Cote Maria P, Rodríguez-Payan Natalia, Atthota Srilakshmi, Elias Nahel, Dageforde Leigh Anne
Department of Surgery, Massachusetts General Hospital, Boston, MA, United States.
Department of Surgery, Maimonides Medical Center, Brooklyn, NY, United States.
Front Transplant. 2025 Jun 26;4:1577086. doi: 10.3389/frtra.2025.1577086. eCollection 2025.
Alcohol use disorder (AUD) treatment in liver transplant (LT) recipients requires multidisciplinary management. We aim to analyze post-LT patients' perceptions of the transplant clinic, local community resources, desired supports and barriers for AUD recovery resources.
A survey of adult recipients who received a LT within the last ten years with a history of AUD at a single Transplant Center was conducted. The survey consisted of five categories: demographics, strategies for AUD treatment used before and after LT, recent alcohol use, and challenges faced in AUD treatment. Results were reported using descriptive statistics.
Forty-one of 203 approached participants completed the questionnaire over a 3-month period [median age 56 years (45.5-62), 68.3% male, 90.2% white, median time since transplant 21 months (9.4-50.7)]. Thirty-three (80.5%) had a period of abstinence from alcohol prior to LT: 17 (41.5%) 1-5 years, 7 (17%) 6-12 months, and 7 (17%) < 6 months. 88.9% reported their goal for alcohol was complete abstinence. Useful strategies for AUD management before LT included exercise (73.1%), family support (63.4%), and therapy (58.5%). Exercise was most effective post-LT resource to prevent return to alcohol use, followed by social work assistance (51.2%), and finding a new hobby (48.8%). Social support and difficulties with availability of AUD treatment resources were the main challenges perceived by survey participants.
Exercise, social support, social work assistance, finding new hobbies, and therapy were the preferred resources for AUD management. Future interventions should facilitate access to resources to assist with sobriety and incorporate their outside support network in assisting with recovery from AUD.
肝移植（LT）受者的酒精使用障碍（AUD）治疗需要多学科管理。我们旨在分析LT术后患者对移植诊所、当地社区资源、所需支持以及AUD康复资源障碍的看法。
对在单一移植中心接受LT且过去十年内有AUD病史的成年受者进行了一项调查。该调查包括五个类别：人口统计学、LT前后使用的AUD治疗策略、近期饮酒情况以及AUD治疗中面临的挑战。结果采用描述性统计报告。
在3个月内，203名被邀请的参与者中有41名完成了问卷[中位年龄56岁（45.5 - 62岁），男性占68.3%，白人占90.2%，移植后中位时间21个月（9.4 - 50.7个月）]。33名（80.5%）在LT前有戒酒期：17名（41.5%）戒酒1 - 5年，7名（17%）戒酒6 - 12个月，7名（17%）戒酒<6个月。88.9%报告他们的戒酒目标是完全戒酒。LT前AUD管理的有用策略包括锻炼（73.1%）、家庭支持（63.4%）和治疗（58.5%）。锻炼是LT后预防复饮最有效的资源，其次是社会工作援助（51.2%）和培养新爱好（48.8%）。社会支持和AUD治疗资源可及性方面的困难是调查参与者感知到的主要挑战。
锻炼、社会支持、社会工作援助、培养新爱好和治疗是AUD管理的首选资源。未来的干预措施应促进获取有助于戒酒的资源，并将其外部支持网络纳入协助AUD康复的过程中。
