{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T23:45:10Z","timestamp":1774482310171,"version":"3.50.1"},"reference-count":38,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T00:00:00Z","timestamp":1618790400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Data regarding marijuana (MJ) use among liver transplant (LT) candidates are limited. We set out to determine the incidence and pre\u00ad and post\u00adLT outcomes of adult LT candidates with a self\u2010reported history of MJ use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Baseline clinical characteristics, waitlist, and post\u2010LT outcomes of adult LT candidates from January 2010 to March 2017 were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 2690 LT candidates, 630(23%) and 298(11%) reported a history of MJ use and use within the past 12\u00a0months, respectively. Although the proportion of MJ users increased over time(<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0.76, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.03), the proportion listed and transplanted did not change. Listing for LT increased with male (OR 1.24, 95% CI 11.01\u20131.52), MELD score (OR 1.08, 95% CI 1.01\u20131.15), HCC (OR 1.83, 95% CI 1.39\u20132.41) but decreased among MJ users (OR 0.67, 95% CI 0.50\u20130.91, <jats:italic>p\u00a0=<\/jats:italic>\u00a0.01). The median time to listing was longer among MJ users compared to non\u2010users (115 vs. 87\u00a0days, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.0005). Post\u00adLT survival was similar in 83\u00a0MJ users and 306 non\u2010users.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The proportion of MJ users among LT candidates is increasing. MJ users have a greater burden of psychosocial issues which may contribute to longer evaluations and lower rate of LT listing. Post\u2010LT survival was not impacted by self\u2010reported MJ use history.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.14312","type":"journal-article","created":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T01:00:32Z","timestamp":1617843632000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Marijuana use among adult liver transplant candidates and recipients"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8191-9497","authenticated-orcid":false,"given":"Alisa","family":"Likhitsup","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology University of Michigan Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naba","family":"Saeed","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology University of Michigan Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald Scott","family":"Winder","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Michigan Ann Arbor MI USA"},{"name":"Department of Surgery University of Michigan Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ammar","family":"Hassan","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology University of Michigan Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher J","family":"Sonnenday","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Michigan Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert J","family":"Fontana","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology University of Michigan Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,4,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss6511a1"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-017-0843-1"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1402309"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cld.2011.08.002"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.25497"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2016.02.072"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-015-2935-8"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.13456"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000001969"},{"key":"e_1_2_8_11_1","unstructured":"National Conference of State Legislatures.State medical marijuana laws.http:\/\/www.ncsl.org\/research\/health\/state\u2010medical\u2010marijuana\u2010laws.aspx. 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