Is Access to Liver Transplantation Similar in Alcoholic or Not Patients?

Study Overview
=================
Brief Summary
-----------------
The purpose of this study is to determine whether there are reasons other than medical reasons that could limit access to liver transplantation in alcoholic patients.

Detailed Description
-----------------
The investigators perform a study combining the follow up of a previous cohort of 450 patients and the inclusion of 150 new patients. The study is performed in medical or hepatogastroenterology departments of nine French public hospitals mostly non-teaching. They lay in three French area, selected according to the density of patients with alcoholic liver disease (ALD) in the area, respectively, high as in Brittany-Loire, 'average' in Ile de France and low as in the Languedoc-Roussillon. The patients included in the cohort must respond to the following criteria: having liver cirrhosis of whatever origin and age over 18 years. The cirrhosis must be confirmed by the morphological or histological criteria. Structured forms and questionnaires will allow the collection of data. Information collected from patients include socio demographic characteristics, medical history, history of consumption of psychotropic (i.e., alcohol or drugs), clinical, biological, histological characteristics and psychological. Inpatients complete a self-assessment structured questionnaire Hospital Anxiety Depression Scale (HAD). Patients are followed until they are registered or not on the national waiting list or die, every 6 months after inclusion until 2 years. Statistical analysis will focus on descriptive analysis, survival analysis by Kaplan-Meier, and analytic analysis. Association with registration on the national waiting list of inpatients will be searched using Cox and logistic regression models. Further analyzes will be conducted for example on the differences of opinion between physicians and patients, on regional differences.

Official Title
-----------------
Is Access to Liver Transplantation Similar in Alcoholic or Not Patients? A Prospective Cohort Study

Conditions
-----------------
Inpatient With End Stage Liver Disease

Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Inpatients Age over 18 Having liver cirrhosis of whatever origin (Cirrhosis was confirmed if morphological or histological criteria with or without esophageal varicoses were met) Exclusion Criteria: Outpatients Age less to 18 With acute liver failure or hepatocarcinoma without liver cirrhosis

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Registered or not on the transplantation national waiting list<br> | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Registration on the national waiting list |  | 3 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Potential candidate to liver transplantation according to the opinion of the caring physician on | At the time of inpatients inclusion (previous study: fifth year after the first inclusion) | At Day 0 | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Inpatient, Liver cirrhosis, Liver Cirrhosis, Alcoholic, Physician's Practice Patterns, Liver Transplantation, Delivery of Health Care, Resource Allocation