{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T13:00:08Z","timestamp":1780750808469,"version":"3.54.1"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:00:00Z","timestamp":1768003200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:00:00Z","timestamp":1768003200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Novel models of ambulatory care have been used in chronic disease management, but implementation in advanced chronic liver disease remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We aimed to explore clinical outcomes of a multidisciplinary clinic for patients with chronic liver disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective cohort study of patients attending a multidisciplinary liver clinic between February 2019 and May 2024. The clinic comprised co\u2010located hepatologists, a dietitian, a pharmacist and an addiction medicine specialist, coordinated by a hepatology nurse. Patients accessed on\u2010site point\u2010of\u2010care ultrasound, abdominal paracentesis and albumin infusions. The primary outcome was liver\u2010related admission. Secondary outcomes were 12\u2010month admission\u2010free survival and change in liver disease prognostic scores at 3 and 6 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 285 patients were included, of whom 61% were men, 56% had alcohol\u2010related liver disease and 95% had cirrhosis. The median baseline model for end\u2010stage liver disease (MELD)\u00a0score was 14.6 (interquartile range (IQR): 10.6\u201318.9) and 52% were in Child\u2010Pugh B class at index appointment. The liver\u2010related admission rate was 33% at a median of 546\u2009days (IQR: 149\u20131095 days) from index appointment, and 12\u2010month admission\u2010free survival was 40.4% (IQR: 34.6\u201346.1). Median MELD improved at 3 months (12.8 months (IQR: 9.8\u201315.9 months),\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u20090.05) and plateaued by 6 months (11.9 months (IQR: 9.4\u201316.2 months),\n                      <jats:italic>P<\/jats:italic>\n                      =\u20090.29). The proportion of patients with ascites decreased at each time point (54% vs 35% vs 27%,\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Two\u2010thirds of patients attending a multidisciplinary liver clinic had no subsequent liver\u2010related admissions, with a median 18\u2010month latency to admission in the remainder. Co\u2010location of clinicians and supportive measures may contribute to these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/imj.70321","type":"journal-article","created":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T10:56:16Z","timestamp":1768042576000},"page":"442-449","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Five\u2010year outcomes of a dedicated, multidisciplinary clinic for decompensated cirrhosis"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9383-3903","authenticated-orcid":false,"given":"Natalie L. 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