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Transplantation for Alcohol-related Liver Disease: Is It Fair?
- Source :
-
Alcohol & Alcoholism . Mar2018, Vol. 53 Issue 2, p173-177. 5p. - Publication Year :
- 2018
-
Abstract
- Aims: Alcohol-related liver disease (ALD) is the second leading cause of liver transplantation performed in the USA and Europe. We aimed to provide a narrative review of the major ethical issues governing transplantation for ALD. Methods: We performed a narrative review of the ethical concepts in organ allocation for ALD, including alcoholic hepatitis. Results: Ethical concerns regarding organ allocation for ALD involve issues of urgency, utility and justice. Post-transplant outcomes for ALD patients are good and ethical considerations limiting organs solely because of alcohol etiology do not bear scrutiny. Conclusion: ALD will continue to be a major cause for liver failure. The main criteria for transplant in ALD should be the patient's risk of return to harmful drinking, alongside standard assessments of physical and psychosocial fitness for transplant. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TRANSPLANTATION of organs, tissues, etc.
*COMPLICATIONS of alcoholism
*HEPATITIS
*ALCOHOLIC liver diseases
*ORGAN donation
*ALCOHOL drinking
*LIVER failure
*LIVER transplantation
*MEDICAL needs assessment
*SYSTEMATIC reviews
*TREATMENT effectiveness
*FUNCTIONAL assessment
*DISEASE complications
*ETHICS
*PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 07350414
- Volume :
- 53
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Alcohol & Alcoholism
- Publication Type :
- Academic Journal
- Accession number :
- 128345794
- Full Text :
- https://doi.org/10.1093/alcalc/agx105