We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
[Psychiatric assessment of alcoholic patients on a waiting list for liver transplantation: which prognostic criteria are empirically proven?].
- Authors
Soyka, M; Stickel, F
- Abstract
Liver disorders are the most frequent somatic complications of alcoholism. As 10‑20% of alcoholic patients will develop liver cirrhosis, this is the most frequent reason for premature death in alcoholic patients. Liver transplantation is now an accepted therapy for alcoholic liver cirrhosis but psychiatric assessment is usually required for patients entering a waiting list for transplantation. Prognostic criteria are controversially discussed, especially the so-called 6-month rule. Numerous studies and recent meta-analyses have indicated that duration of alcoholism, family history, age, sex, comorbid substance use and psychiatric disorders, noncompliance and social instability are outcome predictors. The 6-month criterion is not well proven but some studies are indicative. Possible therapeutic interventions for alcoholic patients on a waiting list are discussed.
- Publication
Der Nervenarzt, 2013, Vol 84, Issue 9, p1075
- ISSN
1433-0407
- Publication type
Journal Article
- DOI
10.1007/s00115-012-3665-8