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Abstract
INTRODUCTION: Alcohol-related liver disease (ALD) is now the leading indication for liver transplantation (LT) in the United States (US). It remains unclear how centers are managing the medical and psychosocial issues associated with these patients.METHODS: We conducted a web-based survey of LT centers in the US to identify center-level details on peri-LT management of ALD and related issues.RESULTS: Of the 117 adult LT centers, 100 (85.5%) responses were collected, representing all OPTN regions. For alcohol-associated cirrhosis (AAC), 70.0% of centers reported no minimum sobriety requirement, while 21.0% required 6 months sobriety. LT for severe alcohol-associated hepatitis (AAH) was performed at 85.0% centers. Monitoring protocols for pre- and post-LT alcohol use varied among centers.CONCLUSIONS: Our findings highlight a change in center attitudes towards LT for ALD, particularly for severe AAH.
View details for DOI 10.14309/ajg.0000000000001863
View details for PubMedID 35916539