Bhogal N, Dhaliwal A, Lyden E, Rochling F, Olivera-Martinez M. Impact of psychosocial comorbidities on clinical outcomes after liver transplantation: Stratification of a high-risk population. World J Hepatol 2019; 11(8): 638-645 [PMID: 31528246 DOI: 10.4254/wjh.v11.i8.638]
Corresponding Author of This Article
Neil Bhogal, Department of Internal Medicine, Division of Gastroenterology and Hepatology, University of Nebraska Medical Center, 982000 NMC, Omaha, NE 68198, United States. neil.bhogal@unmc.edu
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Hepatol. Aug 27, 2019; 11(8): 638-645 Published online Aug 27, 2019. doi: 10.4254/wjh.v11.i8.638
Table 1 Demographic data
Value
%
Median age
59.30
12.44
Sex: Male (%): Female (%)
243 (62.15)
148 (37.85)
Etiology of liver disease
Alcohol
45
11.54
Nonalcoholic steatohepatitis
47
12.05
Hepatitis C
48
12.31
Hepatitis B
1
0.26
Hepatocellular carcinoma
1
0.26
Autoimmune hepatitis
20
5.13
Cryptogenic
1
0.26
Multi-visceral
14
3.59
Primary sclerosing cholangitis
25
6.41
Primary biliary cholangitis
12
3.08
Alpha-1-antitrypsin-Deficiency
5
1.28
Hepatic vein thrombosis
2
0.51
Hemochromatosis
1
0.26
Total parental nutrition related
1
0.26
Polycystic liver disease
1
0.26
Familial intrahepatic cholestasis
1
0.26
Cholangiocarcinoma
2
0.51
Primary oxaluria
3
0.77
Multiple
161
41.0
Table 2 Psychiatric history
Psychiatric diagnosis
Value
%
None
250
63.94
Major depression
78
19.95
Generalized anxiety
12
3.07
Bipolar disorder
5
1.28
Attention deficit disorder
1
0.26
Panic disorder
1
0.26
Conversion disorder
1
0.26
Multiple
43
10.98
Table 3 Psychiatric decompensation
Psychosocial decompensation
No
Yes
Total
No
225 (90.0)
25 (10.0)
250
Psychiatric history
Yes
114 (80.85)
27 (19.15)
141
Total
339
52
391
P = 0.013
No
266 (88.96)
33 (11.04)
299
Psychiatric treatment
Yes
73 (79.35)
19 (20.65)
92
Total
339
52
391
P = 0.022
Table 4 Recidivism
Recidivism
No
Yes
Total
No
334 (98.82)
4 (1.18)
338
Substance use
Yes
49 (94.23)
3 (5.77)
52
Total
383
7
390
P = 0.05
No
371 (98.67)
5 (1.33)
376
Non-compliance
13 (86.67)
2 (13.33)
15
384
7
391
P = 0.03
Table 5 Graft failure
Graft failure
No
Yes
Total
No
253 (67.29)
123 (32.71)
376
Non-compliance
Yes
6 (40.0)
9 (60.0)
15
Total
259
132
391
P = 0.047
Citation: Bhogal N, Dhaliwal A, Lyden E, Rochling F, Olivera-Martinez M. Impact of psychosocial comorbidities on clinical outcomes after liver transplantation: Stratification of a high-risk population. World J Hepatol 2019; 11(8): 638-645