Abstract
The management of cirrhosis in conjunction with hepatocellular carcinoma (HCC) can be an overwhelming, time-consuming task. However, close monitoring and detection for early complications from cirrhosis, with appropriate treatment, can stabilize the cirrhosis enough to allow treatment of the HCC. Having a clinical team with a hepatology background trained in the management of chronic liver diseases and cirrhosis is critical for the HCC patient. This article describes our experiences at the University of Florida, where our group has developed a streamlined evaluation and management strategy for patients facing this complicated disease. This “one-stop shop” strategy takes a multidisciplinary approach, with advanced practitioners—including nurse practitioners and physician assistants—at the forefront in treatment decisions and adjustments as well as the ongoing care of the patient.
