Liver Transplantation for Acute Alcohol-Associated Hepatitis During the COVID-19 Pandemic | Gastrointestinal Surgery | JN Learning | AMA Ed Hub [Skip to Content]
[Skip to Content Landing]

Trends in Liver Transplantation for Acute Alcohol-Associated Hepatitis During the COVID-19 Pandemic in the US

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

Alcohol consumption and alcohol-related hospitalizations in the US have increased since the start of the COVID-19 pandemic.1,2 The broader public health consequences associated with these trends are incompletely characterized. Liver transplantation has become an accepted treatment for severe, acute alcohol-associated hepatitis.3 We describe trends in liver transplantation for acute alcohol-associated hepatitis before and during the COVID-19 pandemic.

Sign in to take quiz and track your certificates

Buy This Activity
Article Information

Accepted for Publication: May 21, 2021.

Published: July 29, 2021. doi:10.1001/jamanetworkopen.2021.18713

Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Bittermann T et al. JAMA Network Open.

Corresponding Author: Therese Bittermann, MD, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104 (therese.bittermann@pennmedicine.upenn.edu).

Author Contributions: Dr Bittermann had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: All authors.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: All authors.

Critical revision of the manuscript for important intellectual content: Mahmud, Abt.

Statistical analysis: Bittermann, Mahmud.

Administrative, technical, or material support: Abt.

Supervision: Abt.

Conflict of Interest Disclosures: None reported.

References
1.
Barbosa  C , Cowell  AJ , Dowd  WN .  Alcohol consumption in response to the COVID-19 pandemic in the United States.   J Addict Med. 2020. doi:10.1097/ADM.0000000000000767PubMedGoogle Scholar
2.
Sharma  RA , Subedi  K , Gbadebo  BM , Wilson  B , Jurkovitz  C , Horton  T .  Alcohol withdrawal rates in hospitalized patients during the COVID-19 pandemic.   JAMA Netw Open. 2021;4(3):e210422. doi:10.1001/jamanetworkopen.2021.0422PubMedGoogle Scholar
3.
Asrani  SK , Trotter  J , Lake  J ,  et al.  Meeting report: the Dallas Consensus Conference on liver transplantation for alcohol associated hepatitis.   Liver Transpl. 2020;26(1):127-140. doi:10.1002/lt.25681PubMedGoogle ScholarCrossref
4.
Masters  GA , Asipenko  E , Bergman  AL ,  et al.  Impact of the COVID-19 pandemic on mental health, access to care, and health disparities in the perinatal period.   J Psychiatr Res. 2021;137:126-130. doi:10.1016/j.jpsychires.2021.02.056PubMedGoogle ScholarCrossref
5.
United Network for Organ Sharing. Liver policy updates: new national liver and intestinal organ transplant system in effect Feb. 4, 2020. Accessed May 17, 2021. https://unos.org/policy/liver-policy-updates/
6.
Lee  BP , Im  GY , Rice  JP ,  et al.  Underestimation of liver transplantation for alcoholic hepatitis in the National Transplant Database.   Liver Transpl. 2019;25(5):706-711. doi:10.1002/lt.25448PubMedGoogle ScholarCrossref
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_Multimedia_LoginSubscribe_Purchase
Close
If you are not a JN Learning subscriber, you can either:
Subscribe to JN Learning for one year
Buy this activity
jn-learning_Modal_Multimedia_LoginSubscribe_Purchase
Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close

Name Your Search

Save Search
Close
With a personal account, you can:
  • Track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
jn-learning_Modal_SaveSearch_NoAccess_Purchase
Close

Lookup An Activity

or

Close

My Saved Searches

You currently have no searches saved.

Close
With a personal account, you can:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Education Center Collection Sign In Modal Right
Close