Michael A. Dunn

Free Testosterone Is Associated With Worse Survival in Patients With Advanced Chronic Liver Disease Awaiting Liver Transplantation

Miguel Sogbe, Brittany Bromfield, Roberto Tellez, Pamela M. Bloomer et autres

BACKGROUND AND AIMS: Hypogonadism is frequent in AdvCLD and associated with frailty and poor outcomes. This study aimed to evaluate the association between free testosterone (FT) levels and all-cause mortality in male patients with AdvCLD awaiting liver transplantation (LT), and to compare …

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The Association of Free Testosterone Levels With Frailty Metrics in Advanced Chronic Liver Disease

Miguel Sogbe, Brittany Bromfield, Roberto Tellez, Pamela M. Bloomer et autres

BACKGROUND: Frailty is common in advanced chronic liver disease (AdvCLD). Key assessment tools for frailty in this population include the liver frailty index (LFI), the 6-minute walk test (6MWT), and the gait speed test (GST). This study investigates the relationship between free …

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What hepatology clinicians and their patients with alcohol‐related liver disease think of wearable alcohol biosensors to aid abstinence from alcohol: A qualitative study

Andrea DiMartini, Jaideep Behari, Jon Punzi, Michael A. Dunn et autres

INTRODUCTION: We aimed to determine acceptability and feasibility of innovative wearable alcohol biosensor monitors (ABM) for patients with alcohol-related liver disease (ALD) and their clinicians. METHODS: Patients and clinicians at a tertiary care centre participated in qualitative interviews on usability, acceptability, feasibility, …

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Use of a Mobile-Assisted Telehealth Regimen to Increase Exercise in Transplant Candidates: A Home-Based Prehabilitation Pilot and Feasibility Trial

Andrés Duarte‐Rojo, Pamela M. Bloomer, Rachel K. Grubbs, Jonathan G. Stine et autres

INTRODUCTION: Physical fitness assessed by the Liver Frailty Index (LFI) and 6-minute walk test (6MWT) informs the prognosis of liver transplant candidates, although there are limited data on its reversibility after prehabilitation. On a home-based exercise trial, we aimed to improve LFI …

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Veteran Truckers, the Supply Chain, and the Metabolic Syndrome: A Convergence of Crises

Michael A. Dunn, Elliot B. Tapper, Shari S. Rogal

T he COVID-19 pandemic has exacerbated and highlighted gaps in the US supply chain, including a critical shortfall of truckers (i.e., those holding a commercial driver's license [CDL]).In response, in April 2022 the White House launched a government, industry, union, and veterans …

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Challenges and Solutions for Monitoring Alcohol Use in Patients With Alcohol-Related Liver Disease: Pilot Study of a Wearable Alcohol Biosensor

Andrea DiMartini, Jaideep Behari, Michael A. Dunn, Ramón Bataller et autres

OBJECTIVES: Early alcohol use identification can prevent morbidity/mortality for alcohol-associated liver disease (ALD). Innovative wearable alcohol biosensors (biosensors) that identify alcohol use through perspiration are an emerging technology with potential application for patients with ALD. Our primary aim was to determine biosensor …

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A novel method using the level of mobility to predict mortality in patients admitted for decompensated cirrhosis: A prospective study

Andrew J. Groff, Marina Serper, Sunny Y. Tao, Pamela M. Bloomer et autres

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Mo1538: BASELINE PERIPHERAL BLOOD EOSINOPHILIA PREDICTS DECREASED RESPONSE TO INITIAL ANTI-TNF BIOLOGIC THERAPY IN IBD

Filippos Koutroumpakis, Claudia Ramos Rivers, Amir A. Ghaffari, E. Gkiaouraki et autres

Sarcopenic visceral obesity is associated with increased post-liver transplant mortality in acutely ill patients with cirrhosis

Nghiem B. Ha, Aldo J. Montaño‐Loza, Elizabeth J. Carey, Shezhang Lin et autres

“Sarcopenic obesity” refers to a condition of low muscle mass in the context of obesity, though may be difficult to assess in patients with cirrhosis who are acutely ill. We aimed to define sarcopenic visceral obesity (SVO) using CT-based skeletal muscle index …

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Low Daily Step Count Is Associated With a High Risk of Hospital Admission and Death in Community-Dwelling Patients With Cirrhosis

Fei‐Pi Lin, Pamela M. Bloomer, Rachel K. Grubbs, Bonny Rockette‐Wagner et autres

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Frailty, mortality, and health care utilization after liver transplantation: From the Multicenter Functional Assessment in Liver Transplantation (FrAILT) Study

Jennifer C. Lai, Amy M. Shui, Andrés Duarte‐Rojo, Daniel Ganger et autres

BACKGROUND AND AIMS: Frailty is a well-established risk factor for poor outcomes in patients with cirrhosis awaiting liver transplantation (LT), but whether it predicts outcomes among those who have undergone LT is unknown. APPROACH AND RESULTS: Adult LT recipients from 8 US …

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Cognitive Impairment and Physical Frailty in Patients With Cirrhosis

Kacey Berry, Andrés Duarte‐Rojo, Joshua D. Grab, Michael A. Dunn et autres

Physical frailty and impaired cognition are common in patients with cirrhosis. Physical frailty can be assessed using performance-based tests, but the extent to which impaired cognition may impact performance is not well characterized. We assessed the relationship between impaired cognition and physical …

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