Open AccessDeficits in Advance Care Planning for Patients With Decompensated Cirrhosis at Liver Transplant Centers
Author(s) -
Arpan Patel,
Gery W. Ryan,
Diana M. Tisnado,
Emmeline Chuang,
Anne M. Walling,
Sammy Saab,
Saro Khemichian,
Vinay Sundaram,
Robert H. Brook,
Neil S. Wenger
Publication year - 2021
Publication title -
jama internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.14
H-Index - 342
eISSN - 2168-6114
pISSN - 2168-6106
DOI - 10.1001/jamainternmed.2021.0152
Subject(s) - medicine , cirrhosis , hepatology , liver transplantation , advance care planning , liver disease , context (archaeology) , transplantation , intensive care medicine , family medicine , palliative care , nursing , paleontology , biology
The burden of end-of-life care for patients with cirrhosis is increasing in the US, and most of these patients, many of whom are not candidates for liver transplant, die in institutions receiving aggressive care. Advance care planning (ACP) has been associated with improved end-of-life outcomes for patients with other chronic illnesses, but it has not been well-characterized in patients with decompensated cirrhosis.
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