2020
DOI: 10.1016/j.transproceed.2020.01.015
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Disparity in Transplant Referral Patterns for Alcohol-Related Liver Disease Based on Physician-Dependent Variables

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Cited by 6 publications
(9 citation statements)
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“…After a median (IQR) follow‐up time of 8 1–27 months, 37.7% of patients died without LT, 41.8% were still alive, 20.4% underwent LT. Overall, 28.6% of patients required admission to the ICU during their first hospitalization.…”
Section: Resultsmentioning
confidence: 99%
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“…After a median (IQR) follow‐up time of 8 1–27 months, 37.7% of patients died without LT, 41.8% were still alive, 20.4% underwent LT. Overall, 28.6% of patients required admission to the ICU during their first hospitalization.…”
Section: Resultsmentioning
confidence: 99%
“…[10][11][12] Nevertheless, published data on indications, timing and methods for referring patients with liver disease to LT centers are heterogeneous, mainly because of several differences in LT programs internationally, 13 but also at the local level, where epidemiological, ethical and cultural disparities, as well as differences in indications for LT exist. [14][15][16][17] In Italy, an effort to define criteria and timing of referral for patients with acute and chronic liver disease has recently been proposed by a panel of transplant hepatologists appointed by the Italian Association for the study of the Liver, 18 however no data have yet been published on the availability of referral systems.…”
Section: Introductionmentioning
confidence: 99%
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“…In addition, misconceptions might also exist regarding regulatory conditions, exclusion criteria, and the likelihood of success of this very complex treatment modality. In this context, Loy et al show for referral patterns for alcohol-related liver disease that physicians without liver transplant center training were more likely to require longer duration of sobriety prior referral [ 12 ]. The influence of training and experience in a subspecialty on the assignment of appropriate therapy is also observed in other fields of medicine [ 13 ].…”
Section: Discussionmentioning
confidence: 99%
“…Primary care physicians were two times more likely to require a longer length of alcohol sobriety compared to gastroenterologists and transplant hepatologists. Physicians who have undergone training at LT centers are more likely to refer high-risk patients for LT, such as those who are older and those with a higher BMI [23 ▪ ]. Referral patterns to LT centers can be physician-dependent based on LT training, so perhaps one solution lies in clinician education.…”
Section: Screening For and Treatment Of Esld Among Minorities: Pathwa...mentioning
confidence: 99%