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Purpose of Review <p>The goal of this paper is to summarize the reported clinicians’ perspectives on integrating palliative care (PC) into the management of patients with advanced liver disease (ALD) to examine the shared elements and highlight next steps.</p> Recent Findings <p>The benefit of PC in ALD is well recognized by hepatology and specialty palliative care clinicians. Over the past decade, the optimal way to integrate PC for ALD has been increasingly investigated but remains unclear. Clinicians often site an unpredictable disease course and misperceptions of PC as obstacles to comprehensive integration. Growth of PC in medical education and collaboration between specialty PC and hepatology are expanding the understanding and use of PC services for patients with ALD.</p> Summary <p>Integration of PC services for patients with ALD is complicated by an unpredictable disease course and lack of comprehensive understanding of PC services across healthcare systems. In our current early stage of integration, clinicians’ perspectives highlight two major steps forward on the path to robust PC integration including increasing medical education on PC broadly and within hepatology to dispel misconceptions and provide skills to deliver primary PC as well as increasing collaboration between hepatology and specialty PC tailored to fit individual practice settings.</p>

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A Narrative Review of Clinicians’ Perspectives on Palliative Care for Advanced Liver Disease

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年6月2日

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  • Nicholas Hoppmann,
  • Susan Feldman,
  • Aidan Warner

摘要

Purpose of Review

The goal of this paper is to summarize the reported clinicians’ perspectives on integrating palliative care (PC) into the management of patients with advanced liver disease (ALD) to examine the shared elements and highlight next steps.

Recent Findings

The benefit of PC in ALD is well recognized by hepatology and specialty palliative care clinicians. Over the past decade, the optimal way to integrate PC for ALD has been increasingly investigated but remains unclear. Clinicians often site an unpredictable disease course and misperceptions of PC as obstacles to comprehensive integration. Growth of PC in medical education and collaboration between specialty PC and hepatology are expanding the understanding and use of PC services for patients with ALD.

Summary

Integration of PC services for patients with ALD is complicated by an unpredictable disease course and lack of comprehensive understanding of PC services across healthcare systems. In our current early stage of integration, clinicians’ perspectives highlight two major steps forward on the path to robust PC integration including increasing medical education on PC broadly and within hepatology to dispel misconceptions and provide skills to deliver primary PC as well as increasing collaboration between hepatology and specialty PC tailored to fit individual practice settings.