Evidence-Based Frameworks Increase Engagement in Serious Illness Communication Conversations for Patients With Cirrhosis

Cristal Brown, Tyberius Ford, Rabecca Hernandez, Nazan Aksan, Emily Brooke, Michael Pignone, Andrew J Muir, Rebecca L Sudore, Department of Medicine, University of Texas at Austin, Division of Gastroenterology, Ascension Medical Group, Office of Research, Dell Medical School at the University of Texas at Austin, Department of Medicine, Duke University School of Medicine, Department of Medicine, University of California, San Francisco, Departement of Medicine, San Francisco Veterans Affairs Health Care System, San Francisco

American Journal of Hospice and Palliative Medicine®

Published online on June 12, 2026

Abstract

American Journal of Hospice and Palliative Medicine®, Ahead of Print.
BackgroundSerious illness communication occurs with <10% of outpatients with end-stage liver disease (ESLD), despite high morbidity and mortality. We determined the feasibility of assessing changes in readiness for serious illness communication engagement ...