Palliative care for patients with end-stage liver disease ineligible for liver transplantation

William Sanchez, Jayant A. Talwalkar

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

The proportion of patients with ESLD who will be managed without liver transplantation will increase in the near future, largely as a result of the increasing age of the population. Patients with ESLD are subject to many physical and psychosocial symptoms that negatively affect health-related quality of life. Sleep quality should be maximized by controlling pruritus and leg cramps. Many frequently used therapies are not supported by a strong evidence base. Advance directives should be addressed with all patients with ESLD, preferably in the outpatient setting before an acute deterioration. Medicare provides a hospice benefit for patients with ESLD, and referral to a hospice is appropriate for patients with an expected survival of 6 months or less.

Original languageEnglish (US)
Pages (from-to)201-219
Number of pages19
JournalGastroenterology Clinics of North America
Volume35
Issue number1
DOIs
StatePublished - Mar 2006

Fingerprint

End Stage Liver Disease
Palliative Care
Liver Transplantation
Hospices
Advance Directives
Muscle Cramp
Pruritus
Medicare
Leg
Sleep
Outpatients
Referral and Consultation
Quality of Life
Survival
Population

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Palliative care for patients with end-stage liver disease ineligible for liver transplantation. / Sanchez, William; Talwalkar, Jayant A.

In: Gastroenterology Clinics of North America, Vol. 35, No. 1, 03.2006, p. 201-219.

Research output: Contribution to journalArticle

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