It is estimated that 17,000 Americans are in the waiting list for a liver transplant. Most of them make up the liver to alcohol. According to research published on Tuesday in JMA Internal Medicine, ALD is now being diverted from Hepatitis C.
One reason for the shift is that researchers say that hepatitis C is the leading cause of liver transplantation and it is easier to use drugs.
Someone in a transplant community emerges as a candidate for alcohol and luxury in a candidate and a student who faces these problems while liver is eligible.
For years, traditional wisdom suggested that a large drinking water would not be a good candidate for a new liver without a belt below their belt. However, in the study of nearly 33,000 liver transplant patients studying since 2002, researchers from the University of California-San Francisco discovered ALD in 2016 from 24.2 percent in 2002 to 36.7 percent.
"Throughout the whole country, we show up in the previous study, people change their minds," Dr. Brian P. Lee said that the main character of the study is UCSF Gastroenterology and Hepatology. "More and more providers are willing to exchange patients with ALD."
For decades this debate started in 1997. A group of doctors, medical societies, and US surgeon public, published a newspaper before six months of alteration to patients with alcoholic liver diseases.
This "six months rule" has become a golden standard. The idea is that the patient who is physically present during that period is less likely to return to the harmful alcoholism. If people with sexual discomfort feel that they have liver sex, it is a concern that stopping the public from stopping.
"This attitude is not based on any facts or information," said Dr Robert Brown, director of Veil Cornell and director of the Liver Diseases & Transplantation at New York Presbyterian.
The changing attitude takes place in many transplant centers, where there is a hard and fast need of six months hard. In particular, the team of doctors, psychologists and social workers examine a number of factors, including financial stability and family support.
A study published in 2010 by researchers at Pittsburgh University and a study in France in 2011 found that there is no evidence to suggest a six-year decline in reducing transplants risk.
Experts say forced to record the record of a patient before the procedure. Lee gives a priority that the patient will not be able to drink again after receiving a new liver – whether he or she is "eye-witnessing to live in vain."
According to Lee's research, after a five-year transplantation between sick leave for six months and those who have survived the same survival. Ten years later, it was a lot worse than six months of hard work. More research is needed to find out exactly.
Medical Director of the University of Wisconsin Transfer Program Michael Lycey found this. He said: "A very bad idea about alcoholism is" a very complex behavior. "
"Drinking water is not a sustainable phenomenon," said Lucy. "Those who have ALDs have a great deal of alcohol and physical strength."
Although Chelsea was happy with the policy changing policy, Chelsea did not change Oster to quickly.
The 24-year-old wrestler, who was 16 years old, took part in alcoholism. In 2013, I reached the emergency room in Peoria. On the first days dependent on the transplant, the doctors said.
When she found that the transplant was not available, her mother, Terry Oster, reached her another hospital and spent six weeks in the hospital. At that time, she did not have a transplant list.
She said she had heard about her daughter's condition. Doctors and nurses talked about not drinking.
"They told me to go for a resurgence," Terry Oster said. "How To Get Away From Hospital If You Want To Get Back To The Earth?"
Terry Oscar asked a doctor who told him that he would take a drug liver.
"She was out on the way," said Terry Oster. "It's very heartfelt, because she's so sweet, she was very scared and hoping."
Chelsea died in the hospital on July 4, 2013.
It is often thought of as a "self-inflicted" disease, naturally and naturally, due to the use of drugs. That attitude is changing in the medical community, but they remain.
"For some people, the use of alcoholism is not a disease," said Lucy.
Although the support for a changing approach grows, Lee, the lead author of the new study, continues to be a polarization problem.
"Still, the opponents still have strong opposition," he said. "Our studies are sure, because the local differences are different."
The difficulties are Lee, because the life of the patient depends on the attitude of the local providers, and creates the disorder. He said that there is "definitely a value" in a national policy.
The United Nations Office for Ordinary Sharing (UNOS), which holds the US transplant list six months ago, officially accepted the six-month law but does not take any final step.
As a result, some centers have such a ruthless law, and others do not have to. Along with certifying a transplant center, insurance is often their own requirement for the purpose of paying for a patient a long time before transplanting.
Dr. Unus, Chief Medical Officer, David Clesson admitted that the "rule" was one-page and based on evidence, but that it should be transplant centers to decide who is listening for an organ.
"From our point of view, it will not be possible to make good medical treatments or better results," said Clusen. "I hope transplant programs and society are moving in the same direction."
This article is from Henry J. Renamed from khn.org with the permission from the Caesar Family Foundation. Caesar Health News is a non-pharmaceutical health care policy research organization that is not associated with Caesar Pharmaceutical Foundation, Kaiser Permanent.