Treating alcohol-related liver disease from a public health perspective

Theresa Hydes, William Gilmore, Nick Sheron*, Ian Gilmore

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

17 Citations (Scopus)

Abstract

Herein, we describe the evolving landscape of alcohol-related liver disease (ALD) including the current global burden of disease and cost to working-aged people in terms of death and disability, in addition to the larger spectrum of alcohol-related heath complications and its wider impact on society. We further review the most effective and cost-effective public health policies at both a population and individual level. Currently, abstinence is the only effective treatment for ALD, and yet because the majority of ALD remains undetected in the community abstinence is initiated too late to prevent premature death in the majority of cases. We therefore hope that this review will help inform clinicians of the “public health treatment options” for ALD to encourage engagement with policy makers and promote community-based hepatology as a speciality, expanding our patient cohort to allow early detection, and thereby a reduction in the enormous morbidity and mortality associated with this disease.

Original languageEnglish
Pages (from-to)223-236
Number of pages14
JournalJournal of Hepatology
Volume70
Issue number2
DOIs
Publication statusPublished - Feb 2019
Externally publishedYes

Bibliographical note

Funding Information:
The National Drug Research Institute at Curtin University, Australia is supported by funding from the Australian Government under the Drug and Alcohol Program. W. Gilmore is supported by an Australian Government Research Training Program Scholarship.

Funding Information:
The National Drug Research Institute at Curtin University , Australia is supported by funding from the Australian Government under the Drug and Alcohol Program. W. Gilmore is supported by an Australian Government Research Training Program Scholarship.

Publisher Copyright:
© 2018

Keywords

  • Alcohol
  • Policy
  • Public health

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