A comparison of post-transplantation mortality of liver recipients with and without alcohol use disorder
Herman, Grace E.
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Alcohol-related Liver Disease (ALD) represents almost half of all deaths attributable to liver disease (LD) in the US. Despite the large proportion of deaths from ALD, however, only 1.4% of all liver transplants were for patients with ALD. ALD presents a range of medical and ethical concerns for those who drive the policy and practices of liver transplantation (LT). While, historically, stringent eligibility criteria for LT precluded many with ALD from receiving a transplant, more recent research suggests such criteria may be misguided. The following review compares LT outcomes between ALD and non-ALD recipients and finds that LT recipients with ALD have equal, if not better, survival rates than those with non-ALD. The findings of this review suggest a need for revisiting transplant criteria for patients with ALD to ensure parity.