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Investigator seeks to determine wether integrating an addiction team into a liver transplantation unit improves the prognosis of patients with alcohol-related liver disease requiring liver transplantation. Our hypothesis is that patients managed by an addiction team before and after liver transplantation have less frequent alcohol relapses, thus decreasing the risk of cardiovascular complications, de novo cancer, recurrence of alcohol-related cirrhosis, and consequently increasing their overall survival.
In this observational, retrospective and multicentre study, investigator seek to determine the effect of integrating an addiction team into liver transplantation unit on prognosis of patients with alcohol-related liver disease requiring liver transplantation. Investigatore plan to compare patients in 2 groups, depending on whether they have received or not specific addiction care before and after transplantation. This study was conducted over a period of 15 years in three French liver transplant units.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Transplanted patients seen by an addictionology team | Adult patients with alcohol-related liver disease, possibly complicated by hepatocellular carcinoma, that required liver transplantation in participating centers from January 2000 to December 2015, and seen by an addictology team before and after the transplantation. |
| |
| Transplanted patients not seen by an addictionology team | Adult patients with alcohol-related liver disease, possibly complicated by hepatocellular carcinoma, that required liver transplantation in participating centers from January 2000 to December 2015, and seen by an addictology team before and after the transplantation. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Liver transplantation | Procedure | Liver transplantation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival of patients transplanted for alcoholic liver disease. | Patient time (delay between date of transplantation and date of last news) + state (alive or deceased) | Date of last news (at least 5 years for surviving patients) |
| Measure | Description | Time Frame |
|---|---|---|
| Alcohol relapse rate | Number of patients with alcohol relapse among all transplanted patients. | Date of last news (at least 5 years for surviving) |
| Severe alcohol relapse rate | Number of patients with severe alcohol relapse among all transplanted patients |
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Inclusion criteria:
Exclusion criteria:
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Adult patients with alcohol-related liver disease, possibly complicated by hepatocellular carcinoma, that required liver transplantation in participating centers from January 2000 to December 2015.
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| Name | Affiliation | Role |
|---|---|---|
| Hélène Donnadieu-Rigole | University Hospital, Montpellier | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Uhmontpellier | Montpellier | 34295 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37681206 | Derived | Daniel J, Dumortier J, Del Bello A, Gamon L, Molinari N, Faure S, Meszaros M, Ursic-Bedoya J, Meunier L, Monet C, Navarro F, Boillot O, Pageaux GP, Donnadieu-Rigole H. Integrating an addiction team into the management of patients transplanted for alcohol-associated liver disease reduces the risk of severe relapse. JHEP Rep. 2023 Jul 30;5(10):100832. doi: 10.1016/j.jhepr.2023.100832. eCollection 2023 Oct. |
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| Date of last news (at least 5 years for surviving) |
| Rate of alcohol-related cirrhosis recurrence | Number of patients with alcohol-related cirrhosis among all transplanted patients. | Date of last news (at least 5 years for surviving) |
| Rate of development of cardiovascular risk factors | Number of patients developing one or more cardiovascular risk factors (hypertension, dyslipidemia, diabetes, smoking) among all transplanted patients. | Date of last news (at least 5 years for surviving) |
| Cardiovascular event rate | Number of patients with one or more cardiovascular events (coronary syndrome, stroke, arterial disease) among all transplant patients. | Date of last news (at least 5 years for surviving) |
| De novo cancer-free survival | Number of patients developing de novo cancer as a function of time among all transplanted patients | Date of last news (at least 5 years for surviving) |
| ID | Term |
|---|---|
| D000437 | Alcoholism |
| D008108 | Liver Diseases, Alcoholic |
| D006528 | Carcinoma, Hepatocellular |
| ID | Term |
|---|---|
| D019973 | Alcohol-Related Disorders |
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D020751 | Alcohol-Induced Disorders |
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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| ID | Term |
|---|---|
| D016031 | Liver Transplantation |
| ID | Term |
|---|---|
| D016378 | Tissue Transplantation |
| D064987 | Cell- and Tissue-Based Therapy |
| D001691 | Biological Therapy |
| D013812 | Therapeutics |
| D013505 | Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D016377 | Organ Transplantation |
| D014180 | Transplantation |
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