Chronic liver disease: key points

  • There are a variety of risk factors and diseases that cause chronic liver disease (CLD). The three commonest risk factors for CLD are excessive alcohol consumption; obesity; and blood borne viruses, in particular Hepatitis B and C.
  • In Scotland, in 2012, there were approximately 13 CLD deaths per 100 000 population, compared to 15 per 100 000 population in 2011.
  • Between 1993 and 2003, there was a sharp increase in CLD mortality rates. From a peak in in 2003, CLD mortality rates have fluctuated although since 2010, rates have fallen in successive years.
  • In the three year period, 2009-2011, CLD mortality rates were 5.5 times higher in the most deprived quintile (36.6 per 100 000 population)  compared to the least deprived quintile (6.5 per 100 000 population)
  • The CLD mortality rate in Scotland has been increasing steadily over the last 30 yrs which is in contrast to the majority of European countries where CLD death rates have been decreasing.
  • Between 1982/83 and 2012/13, there has been an approximate three-fold increase in CLD patient discharge rates (from 17.83 to 59.25 per 100 000 population)

Section updates:

  • The last major update of this section was completed in December 2013.
  • The next major update is due to be carried out by end December 2014.