The burden of liver disease is increasing in Dallas/Fort Worth and throughout the nation. In addition to alcohol abuse or misuse, there has been an alarming increase in the incidence of non-alcoholic fatty liver disease, a leading cause of cirrhosis.
To provide comprehensive care for patients with liver disease, Baylor University Medical Center at Dallas (Baylor Dallas), part of Baylor Scott & White Health, and Baylor Scott & White All Saints Medical Center – Fort Worth (BSW Fort Worth) have established a new patient care model that focuses on liver health.
“Instead of thinking about liver disease, we need to think about liver health,” says Sumeet Asrani, MD, MSc, chief of hepatology and liver transplantation at Baylor Scott & White Annette C. and Harold C. Simmons Transplant Institute. “We are organizing the liver services we provide across the health care system to focus on healing and improving liver health rather than just focus on combatting end-stage liver disease. We want to intervene early in the chronic disease management process rather than see patients just when they need a transplant. For those patients who don’t make it to transplant and are not doing well, we want to integrate palliative care early on. We need to find ways to help our patients lead healthier lives, identify risk of future damage early on and provide tailored solutions.”
Currently, 16 hepatologists on the medical staffs at Baylor Dallas and BSW Fort Worth, along with seven advanced practice providers, provide comprehensive liver services to patients throughout Texas. About 25 percent of outpatient care is provided in 10 outreach clinics in the state, including Amarillo, Longview, Odessa, Round Rock and Waco. Patients can be seen near where they live and only need to come to the Dallas/Fort Worth area for specialized services.
The goal of the new patient care model is to offer an easy, accessible and seamless patient journey, regardless of patient location and throughout the continuum of care. In some areas, more in-person visits to the community may be added, as well as expansion of virtual options.
Patients may take advantage of enhanced offerings, both in person and virtual, that promote liver health. These may include cooking classes, support groups, seminars, tailored support apps and exercise programs in the community.
“As part of our vision, we want to keep care local and offer flexibility in how care is delivered,” Dr. Asrani says. “A lot of centers take care of patients with liver disease. Our aim is to provide better patient-centered liver care than anyone else in Texas.”
Baylor Scott & White transplant team performs its 21st robotic living donor hepatectomy
Living liver donors report an immense emotional and spiritual benefit from knowing they are saving the life of a loved one. However, it is impossible to overlook the surgical trauma, cosmetic scars and surgical risks to which otherwise healthy donors are exposed with this major operation. To mitigate the potential harm to donors, Baylor Scott & White Annette C. and Harold C. Simmons Transplant Institute has begun performing robotic living donor hepatectomies, one of only two programs in the United States to do so.
New preservation technologies transform liver transplant
Three new organ preservation systems allow transplant surgeons to travel farther distances to procure donor livers and provide the ability to better assess potential donor livers that may have borderline function. Through the use of these new preservation systems, Baylor Scott & White Annette C. and Harold C. Simmons Transplant Institute has greatly expanded its options for accepting donor livers.
Baylor Scott & White Health delivers multidisciplinary care to combat rise in liver cancer
In Texas, a disproportionate number of people have non-alcoholic fatty liver disease, non-alcoholic steatohepatitis (NASH) and NASH cirrhosis. Combine these conditions with alcohol misuse, and you have a state with the highest rate of liver cancer in the nation.
Baylor Scott & White Transplant Institute begins liver transplant evaluations in Round Rock, Texas
Patients who live in the Austin area can now undergo liver transplant evaluations (LTE) at the Baylor Scott & White Transplant Hepatology Clinic in Round Rock, Texas.