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Patient- and provider-level factors that underlie alcohol use disorder treatment offer and acceptance in veterans with cirrhosis.患者和提供者层面的因素是导致肝硬化退伍军人接受和提供酒精使用障碍治疗的基础。
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2
Barriers to the management of alcohol use disorder and alcohol-associated liver disease: strategies to implement integrated care models.酒精使用障碍和酒精相关肝病管理障碍:实施综合护理模式的策略。
Lancet Gastroenterol Hepatol. 2022 Feb;7(2):186-195. doi: 10.1016/S2468-1253(21)00191-6.
3
Epidemiology of DSM-5 alcohol use disorder in U.S. military veterans: Results from the National Health and Resilience in Veterans Study.DSM-5 酒精使用障碍在美国退伍军人中的流行病学:来自国家健康和退伍军人适应力研究的结果。
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The Impact of Co-occurring Post-traumatic Stress Disorder and Substance Use Disorders on Craving: A Systematic Review of the Literature.创伤后应激障碍与物质使用障碍共病对渴望的影响:文献系统综述
Front Psychiatry. 2021 Dec 14;12:786664. doi: 10.3389/fpsyt.2021.786664. eCollection 2021.
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Sex Differences across Retrospective Transitions in Posttraumatic Stress and Substance Use Disorders.创伤后应激障碍和物质使用障碍的回溯性转变中的性别差异。
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Genetic and environmental influences on the progression from alcohol use disorder to alcohol-related medical conditions.遗传和环境因素对从酒精使用障碍到与酒精相关的医疗状况的进展的影响。
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Associations Between Alcohol Use and Liver-Related Outcomes in a Large National Cohort of Patients With Cirrhosis.酒精使用与大规模全国肝硬化患者队列中肝脏相关结局的相关性研究。
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酒精性肝病的自然史:了解病理生理学和患者护理的变化格局。

Natural History of Alcohol-Associated Liver Disease: Understanding the Changing Landscape of Pathophysiology and Patient Care.

机构信息

Division of Gastroenterology, Hepatology and Nutrition, Virginia Commonwealth University, Richmond, Virginia; Central Virginia Veterans Healthcare System, Richmond, Virginia.

Center for Liver Disease Research, Departments of Inflammation and Immunity and Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, Ohio; Department of Molecular Medicine, Case Western Reserve University, Cleveland, Ohio.

出版信息

Gastroenterology. 2022 Oct;163(4):840-851. doi: 10.1053/j.gastro.2022.05.031. Epub 2022 May 19.

DOI:10.1053/j.gastro.2022.05.031
PMID:35598629
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9509416/
Abstract

Alcohol use and consequent liver disease are major burdens that have worsened during the COVID-19 pandemic. There are several facets to the pathophysiology and clinical consequences of alcohol-use disorder (AUD) and progression to alcohol-associated liver disease (ALD) that require a concerted effort by clinicians and translational and basic science investigators. Several recent advances from bedside to bench and bench to bedside have been made in ALD. We focused this review on a case-based approach that provides a human context to these important advances across the spectrum of ALD.

摘要

饮酒和由此导致的肝脏疾病是大负担,在 COVID-19 大流行期间有所恶化。酒精使用障碍(AUD)的病理生理学和临床后果以及进展为酒精相关肝病(ALD)有几个方面,需要临床医生以及转化和基础科学研究人员共同努力。ALD 方面已经取得了一些从床边到实验室,再从实验室到床边的最新进展。我们以病例为基础的方法来重点关注这些重要进展,为 ALD 谱提供了人类背景。