Disparities in the Use of Older Donation After Circulatory Death Liver Allografts in the United States Versus the United Kingdom

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Search: onr:"swepub:oai:DiVA.org:uu-481587" > Disparities in the ...

1 of 1
Previous record
Next record
To hitlist

Details
MARC

Giorgakis, EmmanouilUniv Arkansas Med Sci, Dept Surg, Div Transplantat, 4301 W Markham St, Little Rock, AR 72205 USA.;Univ Arkansas Med Sci, Rockefeller Canc Inst, Dept Surg Oncol, Hepatopancreatobiliary Surg, Little Rock, AR 72205 USA.;Kings Coll Hosp London, Inst Liver Studies, Liver Transplant, London, England. (author)

Disparities in the Use of Older Donation After Circulatory Death Liver Allografts in the United States Versus the United Kingdom

Article/chapterEnglish2022

Publisher, publication year, extent ...

Lippincott Williams & Wilkins,2022
printrdacarrier

Numbers

LIBRIS-ID:oai:DiVA.org:uu-481587
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-481587URI
https://doi.org/10.1097/TP.0000000000004185DOI

Supplementary language notes

Language:English
Summary in:English

Part of subdatabase

SwePubSwePub

Classification

Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Background. This study aimed to assess the differences between the United States and the United Kingdom in the characteristics and posttransplant survival of patients who received donation after circulatory death (DCD) liver allografts from donors aged >60 y. Methods. Data were collected from the UK Transplant Registry and the United Network for Organ Sharing databases. Cohorts were dichotomized into donor age subgroups (donor >60 y [D >60]; donor <= 60 y [D <= 60]). Study period: January 1, 2001, to December 31, 2015. Results. 1157 DCD LTs were performed in the United Kingdom versus 3394 in the United States. Only 13.8% of US DCD donors were aged >50 y, contrary to 44.3% in the United Kingdom. D >60 were 22.6% in the United Kingdom versus 2.4% in the United States. In the United Kingdom, 64.2% of D >60 clustered in 2 metropolitan centers. In the United States, there was marked inter-regional variation. A total of 78.3% of the US DCD allografts were used locally. One- and 5-y unadjusted DCD graft survival was higher in the United Kingdom versus the United States (87.3% versus 81.4%, and 78.0% versus 71.3%, respectively; P < 0.001). One- and 5-y D >60 graft survival was higher in the United Kingdom (87.3% versus 68.1%, and 77.9% versus 51.4%, United Kingdom versus United States, respectively; P < 0.001). In both groups, grafts from donors <= 30 y had the best survival. Survival was similar for donors aged 41 to 50 versus 51 to 60 in both cohorts. Conclusions. Compared with the United Kingdom, older DCD LT utilization remained low in the United States, with worse D >60 survival. Nonetheless, present data indicate similar survivals for older donors aged <= 60, supporting an extension to the current US DCD age cutoff.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng

Added entries (persons, corporate bodies, meetings, titles ...)

Ivanics, TommyUppsala universitet,Gastrointestinalkirurgi,Univ Toronto, Univ Hlth Network, Toronto Gen Hosp, Div Gen Surg,Multiorgan Transplant Program, Toronto, ON, Canada.;Henry Ford Hosp, Dept Surg, Detroit, MI 48202 USA(Swepub:uu)tomiv601 (author)
Khorsandi, Shirin E.Kings Coll Hosp London, Inst Liver Studies, Liver Transplant, London, England.;Kings Coll London, Fac Life Sci & Med, London, England. (author)
Wallace, DavidKings Coll Hosp London, Inst Liver Studies, Liver Transplant, London, England.;Kings Coll London, Fac Life Sci & Med, London, England.;London Sch Hyg & Trop Med, Dept Hlth Serv Res & Policy, London, England. (author)
Burdine, LyleUniv Arkansas Med Sci, Dept Surg, Div Transplantat, 4301 W Markham St, Little Rock, AR 72205 USA.;Univ Arkansas Med Sci, Rockefeller Canc Inst, Dept Surg Oncol, Hepatopancreatobiliary Surg, Little Rock, AR 72205 USA. (author)
Jassem, WayelKings Coll Hosp London, Inst Liver Studies, Liver Transplant, London, England. (author)
Mathur, Amit K.Mayo Clin, Dept Surg, Div Transplantat, Phoenix, AZ USA. (author)
Heaton, NigelKings Coll Hosp London, Inst Liver Studies, Liver Transplant, London, England. (author)
Univ Arkansas Med Sci, Dept Surg, Div Transplantat, 4301 W Markham St, Little Rock, AR 72205 USA.;Univ Arkansas Med Sci, Rockefeller Canc Inst, Dept Surg Oncol, Hepatopancreatobiliary Surg, Little Rock, AR 72205 USA.;Kings Coll Hosp London, Inst Liver Studies, Liver Transplant, London, England.Gastrointestinalkirurgi (creator_code:org_t)

Related titles

In:Transplantation: Lippincott Williams & Wilkins106:8, s. E358-E3670041-13371534-6080

Internet link

Find in a library

Transplantation (Search for host publication in LIBRIS)

To the university's database

1 of 1
Previous record
Next record
To hitlist

Find more in SwePub

By the author/editor: Giorgakis, Emman ...; Ivanics, Tommy; Khorsandi, Shiri ...; Wallace, David; Burdine, Lyle; Jassem, Wayel; show more...; Mathur, Amit K.; Heaton, Nigel; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

Articles in the publication: Transplantation

By the university: Uppsala University

Search outside SwePub

Extend your search to:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se