Integrated hepatology and addiction care for inpatients with alcohol use disorder improves outcomes: a prospective study

Hepatol Commun. 2023 Apr 26;7(5):e0119. doi: 10.1097/HC9.0000000000000119. eCollection 2023 May 1.

Abstract

Background: Growing literature highlights the need to integrate hepatology and addiction care to improve outcomes for patients with alcohol use disorder and alcohol-associated liver disease. However, prospective data for this approach are lacking.

Methods: We prospectively examined the efficacy of an integrated hepatology and addiction medicine approach on alcohol use and hepatology outcomes in inpatients with alcohol use disorder.

Findings: An integrated approach improved the uptake of medical alcohol therapy, hepatic fibrosis screening, and viral hepatitis vaccination compared with a historical control of patients who received addiction medicine care alone. There were no differences in the rates of early alcohol remission. The integration of hepatology and addiction care may improve outcomes in patients with alcohol use disorder.

MeSH terms

  • Alcohol Drinking
  • Alcoholism* / diagnosis
  • Alcoholism* / therapy
  • Gastroenterology*
  • Humans
  • Inpatients
  • Liver Diseases, Alcoholic*
  • Prospective Studies