{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T17:10:34Z","timestamp":1776964234685,"version":"3.51.4"},"reference-count":15,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T00:00:00Z","timestamp":1719360000000},"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":["Liver International"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Liver transplantation (LT) in patients with alcohol\u2010associated hepatitis (AH) has rapidly increased following the coronavirus disease 2019 pandemic and the implementation of the Acuity Circle policy, raising questions of equity and utility. Waitlist mortality among high (\u226537) Model for End\u2010Stage Liver Disease LT candidates with AH and post\u2010transplant survival were assessed with a semiparametric survival regression and a generalized linear mixed\u2010effect model with LT centre\u2010 and listing date\u2010level random intercepts. These models demonstrate a lower mortality for the candidates listed with AH (adjusted sub\u2010hazard ratio <jats:sub>.58_<\/jats:sub>.72<jats:sub>_.90<\/jats:sub> and odds ratio <jats:sub>.44_<\/jats:sub>.66<jats:sub>_.99<\/jats:sub>) when compared to other diagnoses (autoimmune hepatitis, metabolic dysfunction\u2010associated fatty liver disease and primary biliary cholangitis). Post\u2010LT survival was comparable. This study highlights the limitations of current tools in characterizing the risk of mortality, and thus need for the modifications in prioritizing LT candidates with AH. Policy revision may be needed to ensure equivalent access to LT regardless of diagnosis.<\/jats:p>","DOI":"10.1111\/liv.16017","type":"journal-article","created":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T08:52:46Z","timestamp":1719391966000},"page":"2102-2107","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Evolving trends and outcomes on the <scp>US<\/scp> liver transplant waitlist of alcohol\u2010associated hepatitis patients with very high <scp>MELD<\/scp> scores"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6139-8444","authenticated-orcid":false,"given":"Tomohiro","family":"Tanaka","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology University of Iowa Carver College of Medicine  Iowa City Iowa USA"},{"name":"Department of Health Management and Policy University of Iowa Collage of Public Health  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Axelrod","sequence":"additional","affiliation":[{"name":"Division of Transplantation and Hepatobiliary Surgery University of Iowa Carver College of Medicine  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000004049"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2023.03.007"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aohep.2023.101169"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2021.02.033"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.32110"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep4.1706"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.31132"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.4254\/wjh.v13.i8.830"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000001863"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.16143"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.16936"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2022.07.007"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/HEP.0000000000000267"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2021.01.042"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000001282"}],"container-title":["Liver International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/liv.16017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T12:55:17Z","timestamp":1760187317000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/liv.16017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,26]]},"references-count":15,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1111\/liv.16017"],"URL":"https:\/\/doi.org\/10.1111\/liv.16017","archive":["Portico"],"relation":{},"ISSN":["1478-3223","1478-3231"],"issn-type":[{"value":"1478-3223","type":"print"},{"value":"1478-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,26]]},"assertion":[{"value":"2024-03-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}