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Your search keyword '"Courtney L. Hanlon"' showing total 3 results
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3 results on '"Courtney L. Hanlon"'

1. Portrait of Regional Trends in Liver Transplantation for Nonalcoholic Steatohepatitis in the United States

Author

Liyun, Yuan, Courtney L, Hanlon, Norah, Terrault, Saleh, Alqahtani, Hani, Tamim, Michelle, Lai, and Behnam, Saberi

Subjects
Carcinoma, Hepatocellular, Hepatology, Non-alcoholic Fatty Liver Disease, Risk Factors, Liver Neoplasms, Gastroenterology, Humans, United States, Liver Transplantation, Retrospective Studies
Abstract

Nonalcoholic steatohepatitis (NASH) is one of the most common etiologies of liver transplantation (LT) in the United States. We investigated regional trends in waitlist candidates, LT rates, and recipient survival among patients with NASH.Using the United Network for Organ Sharing database by Organ Procurement and Transplantation Network regions, we investigated waitlist registration, LT rates, and survival for NASH between January 2004 and December 2019.The absolute number and percentage of total LT performed for NASH increased substantially in all Organ Procurement and Transplantation Network regions. In 2019, region 11 had the highest percentage of NASH-related LT with 31.4% followed by region 10 (25.3%) and region 8 (23.1%). Between 2015 and 2019, region 5 had the highest rising percentage in LT for NASH at 208%, followed by region 1 (194%) and region 4 (183%). The proportion of NASH hepatocellular carcinoma (NASH-HCC) was the highest in region 9 at 37.7% and lowest in region 10 (19.2%), region 3 (20.6%), and region 11 (20.8%). In multivariate analysis, diabetes (HR 1.18, P0.001), dialysis before LT (hazard ratio [HR] 1.53, P0.001), HCC (HR 1.19, P0.00), portal vein thrombosis (HR 1.24, P0.001), donor age (HR 1.026, P = 0.03), and recipient age (HR 1.24, P =0.001) were associated with worse survival.LT for patients with NASH has dramatically increased across all regions since 2004, but with substantial heterogeneity among regions in the proportion with HCC and post-LT survival. Identifying contributing factors to these regional differences is warranted.

Published
2022
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3. Severity of Inpatient Hospitalizations Among Undocumented Immigrants and Medi-Cal Patients in a Los Angeles, California, Hospital: 2019.

Author

Ro A, Yang HW, Du S, Hanlon CL, and Young AS

Subjects
Adolescent, Adult, Aged, Female, Health Services Accessibility, Health Services Needs and Demand, Humans, Insurance Coverage, Length of Stay statistics & numerical data, Los Angeles, Male, Middle Aged, Retrospective Studies, Risk Factors, Severity of Illness Index, State Health Plans, Hospitalization statistics & numerical data, Undocumented Immigrants
Abstract

Objectives. To compare the severity of inpatient hospitalizations between undocumented immigrants and Medi-Cal patients in a large safety-net hospital in Los Angeles, California. Methods. We conducted a retrospective analysis of all 2019 inpatient stays at a Los Angeles hospital (n = 22 480), including patients of all races/ethnicities. We examined 3 measures by using insurance status to approximate immigration status: illness severity, length of hospital stay, and repeat hospitalizations. We calculated group differences between undocumented and Medi-Cal patients by using inverse probability weighted regression adjustment separately for patients aged 18 to 64 years and those aged 65 years and older. Results. Younger undocumented patients had less severe illness and shorter lengths of stay than their Medi-Cal counterparts. Older undocumented immigrants also had less severe illness, but had similar lengths of stay and were more likely to have repeated hospitalizations. Conclusions. While existing work suggests that undocumented immigrants could have more severe health care needs on account of their poorer access to medical care, we did not see clear health disadvantages among hospitalized undocumented immigrants, especially younger patients. There were fewer differences between undocumented and Medi-Cal patients who were older. ( Am J Public Health . 2021;111(11):2019-2026. https://doi.org/10.2105/AJPH.2021.306485).

Published
2021
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