Coordinating Care for Pregnant and Postpartum OUD Patients
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Times have changed for those suffering from alcohol-associated liver disease (ALD), an umbrella term for liver conditions like fatty liver and alcohol-related cirrhosis that are caused by heavy or excessive drinking. Liver disease is one of the major consequences of alcohol use disorder, often resulting, ultimately, in liver failure. In the past, people whose liver health had deteriorated due to ALD would not have been considered for a transplant. One reason for this was the stigma surrounding alcohol use disorders and addiction. Another was a lack of understanding among physicians on how to improve outcomes for patients with ALD and in need of a transplant. Today, attitudes amongst doctors have changed along with the outlook for people with ALD. Of the 33,000 liver transplant recipients since 2002, 36.7% of them received a transplant due to ALD, up from 24.2% in 2002. Drs. Mitchell and Maddrey examined in a recent multicenter, prospective, national cohort study what has changed in the approach to evaluating transplant candidates in recent years.