Opioid and opioid substitution therapy in liver transplant candidates: A survey of center policies and practices.
Opioid and opioid substitution therapy in liver transplant candidates: A survey of center policies and practices.
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肝移植候选者的阿片类药物和阿片类药物替代治疗：中心政策和实践的调查。
DOI：
10.1111/ctr.13119
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发表时间：
2017-12
影响因子：
2.1
通讯作者：
Rogal SS
中科院分区：
文献类型：
--
作者：
Fleming JN;Lai JC;Te HS;Said A;Spengler EK;Rogal SS
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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影响因子：
4.6
作者：
Kanchana, TP;Kaul, V;Rothstein, KD
通讯作者：
Rothstein, KD
影响因子：
1.5
作者：
Monte, Andrew A.;Anderson, Peter;Heard, Kennon J.
通讯作者：
Heard, Kennon J.
影响因子：
8.8
作者：
Liu, LU;Schiano, TD;Bodenheimer, HC
通讯作者：
Bodenheimer, HC
影响因子：
39
作者：
Fiellin DA;Schottenfeld RS;Cutter CJ;Moore BA;Barry DT;O'Connor PG
通讯作者：
O'Connor PG
DOI：
10.1111/j.1600-6143.2008.02488.x
发表时间：
2009-02
期刊：
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
影响因子：
--
作者：
Reese PP;Yeh H;Thomasson AM;Shults J;Markmann JF
通讯作者：
Markmann JF