A Trial of Post-Discharge Transitional Care for Patients With Chronic Liver Disease

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorIndiana University

About this trial

Patients with complications of advanced liver disease often have difficulties after hospital discharge that result in early hospital readmission. Poor outcomes for these patients during this transitional time could be improved through the use of innovative transitional care models. This proposal aims to examine the effect of a transitional care model, The Transitional Liver Clinic (TLC), in reducing hospital re-admissions, improving quality of life, and improving patient experience.

Eligibility criteria

Qualifiers

Male or female age ≥18

Diagnosis of advanced liver disease, defined as either (must meet either a or b)

biopsy

characteristic clinical, laboratory, and imaging findings

Disqualifiers

discharge under hospice

listed for liver transplant with MELD-Na ≥ 35

unable or unwilling to participate in post-discharge follow-up either in-person or virtually

unable to speak or understand English and/or Spanish

Trial design

Treatments tested in this trial

  • Transitional Liver Clinic (TLC)

Treatment groups

1,000 Participants
are divided into 2 treatment groups

Locations

4
University of Chicago60637, ChicagoIllinois, United States
Indiana University Division of Gastroenterolgy and Hepatology46202, IndianapolisIndiana, United States
University of Michigan48109, Ann ArborMichigan, United States
Albert Einstein Healthcare Network19141, PhiladelphiaPennsylvania, United States

Sponsors and collaborators

Indiana University

Lead sponsor

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator