German Margarita N, Eccleston Jason L, Tamez Diego A, Remington Patrick L, Lucey Michael R
Division of Gastroenterology and Hepatology University of Wisconsin School of Medicine and Public Health Madison WI USA.
Department of Medicine University of Wisconsin School of Medicine and Public Health Madison WI USA.
Hepatol Commun. 2020 Sep 7;4(11):1717-1724. doi: 10.1002/hep4.1591. eCollection 2020 Nov.
Liver transplant centers in the United States retain great autonomy in determining eligibility criteria for a liver transplant. This study aims to define the availability and content of liver transplant centers' publicly available Internet policies regarding eligibility criteria for liver transplant. Three trained undergraduate students performed a structured pilot-tested assessment of official websites of the United Network for Organ Sharing-registered liver transplant centers. All 141 liver transplant centers had an accessible website. Some account of eligibility criteria was provided by 53% of centers, while 32% of centers discussed substance use. Only 17% discussed their policy regarding alcohol use in candidates with underlying alcohol use disorder, and only 2% stipulated that 6 months of abstinence was required. While exclusion based on substance use or age was discussed infrequently, insurance coverage requirements, the need for social support, and the need for adherence to medical care were mentioned in 21%, 37%, and 23% of centers, respectively. In 2018, half of liver transplant centers provided some information on their official websites regarding eligibility criteria for liver transplant. Detailed information regarding substance use disorders and social health requirements was rare. The Internet is infrequently used by liver transplant centers as a means to publicly share information regarding selection criteria.
美国的肝移植中心在确定肝移植资格标准方面拥有很大的自主权。本研究旨在明确肝移植中心关于肝移植资格标准的公开可用互联网政策的可用性和内容。三名经过培训的本科生对器官共享联合网络注册的肝移植中心的官方网站进行了结构化的预测试评估。所有141个肝移植中心都有可访问的网站。53%的中心提供了一些资格标准的说明，而32%的中心讨论了药物使用情况。只有17%的中心讨论了他们对有潜在酒精使用障碍的候选人的酒精使用政策，只有2%的中心规定需要戒酒6个月。虽然基于药物使用或年龄的排除很少被讨论，但21%、37%和23%的中心分别提到了保险覆盖要求、社会支持需求和坚持医疗护理的需求。2018年，一半的肝移植中心在其官方网站上提供了一些关于肝移植资格标准的信息。关于药物使用障碍和社会健康要求的详细信息很少见。肝移植中心很少将互联网作为公开分享选择标准信息的手段。
