Department of Psychiatry, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO.
Division of Gastroenterology and Hepatology, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO.
Transplantation. 2024 Mar 1;108(3):654-661. doi: 10.1097/TP.0000000000004722. Epub 2023 Jul 6.
Alcohol-related liver disease is the most common indication for liver transplantation. It is essential for providers in transplantation to be informed of the state of the science in evaluation of alcohol use disorder (AUD). This review examines the broad range of approaches to the evaluation of AUD ranging from traditional interview approaches to recent literature on artificial intelligence models. The empirical support for methods of evaluation is examined. The authors discuss the use of each method in the context of patients seeking a liver transplant for alcohol-related liver disease. This review emphasizes the importance of using objective assessments so that transplant centers make evidence-based decisions and reduce cognitive bias. The review concludes with a proposed assessment battery for evaluation and bridges to future directions in the field of AUD assessment in liver transplantation.
酒精相关肝病是肝移植最常见的适应证。对于移植领域的医护人员来说，了解酒精使用障碍（AUD）评估的科学现状至关重要。本综述探讨了广泛的 AUD 评估方法，包括传统访谈方法和最近关于人工智能模型的文献。本文还考察了评估方法的实证支持。作者讨论了每种方法在寻求酒精相关肝病肝移植患者中的应用。本综述强调了使用客观评估的重要性，以便移植中心做出基于证据的决策，并减少认知偏差。本综述最后提出了一个评估电池，并为酒精使用障碍评估在肝移植领域的未来方向架起了桥梁。
