Review Article

Liver Transplantation for Alcohol-Related Liver Disease (ARLD): An Update on Controversies and Considerations

Table 3

Studies comparing risk factors for return to risky drinking for patients with alcohol-related liver disease (ARLD) undergoing liver transplantation.

StudyNo. of ARLD ptsRisk factorsReturn to risky drinking

Demographic, behavioural, and social factorsComorbidity
Kelly et. al. [27]100UnmarriedDepression10%
Unemployed
Lack of social support
Substance abuse
<6-month abstinence

Nickels et. al. [28]27Age < 50 yearsDepression26.9%
Male
Alcohol dependence

De Gottardi et. al. [29]387Age < 50 yearsPsychiatric disease11.9%
Male
Unmarried
HRAR
Low SS
Unemployed
<6-month abstinence

Karim et. al. [30]80Age < 50 yearsPsychiatric disease10%
Male
Unmarried
Low SES
Unemployed
Smoking
Substance abuse
<6-month abstinence
Rehabilitation

Deruytter et. al. [31]108Age < 50 yearsPsychiatric disease29%
Male
Unmarried
Unemployed
Family history of alcohol abuse
Smoking
Alcohol dependence

Egawa et. al. [24]195MalePsychiatric disease13.3%–50% depending upon the recipient and donor relationship
Unmarried
Lack of social support
Unemployed smoking
<6-month abstinence

Askgaard et. al. [32]156Male18%, 24%, and 27% after 5, 10, and 15 years of posttransplant, respectively.
Unmarried
Unemployed
Family history of alcohol abuse smoking
Alcohol dependence

Wigg et. al. [33]87MalePsychiatric disease16%
Unmarried
Lack of social support
Unemployed
Family history of alcohol abuse smoking
Substance abuse

Satapathy et. al. [18]241<6-months abstinence nonalcohol-related criminal active smoking10%

ARLD: alcohol-related liver disease; HRAR: high-risk alcoholism relapse; SS: docioecnomic status; and LT: liver transplantation.