{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T18:37:44Z","timestamp":1793039864027,"version":"4.5.0"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:00:00Z","timestamp":1792713600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:00:00Z","timestamp":1792713600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"abstract":"<jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Dedicated outpatient palliative hepatology clinics remain uncommon despite the substantial symptom burden of advanced liver disease. We describe the early experience of a newly established outpatient palliative hepatology clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed patients scheduled for an initial consultation during the first months of clinic operation. Demographic and clinical characteristics, referral indications and sources, symptoms, advance care planning, follow-up, and outcomes were collected from the electronic medical record and summarized using descriptive statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 26 scheduled patients, median age was 60\u00a0years (IQR, 41-71), median MELD 3.0 was 21 (IQR, 14-30), and 23 (89%) had prior cirrhosis-related hospitalization(s). Common referral indications included supportive care needs (81%), goals-of-care discussions (65%), and symptom management (39%). Referrals primarily came from hepatology\/gastroenterology (54%) and inpatient palliative care (31%). Eighteen patients (69%) attended; 4 (15%) died before their scheduled appointment. Among those evaluated, pain and nausea were most common (56% each). Goals-of-care discussions occurred in 67%, advance directives were discussed in 72%, and surrogate decision makers in 83%. During a median follow-up of 192\u00a0days, 61% returned for follow-up and 33% died. Median time from the initial clinic visit to death was 51\u00a0days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients referred to our palliative hepatology clinic had advanced disease and substantial supportive care needs. High rates of goals-of-care and advance care planning among those evaluated highlight the potential value of dedicated palliative hepatology clinics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091261503180","type":"journal-article","created":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T18:01:29Z","timestamp":1792778489000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Early Experience of a Dedicated Outpatient Palliative Hepatology Clinic: Referral Patterns, Patient Characteristics, and Outcomes"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4524-6736","authenticated-orcid":false,"given":"Tulio L.","family":"Correa","sequence":"first","affiliation":[{"name":"University of Pittsburgh Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Tran","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin-James","family":"Chua","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Denike","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane O.","family":"Schell","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shari","family":"Rogal","sequence":"additional","affiliation":[{"name":"University of Pittsburgh"},{"name":"VA Pittsburgh Healthcare System"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,23]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.5997"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2020.06.013"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000000545"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2020-322161"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2019.0100"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1590\/s0004-2803.24612023-145"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/hep.32378"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/HEP.0000000000000671"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2019.03.022"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-026-10034-4"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/hep.31226"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.25122\/jml-2023-0083"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1159\/000521288"},{"key":"e_1_3_5_15_2","unstructured":"Stata Statistical Software: Release 19."},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/imj.16248"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2026.0571"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2018.0261"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2023.0367"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2022.0324"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aohep.2026.102222"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.14309\/ctg.0000000000001013"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.4254\/wjh.v16.i12.1377"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.21037\/apm-25-39"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2022.0093"},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216318807051"},{"key":"e_1_3_5_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2020.11.027"},{"key":"e_1_3_5_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/MOG.0000000000000530"},{"key":"e_1_3_5_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjms.2023.10.006"},{"key":"e_1_3_5_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0000000000002235"},{"issue":"175628482513536","key":"e_1_3_5_31_2","first-page":"175628482513536","article-title":"Symptom burden in end-stage liver disease: a prospective cohort study of the symptoms experienced by patients and the role of palliative care","volume":"18","author":"Oliveira HM","year":"2025","unstructured":"Oliveira HM, Ribeiro F, Lopes G, et al. 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