ArticleClinical transplantation2017
Opioid and opioid substitution therapy in liver transplant candidates: A survey of center policies and practices.
Article in Clinical transplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed.
- Medication Treatment of Active Opioid Use Disorder in Veterans With Cirrhosis.The American journal of gastroenterology · 2021Article
- Characteristics of opioid prescribing to outpatients with chronic liver diseases: A call for action.PloS one · 2021Article
- Attitudes Toward Organ Donation for Persons Who Have a Substance Use Disorder Relative to Other Health Conditions.Frontiers in psychiatry · 2021Article
- Internet Published Policies Regarding Liver Transplant Eligibility and Substance Use in United States Transplant Centers.Hepatology communications · 2020Article
- Opioid Avoidance After Liver Transplantation: The Ever-Shifting Pain Management Paradigm.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2020Article
- Perceptions and Practices Regarding Frailty in Kidney Transplantation: Results of a National Survey.Transplantation · 2020Article
- Assessment of Canadian policies regarding liver transplant candidacy of people who use alcohol, tobacco, cannabis, and opiates.Canadian liver journal · 2020Article
- Stigma as a fundamental hindrance to the United States opioid overdose crisis response.PLoS medicine · 2019Article
- Being accompanied to liver discharge clinic: An easy measure to identify potential liver transplant candidates among those previously considered ineligible.World journal of hepatology · 2019Article
- Outcomes of liver transplant in patients with alcohol use disorders and opioid use disorders.Clinical liver diseaseArticle
- Treatment of opioid use disorder in patients with liver disease.Clinical liver diseaseArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
This national survey sought to determine the practices and policies pertaining to opioid and opioid substitution therapy (OST) use in the selection of liver transplant (LT) candidates. Of 114 centers, 61 (53.5%) responded to the survey, representing 49.2% of the LT volume in 2016. Only two programs considered chronic opioid (1 [1.6%]) or OST use (1 [1.6%]) absolute contraindications to transplant, while 63.9% and 37.7% considered either one a relative contraindication, respectively. The majority of programs did not have a written policy regarding chronic opioid use (73.8%) or OST use (78.7%) in LT candidates. Nearly half (45.9%) of centers agreed that there should be a national consensus policy addressing opioid and OST use. The majority of responding LT centers did not consider opioid or OST use in LT candidates to be absolute contraindications to LT, but there was significant variability in center practices. These surveys also demonstrated a lack of written policies in the assessment of the candidacy of such patients. The results of our survey identify an opportunity to develop a national consensus statement regarding opioid and OST use in LT candidates to bring greater uniformity and equity into the selection of LT candidates.
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