32. Liver Transplantation in Alcoholic Liver Disease: Does It Impact on Socioeconomic Parameters?

Abstract

Background and Aims: Active alcoholism is generally considered a contraindication to liver transplantation. The major concern both for treating team and family relates to vulnerability to relapse alcoholism. We aim to study the impact of liver transplantation on the psycho-social and economic parameters of patients with alcoholic liver disease. Methods: Study was designed as a prospective observational study. Data was collected using self made questionnaire (Aster transplant protocol psycho-social economic assessment). Patients who underwent liver transplantation for alcoholic liver disease between December 2015 to April 2018 were included in the study. Alcohol use disorders identification test (AUDIT) score >8 was used to diagnose harmful alcohol drinking. Results: During the study period we performed 126 liver transplantation of which 21 were for alcoholic liver disease. Out of 21 patients, 11 underwent deceased donor liver transplantation and 10 underwent living donor liver transplantation. Transplantation made a positive impact on all the psycho-social and economic parameters assessed. At six months after transplantation, 95.2% of were employed compared to 33.6% at pre-transplantation period. The average monthly income of the family was higher in the post-transplantation period compared to the pre-transplantation period. Liver transplant also made a positive impact on family unit. Conclusions: There is a definite positive impact for liver transplantation on the psycho-social and economic parameters of patients with alcoholic liver disease. The authors have none to declare.