Ilagan-Ying Ysabel C
Department of Medicine, Section of Digestive Diseases, Yale School of Medicine, New Haven, CT, USA.
Department of Medicine, Veterans Affairs Connecticut Healthcare, West Haven, CT, USA.
Dig Dis Sci. 2025 Jun 13. doi: 10.1007/s10620-025-09144-2.
Alcohol use disorder (AUD), an increasingly prevalent and treatable cause for alcohol-associated liver disease (ALD), is the most common reason for liver transplantation and liver-related deaths in the United States. Despite overwhelming evidence that ALD-related mortality and healthcare costs are rising, patients with ALD are generally undertreated for AUD. Though multidisciplinary care models integrating addiction medicine, hepatology, and social workers, with established training for health professionals on ALD-related stigma can address this treatment gap, numerous barriers exist, which include a lack of addiction providers, insufficient training in addiction amongst primary care and non-addiction medicine providers, limited knowledge and negative beliefs regarding AUD pharmacotherapy, and negative attitudes of clinicians towards patients with AUD. In this issue of Digestive Disease and Sciences, Jagdish et al. implemented a one-hour educational intervention for gastroenterology fellows at a tertiary academic care center consisting of a formal lecture presentation created in collaboration with an addiction medicine specialist. By sharing their work in increasing confidence in addiction medicine-guided training for gastroenterology fellows and highlighting perceived attitudes of providers charged with caring for this vulnerable patient population, progress can be made for health professional trainees in screening, diagnosis, and initial management of AUD to improve access to multidisciplinary, life-saving care for patients with ALD.
酒精使用障碍（AUD）是酒精性肝病（ALD）日益普遍且可治疗的病因，是美国肝移植和肝脏相关死亡的最常见原因。尽管有大量证据表明与ALD相关的死亡率和医疗成本在上升，但ALD患者的AUD通常治疗不足。虽然整合成瘾医学、肝病学和社会工作者的多学科护理模式，以及为卫生专业人员提供关于ALD相关耻辱感的既定培训可以解决这一治疗差距，但仍存在许多障碍，包括缺乏成瘾治疗提供者、初级保健和非成瘾医学提供者在成瘾方面的培训不足、对AUD药物治疗的知识有限和负面看法，以及临床医生对AUD患者的负面态度。在本期《消化疾病与科学》中，贾格迪什等人在一家三级学术医疗中心为胃肠病学研究员实施了一项一小时的教育干预，内容包括与一位成瘾医学专家合作创建的正式讲座。通过分享他们在增强胃肠病学研究员对成瘾医学指导培训的信心方面所做的工作，并突出负责照顾这一脆弱患者群体的提供者的感知态度，可以在AUD的筛查、诊断和初始管理方面为卫生专业学员取得进展，以改善ALD患者获得多学科救命护理的机会。
