The impact of marijuana use on liver transplant recipients: A 900 patient single center experience
Introduction Increased societal prevalence of marijuana continues to challenge liver transplant (LT) programs. This study aimed to examine the potential effects of marijuana use on outcomes. Methods This retrospective study included recipients who underwent LT between 1/2012 and 6/2018. According to...
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| Published in: | Clinical transplantation Vol. 35; no. 4; pp. e14215 - n/a |
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| Main Authors: | , , , , , , , , , , , , |
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| Abstract | Introduction
Increased societal prevalence of marijuana continues to challenge liver transplant (LT) programs. This study aimed to examine the potential effects of marijuana use on outcomes.
Methods
This retrospective study included recipients who underwent LT between 1/2012 and 6/2018. According to pre‐LT marijuana use, patients were classified into recent (≤6 months of LT), former (chronic use but not ≤6 months), or non‐users. Additionally, the impact of post‐LT marijuana use on survival was assessed.
Results
Of 926 eligible patients, 184 were pre‐LT marijuana users (42 recent; 142 former) (median follow‐up: 30.3 months). Pre‐users were more likely to be male, White, and have histories of tobacco, alcohol, and illicit drug use. Additionally, recent users were of higher acuity, with higher MELD and requiring ICU admission. Patient survival at 1‐year was 89% in non‐users, 94% (HR: 0.494, 95% CI: 0.239–1.022 vs. non‐users) in former users, and 83% (HR: 1.516, 95% CI: 0.701–3.282) in recent users. Post‐operative complications in pre‐LT users and the survival analysis for post‐LT marijuana users vs. non‐users did not show significance.
Conclusions
Our results demonstrated that marijuana use did not have an adverse impact on post‐LT outcomes; however, further studies utilizing larger cohorts are warranted. |
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| AbstractList | INTRODUCTIONIncreased societal prevalence of marijuana continues to challenge liver transplant (LT) programs. This study aimed to examine the potential effects of marijuana use on outcomes. METHODSThis retrospective study included recipients who underwent LT between 1/2012 and 6/2018. According to pre-LT marijuana use, patients were classified into recent (≤6 months of LT), former (chronic use but not ≤6 months), or non-users. Additionally, the impact of post-LT marijuana use on survival was assessed. RESULTSOf 926 eligible patients, 184 were pre-LT marijuana users (42 recent; 142 former) (median follow-up: 30.3 months). Pre-users were more likely to be male, White, and have histories of tobacco, alcohol, and illicit drug use. Additionally, recent users were of higher acuity, with higher MELD and requiring ICU admission. Patient survival at 1-year was 89% in non-users, 94% (HR: 0.494, 95% CI: 0.239-1.022 vs. non-users) in former users, and 83% (HR: 1.516, 95% CI: 0.701-3.282) in recent users. Post-operative complications in pre-LT users and the survival analysis for post-LT marijuana users vs. non-users did not show significance. CONCLUSIONSOur results demonstrated that marijuana use did not have an adverse impact on post-LT outcomes; however, further studies utilizing larger cohorts are warranted. Increased societal prevalence of marijuana continues to challenge liver transplant (LT) programs. This study aimed to examine the potential effects of marijuana use on outcomes. This retrospective study included recipients who underwent LT between 1/2012 and 6/2018. According to pre-LT marijuana use, patients were classified into recent (≤6 months of LT), former (chronic use but not ≤6 months), or non-users. Additionally, the impact of post-LT marijuana use on survival was assessed. Of 926 eligible patients, 184 were pre-LT marijuana users (42 recent; 142 former) (median follow-up: 30.3 months). Pre-users were more likely to be male, White, and have histories of tobacco, alcohol, and illicit drug use. Additionally, recent users were of higher acuity, with higher MELD and requiring ICU admission. Patient survival at 1-year was 89% in non-users, 94% (HR: 0.494, 95% CI: 0.239-1.022 vs. non-users) in former users, and 83% (HR: 1.516, 95% CI: 0.701-3.282) in recent users. Post-operative complications in pre-LT users and the survival analysis for post-LT marijuana users vs. non-users did not show significance. Our results demonstrated that marijuana use did not have an adverse impact on post-LT outcomes; however, further studies utilizing larger cohorts are warranted. Introduction Increased societal prevalence of marijuana continues to challenge liver transplant (LT) programs. This study aimed to examine the potential effects of marijuana use on outcomes. Methods This retrospective study included recipients who underwent LT between 1/2012 and 6/2018. According to pre‐LT marijuana use, patients were classified into recent (≤6 months of LT), former (chronic use but not ≤6 months), or non‐users. Additionally, the impact of post‐LT marijuana use on survival was assessed. Results Of 926 eligible patients, 184 were pre‐LT marijuana users (42 recent; 142 former) (median follow‐up: 30.3 months). Pre‐users were more likely to be male, White, and have histories of tobacco, alcohol, and illicit drug use. Additionally, recent users were of higher acuity, with higher MELD and requiring ICU admission. Patient survival at 1‐year was 89% in non‐users, 94% (HR: 0.494, 95% CI: 0.239–1.022 vs. non‐users) in former users, and 83% (HR: 1.516, 95% CI: 0.701–3.282) in recent users. Post‐operative complications in pre‐LT users and the survival analysis for post‐LT marijuana users vs. non‐users did not show significance. Conclusions Our results demonstrated that marijuana use did not have an adverse impact on post‐LT outcomes; however, further studies utilizing larger cohorts are warranted. |
| Author | Markovic, Daniela Kaldas, Fady M. Agopian, Vatche G. Busuttil, Ronald W. Ito, Takahiro Severance, Alyscia Aziz, Antony Lu, Michelle Lee, Jane Farmer, Douglas G. Younan, Stephanie DiNorcia, Joseph Guorgui, Jacob |
| Author_xml | – sequence: 1 givenname: Jacob surname: Guorgui fullname: Guorgui, Jacob organization: David Geffen School of Medicine at UCLA – sequence: 2 givenname: Takahiro surname: Ito fullname: Ito, Takahiro organization: David Geffen School of Medicine at UCLA – sequence: 3 givenname: Daniela surname: Markovic fullname: Markovic, Daniela organization: David Geffen School of Medicine at UCLA – sequence: 4 givenname: Antony surname: Aziz fullname: Aziz, Antony organization: David Geffen School of Medicine at UCLA – sequence: 5 givenname: Stephanie surname: Younan fullname: Younan, Stephanie organization: David Geffen School of Medicine at UCLA – sequence: 6 givenname: Alyscia surname: Severance fullname: Severance, Alyscia organization: David Geffen School of Medicine at UCLA – sequence: 7 givenname: Michelle surname: Lu fullname: Lu, Michelle organization: David Geffen School of Medicine at UCLA – sequence: 8 givenname: Jane surname: Lee fullname: Lee, Jane organization: David Geffen School of Medicine at UCLA – sequence: 9 givenname: Joseph orcidid: 0000-0002-0212-7182 surname: DiNorcia fullname: DiNorcia, Joseph organization: David Geffen School of Medicine at UCLA – sequence: 10 givenname: Vatche G. surname: Agopian fullname: Agopian, Vatche G. organization: David Geffen School of Medicine at UCLA – sequence: 11 givenname: Douglas G. surname: Farmer fullname: Farmer, Douglas G. organization: David Geffen School of Medicine at UCLA – sequence: 12 givenname: Ronald W. surname: Busuttil fullname: Busuttil, Ronald W. organization: David Geffen School of Medicine at UCLA – sequence: 13 givenname: Fady M. orcidid: 0000-0002-4888-3979 surname: Kaldas fullname: Kaldas, Fady M. email: FKaldas@mednet.ucla.edu organization: David Geffen School of Medicine at UCLA |
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| Cites_doi | 10.1097/TP.0b013e318271d7c1 10.1002/lt.25456 10.1378/chest.94.2.432 10.1097/TP.0000000000002045 10.1046/j.1442-2026.2002.00294.x 10.1002/lt.23581 10.1136/gut.2003.036350 10.1097/01.ASN.0000018401.82863.FD 10.1111/ctr.12828 10.1016/S0140-6736(10)60487-4 10.1097/YCO.0b013e32812144cc 10.1001/jama.2011.1961 10.1097/TP.0000000000003309 10.1016/j.amjcard.2013.09.042 10.1002/lt.25417 10.1001/archinte.167.3.221 10.1097/MEG.0000000000001256 10.1007/s11920-017-0843-1 10.1111/j.1600-6143.2008.02468.x 10.1016/j.transproceed.2016.02.072 10.1097/MOT.0b013e328300a070 10.1097/TP.0000000000002599 |
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| References | 2013; 19 2007; 167 2002; 14 2004; 53 2018; 102 2013; 95 2003; 7 2002; 13 2010; 376 2019; 25 2019 2020; 105 2016; 30 2009; 9 2008; 13 2019; 103 1988; 94 2018; 30 2017; 19 2015 2007; 20 2016; 48 2012; 307 2014; 113 Melaragno JI (e_1_2_9_14_1) 2020; 105 e_1_2_9_11_1 e_1_2_9_13_1 e_1_2_9_12_1 e_1_2_9_15_1 Munckhof WJ (e_1_2_9_10_1) 2003; 7 e_1_2_9_17_1 Lipari RN (e_1_2_9_4_1) 2019 e_1_2_9_16_1 e_1_2_9_19_1 e_1_2_9_18_1 e_1_2_9_20_1 e_1_2_9_22_1 e_1_2_9_21_1 e_1_2_9_24_1 e_1_2_9_23_1 e_1_2_9_8_1 e_1_2_9_7_1 e_1_2_9_6_1 e_1_2_9_5_1 e_1_2_9_3_1 e_1_2_9_2_1 e_1_2_9_9_1 e_1_2_9_26_1 e_1_2_9_25_1 e_1_2_9_27_1 |
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| Snippet | Introduction
Increased societal prevalence of marijuana continues to challenge liver transplant (LT) programs. This study aimed to examine the potential... Increased societal prevalence of marijuana continues to challenge liver transplant (LT) programs. This study aimed to examine the potential effects of... INTRODUCTIONIncreased societal prevalence of marijuana continues to challenge liver transplant (LT) programs. This study aimed to examine the potential effects... |
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| SubjectTerms | cannabis liver transplantation marijuana |
| Title | The impact of marijuana use on liver transplant recipients: A 900 patient single center experience |
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