Research methodologies to address clinical unmet needs and challenges in alcohol-associated liver disease.


Journal

Hepatology (Baltimore, Md.)
ISSN: 1527-3350
Titre abrégé: Hepatology
Pays: United States
ID NLM: 8302946

Informations de publication

Date de publication:
04 2022
Historique:
received: 19 06 2021
accepted: 13 08 2021
pubmed: 9 9 2021
medline: 27 4 2022
entrez: 8 9 2021
Statut: ppublish

Résumé

Alcohol-associated liver disease (ALD) is emerging worldwide as the leading cause of liver-related morbidity, mortality, and indication for liver transplantation. The ALD Special Interest Group and the Clinical Research Committee at the digital American Association for the Study of Liver Diseases meeting in November 2020 held the scientific sessions to identify clinical unmet needs in ALD, and addressing these needs using clinical research methodologies. Of several research methodologies, the sessions were focused on (a) studying disease burden of ALD using large administrative databases, (b) developing biomarkers for noninvasive diagnosis of alcohol-associated hepatitis (AH) and estimation of disease prognosis, (c) identifying therapeutic targets for ALD and AH, (d) deriving accurate models to predict prognosis or posttransplant alcohol relapse as a basis for developing treatment algorithm and a uniform protocol on patient-selection criteria for liver transplantation, and (e) examining qualitative research methodologies in studying the barriers to implementation of multidisciplinary integrated care model by hepatology and addiction teams for the management of dual pathology of liver disease and of alcohol use disorder. Prospective multicenter studies are required to address many of these clinical unmet needs. Further, multidisciplinary care models are needed to improve long-term outcomes in patients with ALD.

Identifiants

pubmed: 34496071
doi: 10.1002/hep.32143
pmc: PMC9235468
mid: NIHMS1813051
pii: 01515467-202204000-00022
doi:

Types de publication

Journal Article Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1026-1037

Subventions

Organisme : NIAAA NIH HHS
ID : U01 AA026977
Pays : United States

Informations de copyright

© 2021 American Association for the Study of Liver Diseases.

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Auteurs

Ashwani K Singal (AK)

Department of Internal MedicineUniversity of South Dakota Sanford School of MedicineSioux FallsSouth DakotaUSA.
Division of Gastroenterology and HepatologyAvera Transplant InstituteSioux FallsSouth DakotaUSA.

Paul Kwo (P)

Division of Gastroenterology and HepatologyStanford University Medical CenterStanfordCaliforniaUSA.

Allison Kwong (A)

Division of Gastroenterology and HepatologyStanford University Medical CenterStanfordCaliforniaUSA.

Suthat Liangpunsakul (S)

Division of Gastroenterology and HepatologyIndiana UniversityIndianapolisIndianaUSA.

Alexandre Louvet (A)

Division of HepatologyHospital HuriezLilleFrance.

Pranoti Mandrekar (P)

Graduate School of Biomedical SciencesUMass Medical SchoolWorcesterMassachusettsUSA.

Craig McClain (C)

Division of Gastroenterology, Hepatology, and NutritionDepartment of MedicineUniversity of LouisvilleLouisvilleKentuckyUSA.
Department of Pharmacology and ToxicologyUniversity of Louisville School of MedicineLouisvilleKentuckyUSA.
Alcohol Research CenterUniversity of Louisville School of MedicineLouisvilleKentuckyUSA.
Robley Rex Veterans Affairs Medical CenterLouisvilleKentuckyUSA.

Jessica Mellinger (J)

Division of Gastroenterology and HepatologyUniversity of MichiganAnn ArborMichiganUSA.

Gyongyi Szabo (G)

Division of Gastroenterology and HepatologyBeth Israel Deaconess Medical CenterHarvard Medical SchoolBostonMassachusettsUSA.

Norah Terrault (N)

Division of Gastroenterology and HepatologyUniversity of Southern CaliforniaLos AngelesCaliforniaUSA.

Mark Thursz (M)

Division of Digestive DiseasesImperial College LondonLondonUK.

Gerald S Winder (GS)

Department of PsychiatryUniversity of MichiganAnn ArborMichiganUSA.

W Ray Kim (WR)

Division of Gastroenterology and HepatologyStanford University Medical CenterStanfordCaliforniaUSA.

Vijay H Shah (VH)

Division of Gastroenterology and HepatologyMayo ClinicRochesterMinnesotaUSA.

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