgical risk assessment and perioperative management in cirrhosis – Expert review (2019)

●European Association for the Study of the Liver (EASL) and AASLD: Clinical practice guidelines on hepatic encephalopathy in chronic liver disease (2014)

Europe

●European Association for the Study of the Liver (EASL): Clinical practice guidelines on acute-on-chronic liver failure (2023)

●EASL: Clinical practice guidelines on prevention and management of bleeding and thrombosis in patients with cirrhosis (2022)

●EASL: Clinical practice guidelines on the management of hepatic encephalopathy (2022)

●EASL: Clinical practice guidelines on non-invasive tests for evaluation of liver disease severity and prognosis, update (2021)

•EASL-Asociación Latinoamericana para el Estudio del Hígado (ALEH): Clinical practice guidelines on non-invasive tests for evaluation of liver disease severity and prognosis (2015)

●European Society of Gastrointestinal Endoscopy (ESGE): Cascade guideline for the endoscopic treatment of variceal upper gastrointestinal bleeding (2020)

●European Society for Clinical Nutrition and Metabolism (ESPEN): Guideline on clinical nutrition in liver disease (2019)

●Liver Intensive Care Group of Europe (LICAGE): Position paper on perioperative hemostatic management in the cirrhotic patient (2019)

●EASL: Clinical practice guidelines for the management of patients with decompensated cirrhosis (2018)

●EASL: Clinical practice guidelines on nutrition in chronic liver disease (2018)

●EASL and American Association for the Study of Liver Diseases (AASLD): Clinical practice guidelines on hepatic encephalopathy in chronic liver disease (2014)

United Kingdom

●National Institute for Health and Care Excellence (NICE): Guideline on cirrhosis in over 16s – Assessment and management (2016, updated 2023)

●NICE: Interventional procedures guidance on subcutaneous automated low-flow pump implantation for refractory ascites caused by cirrhosis (2018)

●NICE: Quality standard on liver disease (2017)

●UK guidelines on the management of variceal haemorrhage in cirrhotic patients (2015)

India

●Asian Pacific Association for the Study of the Liver (APASL): Guidelines on acute-on-chronic liver failure – Consensus recommendations, update (2019)

•APASL: Guidelines on acute-on-chronic liver failure – Consensus recommendations (2014)

●APASL: Consensus guidelines on invasive and non-invasive assessment of hepatic fibrosis – A 2016 update (published 2017)

Australia–New Zealand

●Asian Pacific Association for the Study of the Liver (APASL): Guidelines on acute-on-chronic liver failure – Consensus recommendations, update (2019)

•APASL: Guidelines on acute-on-chronic liver failure – Consensus recommendations (2014)

●APASL: Consensus guidelines on invasive and non-invasive assessment of hepatic fibrosis – A 2016 update (published 2017)

Japan

●[In English] Japanese Society of Gastroenterology (JSGE) and the Japanese Society of Hepatology (JSH): Evidence-based clinical practice guidelines for liver cirrhosis, 2020 (published 2021)

●[In Japanese] JSGE: Evidence-based clinical practice guidelines for liver cirrhosis, 3rd edition (2020)

●[In English] Asian Pacific Association for the Study of the Liver (APASL): Guidelines on acute-on-chronic liver failure – Consensus recommendations, update (2019)

•[In English] APASL: Guidelines on acute-on-chronic liver failure – Consensus recommendations (2014)

●[In English] APASL: Consensus guidelines on invasive and non-invasive assessment of hepatic fibrosis – A 2016 update (published 2017)