Public and professional attitudes to transplanting alcoholic patients
Article first published online: 29 OCT 2007
Copyright © 2007 American Association for the Study of Liver Diseases
Supplement: Therapeutic Challenges in Liver Transplantation: Hepatocellular Carcinoma and Alcoholic Liver Disease and Other Addictive States
Volume 13, Issue Supplement 2, pages S65–S68, November 2007
How to Cite
Neuberger, J. (2007), Public and professional attitudes to transplanting alcoholic patients. Liver Transpl, 13: S65–S68. doi: 10.1002/lt.21337
- Issue published online: 29 OCT 2007
- Article first published online: 29 OCT 2007
The discrepancy between the number of people who might benefit from liver transplantation continues to exceed the availability of donor livers available, so rationing of grafts must occur.
Alcoholic liver disease (ALD) is an excellent indication for liver transplantation, with outcomes at least as good as for other indications.
ALD remains a controversial indication for liver transplantation.
There is no robust evidence that public disquiet over distribution of donor livers to those with ALD (even if they return to alcohol) greatly affects organ donation, although this does not mean there is no consequence of such disquiet.
Numerous surveys of the general public, patients, and health care professionals indicate the these patients are thought to have lower priority for access to available liver grafts.
Public education is required to demonstrate that patients with ALD are carefully selected for liver transplantation and available grafts are used with attention to equity, justice, and utility. Liver Transpt 13: S65–S68. 2007. © 2007 AASLD.