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Authors Fleming JN, Lai JC, Te HS, Said A, Spengler E, Rogal SS
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Journal Clin Transplant
Publish Date 2017 Sep 23
PubMed ID 28941292

This national survey sought to determine the practices and policies pertaining to opioid and opioid substitution therapy (OST) use in the selection of liver transplant (LT) candidates. Of 114 centers, 61 (53.5%) responded to the survey, representing 49.2% of the LT volume in 2016. Only 2 programs considered chronic opioid (1 (1.6%)) or OST use (1 (1.6%)) absolute contraindications to transplant, while 63.9% and 37.7% considered either one a relative contraindication, respectively. The majority of programs did not have a written policy on chronic opioid use (73.8%) or OST use (78.7%) in LT candidates. Nearly half (45.9%) of centers agreed that there should be a national consensus policy on opioid and OST use. The majority of responding LT centers did not consider opioid or OST use in LT candidates to be absolute contraindications to LT, but there was significant variability in center practices. These surveys also demonstrated a lack of written policies in the assessment of the candidacy of such patients. The results of our survey identify an opportunity to develop a national consensus statement on opioid and OST use in LT candidates in order to bring greater uniformity and equity into the selection of LT candidates. This article is protected by copyright. All rights reserved. Copyright © 2017 The Board of Regents of the University of Wisconsin System