Psychiatric and psychosocial aspects of liver transplantation

@article{Krahn2005PsychiatricAP,
  title={Psychiatric and psychosocial aspects of liver transplantation},
  author={Lois E. Krahn and Andrea DiMartini},
  journal={Liver Transplantation},
  year={2005},
  volume={11}
}
Liver transplantation (LT) has increasingly been accepted as the standard of care for patients with irreversible advanced liver disease. Due to an expanded list of diseases that are accepted as indications for transplantation, for example, specific criteria for hepatocellular carcinoma (HCC), coupled with a finite number of available organs, the national waiting list of patients has steadily grown. Nonetheless, the supply of donor organs has not kept pace, with currently 16% of patients dying… 
Pre-Liver Transplantation Evaluation and Listing
TLDR
Common indications for liver transplantation are discussed: the MELD system and its exceptions, the physical and psychosocial evaluation of potential transplant candidates, and some limitations of the current organ allocation system and efforts to reduce disparity in organ distribution.
A Critical Review of Candidacy for Orthotopic Liver Transplantation in Alcoholic Liver Disease
TLDR
When considering patients for listing for LT, 3 months of alcohol abstinence may be more ideal than 6 months, and patients with a lack of social support, active smoking, psychotic or personality disorders, or a pattern of nonadherence should be listed only with reservation.
Liver transplantation for alcoholic liver disease.
TLDR
There is conflicting evidence to support a fixed period of pretransplant abstinence, although most units do follow this, and post-transplant surveillance is important to detect early relapse to alcoholism, presence of de-novo malignancy and treat the same adequately.
The relationship between anxiety‐depression status and psychosocial adjustments in the patients undergoing liver transplantation
TLDR
This study suggests that informing patients who are facing liver transplantation process about the transplantation and supporting and increasing healthy lifestyles, assisting them with the use of effective coping methods, providing treatments for severe mental disorders, and providing more social and economic support, will contribute to increasing the psychosocial adjustment of the patients, as well as improving their quality of life.
[Psychiatric approach of liver transplant].
TLDR
The main psychiatric items involved in the selection of candidates and accompaniment of transplanted patients were described and it was concluded that psychiatric disorders are common in candidates in the pre-operative period.
Effect of living donor liver transplantation on depressive symptoms in hepatitis C virus patients
TLDR
Self-reported depression scores for recipients with HCV-related liver diseases showed a greater improvement after living donor liver transplantation surgery, suggesting that transplantation has a favorable outcome on the psychological burden experienced by transplant recipients, thereby contributing toward their well-being.
Psychosocial evaluation for liver transplantation: A brief guide for gastroenterologists
TLDR
An overview of and guidelines for the most important psychosocial issues during the pretransplantation phase of Liver transplantation are provided.
Psychosocial profile and psychiatric morbidity among Egyptian patients after living donor liver transplantation
TLDR
Female gender, younger age group, low educational level, managerial work, being the sibs of the recipients, and obtaining high scores in the EPQ were found to be independent risk factors correlated with the development of psychiatric morbidity in liver donors.
Current concepts in the evaluation of patients for liver transplantation
  • M. Russo
  • Medicine
    Expert review of gastroenterology & hepatology
  • 2007
TLDR
Prioritization for allocating livers is based upon the model for end-stage liver disease score and waiting-time mortality with the fundamental concept of giving organs to the sickest first.
The transplantation candidate with alcohol misuse: The selection minefield
  • H. Vargas, L. Krahn
  • Medicine
    Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
  • 2008
TLDR
Transplantation centers and professionals who commonly see patients with alcoholic liver disease should strive to screen these patients carefully in order to maximize the benefits of liver transplantation for good-risk candidates, in this issue of Liver Transplantation.
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