November 15, 2022
End-stage liver disease (ESLD) is a serious illness marked by significant morbidity and mortality, with a median survival of two years without liver transplantation. Many people first learn of their diagnosis during an acute index hospitalization for debilitating complications of liver failure, such as jaundice, ascites, hepatic encephalopathy, and variceal hemorrhage. Patients who survive this hospitalization are vulnerable—they often have limited prognostic understanding and face social stigma due to their liver disease. It is rare that they experience the engagement of palliative care.
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