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

CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

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
Want full access to the AMA Ed Hub?
After you sign up for AMA Membership, make sure you sign in or create a Physician account with the AMA in order to access all learning activities on the AMA Ed Hub
Buy this activity
Close
Want full access to the AMA Ed Hub?
After you sign up for AMA Membership, make sure you sign in or create a Physician account with the AMA in order to access all learning activities on the AMA Ed Hub
Buy this activity
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:
  • Access free activities and track your credits
  • Personalize content alerts
  • Customize your interests
  • Fully personalize your learning experience
Close

Lookup An Activity

or

Close

My Saved Searches

You currently have no searches saved.

Close

My Saved Courses

You currently have no courses 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