Integrated Multidisciplinary Care Model to Manage the Dual Pathology of Alcohol Use Disorder and of Liver Disease

Clin Liver Dis. 2024 Nov;28(4):793-807. doi: 10.1016/j.cld.2024.06.013. Epub 2024 Aug 1.

Abstract

Alcohol-associated liver disease (ALD) is the most common cause of liver disease and an indication for liver transplantation. Identification of ALD at an earlier stage and treatment of concomitant alcohol use disorder (AUD) could potentially prevent or delay the progression to advanced stages of ALD like alcohol-associated cirrhosis and alcohol-associated hepatitis. However, screening for alcohol use is often not performed and treatment of AUD is rarely administered in ALD patients, due to several barriers at the level of patients, clinicians, and administrative levels.

Keywords: Alcohol; Alcohol use disorder; Alcohol-associated hepatitis; Alcohol-associated liver disease; Cirrhosis; Depression; Liver transplantation.

Publication types

  • Review

MeSH terms

  • Alcoholism* / complications
  • Alcoholism* / therapy
  • Delivery of Health Care, Integrated
  • Humans
  • Liver Diseases, Alcoholic* / therapy
  • Patient Care Team